HomeMy WebLinkAboutPE 2.84.80; LA COSTA VALE UNIT 3 LOT 438; Engineering Application
r Application for Grading Permit 0
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
PE NO. _____
DI-V6 ,Ve 3/a7/ObQb94 9O0 MC
OOO?9 9O0 TL
Validation by Finance
Department
Building Permit Plan Check No
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No.
Map No. Legal Description
416 Surety Address
Subdivision Name Date Filed Rec'd by
Owner ,, Phone
61-10 50 _____
Cash deposit .4 Rec'd by Date filed
$
Owner's Address
171 '7 J'1Ai!f.i€L) '1Ittt %OJ)OIQO Ar The following documents are required and shall become a part
of the grading permit when they are approved.
Grading plans Specifications / Soil report Geologic Report
Drainage structures ______ Other
Plans by Civil Engineer R.C.E. k'
Address 2
!e lO I 'L4Jit-
Phone
/1ft01 I V Compaction report Soil Engineer kC.E. Phone
Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE 41V /1>A/O1/k 7 A PART OF THIS PERMIT
Address /9g k_sr4 Authorized hours of operation:
7:00 AM to Sunset, Monday. Friday.
Haul routes are to be approved by City Engineer.
Party responsible for overall supervision
4i) O
6
Proposed use of grade site4
te 11j 61410 V94;OOP66 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. 1 Ioc1jz a6y
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 REGULAR GRADING - City inspector will make inspections this application. iYsted below.
Signature of Permittee 'CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE Owner or authorized agent
Initial - site prep.
ENVIRONMENTAL CLEARANCE
Date ______________ Rough - prior to drains
EIA Log No.
q
By ( 7Y\ Final - slopes planted
Grading permit fee $ 96 Plan Plan check fee Compaction reports rec'd.
Permi.4sL11 . / ,'._ Private engr. cert. recd.
IJyOE ijaie _____________________
Permit Expiration Date
White-Office; Green-Building;
Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD