HomeMy WebLinkAboutPE 2.87.38; LA COSTA VALE LOT 468; Engineering ApplicationApplication for Grading Permit PE NO.
CITY OF CARLSBAD'
ENGI NEEIR.11INIq-DEPARTMENT
1200EIrn Avenue
Validation by Finance 43.8-66414_~ Department
Building Permit Plan Check No. OWK
FOR APPLICANT TO FILL* IN-
Site Address Surety Company Bond No.-
Legal Description Map No Surety Addre ss
Subdivision Name V- 7Z Date Filed Rec'd by
Owner Cash deposit Rec'd by Date filed
Owner's Addrest The following documents are requited and shall become a part
of the grading-permit when they are approved.
Grading plans Specifications
Soil: report Geologic Report
Drainage structures Other
Compaction report
Plans by r R.C.E.
Address one Iowa a-6w &V-7,77,067 _77--
Soil Eng' eer -R,C.E. Phone
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OFTHIS PERMIT
"Address Authoeized hours.of operation:
7:00 AM to Sunset, Monday - Friday.
Party reymnibl for over I s rvision
Haul routes are to be approved by City Engineer. - Proposed use if grade site
Adequat e provisions shall be made for erosion and siltation
control. Number of cubic yards
Cut Fill Import Waste All slopes shall be planted per City Code. q2-
Proposed Schedule of Start Finish
Operations (dates) :745~e
5.-,:c All fills to be compacted to at least 90% of optimum
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,
and the provisions and conditions'of any permit issued pursuant to
this application.
'Signature of Permittee
Owner or authorized agent
Under City Code Sec. 11.06 170 this grading1s:
0 REGULAR GRADING, - City inspector will make inspections
listed below.
0 CONTROLLED' GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
INSP.ECTION. DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
Date
EIA Log No.
By
Rough - prior to -drains
Final - slopes planted
Compaction reports reed.
-Grading permit fee $ Plan check fee $
Private engr. cert. rec'd. Permit Issued
by uate copies: White.-Office; Green-Building;
Permit Expiration Date Yellow-inspector; Pink-Permittee; Goldenrod- F i nance
THIS FORM WHEN PROPERLY VALIDATED ISA PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS.VALID FOR A SIX (6) MONTH PERIOD