HomeMy WebLinkAboutPE 2.10.55; LA COSTA MEADOWS UNIT 4 LOT 667; Engineering ApplicationApplication for Grading Permit ' PE NO. c'_/O. fJ
.313
Building Permit Plan Check No.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
729-1181
Validation by Finance
Department 2/
0016391 12/1 2/79
8440 BP
814 .00 IL
FOR APPLICANT TO FILL IN
Site Add
, ,, 57 5 do
Surety Bond Bond No.
Legal Description Map No. Surety Company
7 cni-'1
Subdivision Name Surety Address
Phone Own Date Filed Rec'dby
Owner's Add
S &46
Cash deposit Rec'd by Date filed
,tJ/Ci 40?( $
Plans by Civil Engineer R.C.E. The following documents are required and shall become a part
—7s'_!_,fçi 7 of the grading permit when they are approved.
______ Grading plans Specifications
VSoil report Retaining Walls
Drainage structures ___ Other
Address Phone
3J OI..J(Jt' ',"J' 7 'O - ( .. R.C.E. . Phooe )lEngrnee
Compaction report Grading Contractor Phone
Address SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Parpj responsible for overall supervision
L. /1 IV,U e'.y Authorized hours of operation:
7:00 AM to 5:00 PM, Monday - Friday. Proposed use of grade site
Haul routes are to be approved by City Engineer.
,6 51 4 16/
Number of cubic yards
Adequate provisions shall be made for erosion' and siltation
control.
Cut Fill Import Waste
All slopes shall be planted per direction of Parks & Proposed Schedule of Start Finish
Operations (dates) Recreation Director.
All fills to be compacted to at least 90% of optimum
I hereby acknowledge that I have read the application and state that density unless noted otherwise.
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. INSPECTOR'S INSPECTION DATE
Signature of Permittee L. . SIGNATURE
Ground preparation
Owner or authorized agent Rough grading
ENVIRONMENTAL CLEARANCE
- ..
Compaction report rec'd.
Date
EIA Log No. / Planting & drainage
Final certification rec'd. By
Grading permit fee $ g a Work completed
Permit Issued j Surety bond released
by UZ~~ Date' 11~1, 11-7 Copies: White-Office; Green-Building;
Permit Expiration Date ja 79 Yellow-inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD