HomeMy WebLinkAboutPE 2.84.27; LA COSTA VALE UNIT 3 LOT 431; Engineering ApplicationApplication for Grading Permit PE NO..2
Building Permit Plan Check No.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541 Validation by Finance
Department
FOR APPLICANT TO FILL IN ' rc
Site Address Surety Company NoP
Legal DescriptioP Map No. Surety Address i\ b01 't hJ 79sJA I fl (L- ,
5
,
Subdivision Name Date Filed I\J p ,'f Recd by
wner
Phone Cash deposit Rec'd by Date filed
$
Owner "s Address The following documents are required and shall become a part
____________________________________ pp oved. /71t5-41 42i.1L1 ,LIV i&,ittai 62 Y~D2IV of 7/
i Grading
ading permit when they are,
Plans by Civf Engineer R.C.E.
plans Specifications 32.728 i.-oil report Geologic Report Address Phone4g/_
_____ Drainage structures _____ Other ,T1 7 N .k&i : 8-cL, (D,49le / Compaction report Soil Engineer R.C.E. Phone
,4L /C// S i$ if 7 't'i w/
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address 1. Authorized hours of operation:
Party responsible for overall supervision
7:00 AM to Sunset, Monday - Friday.
Proposed use of grade site 2. Haul routes are to be approved by City Engineer.
.1
Nimber of cubic yards
Cut Fill Import Waste
/(jOV zjoo qc
Proposed Schedule of Finish
Operations (dates)
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 D RULAR GRADING - City inspector will make inspections this application. ,i(sted below.
CONTROLLED GRADING - Private grading engineer shall Signature of Permittee ___________________________________________ observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE Owner or authorized agent
42~~'
Initial - site prep. //,/i7,/
ENVIRONMENTAL CLEARANCE -
natp let? 164 Rough .prior to drains
EIA Log No. 511:7
Grading permit fee $
Permit Issued
by
Permit Expiration Date
/4 B._—' 1 ,/Iei..%g4Q. Final - slopes planted
Plan check fee$ Compaction reports recd.
PrivatQ'rt. rec'd.714
Date J "Yf -
'y .
~eY White Office; Green-Building; Doti Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY V
THIS PERMIT IVAID FOR
TO DO THE WORK DESCRIBED
A SIX (6) MONTH PERIOD
Adequate provisions shall be made for erosion and siltation
control.
All slopes shall be planted per City Code.
rt
All fills to be compacted to at least 90% of optimum
density unless noted otherwise.