HomeMy WebLinkAboutPE 2.83.35; LA COSTA LOT 1; Engineering ApplicationApplication for Grading Permit 0 PE NO.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
Validation by Finance 4385541 Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN 9i%'/ iIan
Site Address -J 2._A &rZPN V fi Surety Company Bond No.
Legal Description Map No
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Surety Address
Subdivision Name 4l¼JA17A Date Filed Rec'd by
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Owner ,J(frl 90 FF Phone Cash deposit Rec'd by Date filed
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Owner's Address "c,,4 The following documents are required and shall become a part
2oc 'J'12 I¼f c24L of the grading permit when they are approved.
Grading plans Specifications Plans by Civil Engineer .C.E.
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___ Soil report Geologic Report Address Phone
16 7-459 IUt/_E ) 44jZ'zEj'Q 22'o-43,z.I X Drainage structures ____ Other
)( Compaction report Soil Engineer R.C.E. Phon(oIR)
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Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address Authorized hours of operation:
7:00 AM to Sunset, Monday- Friday.
Party responsible for overall supervision
-'c ccç1 Rer.V4MEur oF Z.Pt Haul routes are to be approved by City Engineer.
Proposed use of grade site
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' Adequate provisions shall be made for erosion and siltation Number of cubic yards control.
Cut Fill Import - Waste
All slopes shall be planted per City Code.
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Proposed Schedule of Start Finish All fills to be compacted to at least 90% of optimum
Operations (dates) z,density unless noted otherwise.
I hereby acknowledge that I have read the application and state that
the information I have provided is correct and agree to comply with
all City ordinances and State laws regulating excavating and grading, Under City Code Sec. 11.06 170 this grading is: and the provisions and conditions of any permit issued pursuant to 0 REGULAR GRADING - City inspector will make inspections
this application.
6,
listed below.
CONTROLLED GRADING - Private grading engineer shall
Signature of Permittee observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE
Owner or authorized agent
Initial - site prep.
4NMENT L CLEAR CE
Rough . prior to drains
EIA Log No. Final . slopes planted
By
Grading permit fee $ L4 Plan check fee $ 1 15' Compaction reports rec'd.
Permit Issued Private engr. cert. rec'd.
by Date
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Copies- White-Office; Green-Building;
Pink-Permittee; Goldenrod -Finance Permit Expiration Date'
THIS FORM WHEN PROPERLY VALIDATED ISA PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD