HomeMy WebLinkAboutPE 2.84.62; BATES RESIDENCE|LA COSTA MEADOWS LOT 701; Engineering ApplicationApplication for Grading Permit PE NO. 84.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
A
S Lw6.
Validation by Finance
Department
Building Permit Plan Check No
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No.
Legal Description Map No. Surety Address
ZO? 72/ /c27; w# '
Subdivision Name Date Filed Rec'd by
Owner Phone Cash deposit Rec'd by Date filed
fi' $
Owner's Address The following documents are required and shall become a part
' of the gr ding permit when they are approved.
Grading plans Specifications
_____ Soil report Geologic Report
Plans by Civil Engineer R.C.E.
I114'
Address Phone
'
Drainage structures ______ Other
V "Compaction report Soil Engineer R.C.E. Phone .g1955
4JV'26 1033—
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
Haul routes are to be approved by City Engineer. Proposed use of grade site
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.
Proposed Schedule of Start Finish All fills to be compacted to at least 90% of optimum
Operations (dates) 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 D REG.t3LAR GRADING . City inspector will make inspections this application. Lis fed below.
L(CONTROLLED GRADING . Private grading engineer shall
Signature of Permittee observe work, coordinate tests, make reports.
Owner or authorized agen ,..Z_O . 4/i y INSPECTION DATE INSP. SIGNATURE
Initial . site prep.
ENVIRONMENTAL CLEARANCE.
Date _______ _________________ Rough. prior to drains
EIA Log No.
By
Final slopes planted
Compaction reports rec'd. Grading permit fee $-1_3 ,;2,Plan check fee $
Private engr. cert. rec'd. Permit Issued - -
Dy uaie Copies: White-Office; Green—Building;
Permit Expiration Date Yellow-Inspector; Pink-Permittee; Goldenrod- Finance
THIS FORM WHEN PROPERLY VALIDATED ISA PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD