HomeMy WebLinkAboutPE 2.11.10; LA COSTA ESTATES NORTH LOTS 58-59 AND 60-31; Engineering Applicationr Application for Grading Permit S.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
729-1181 . PENO.2 ( I. 10
Validation by Finance
Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address Surety Bond Bond No.
Legal Description 7TAJ1ap No. Surety Company
-L-,c,-/ 75-4- 16,3o'
Subdivision Name Surety Address LA C71A 747 //71"
Owner Phone Date Filed Rec'd by
W P
Owner's Address Cash deposit Rec'd by Date filed
PIF Of
'Plans by Civil Engineer R.C.E. The following documents are required and shall become a part C Z/3 of the grading permit when they are approved.
,ø' Grading plans Specifications
Soil report Retaining Walls
Address Pbone 'zz/' ,4u1ya4 c 4- 4gj1
Soil Engineer R.C.E. Phone Drainage structures ______ Other
Compaction report Grading Contractor Phone
)C.7sG'
Address - SPECIAL CONDITIONS WHICH ARE MADE f?'Q, 2iiç ,Q4Jb S4.IJ4 ,/' A PART OF THIS PERMIT
Party responsible for overall supervision Authorized hours of operation: V/1 F' '72AIr 7:00 AM to 5:00 PM, Monday - Friday. Proposed use of grade site
Haul routes are to be approved by City Engineer. Number of cubic yards
Adequate provisions shall be made for erosion and siltation
control.
Cut Fil.l Import Waste
All slopes shall be planted per direction of Parks &
Recreation Director. Proposed Schedule of Start Finish
Operations (dates)
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
- Signature of Permittee
Ground preparation
Owner or authorized agent Rough grading
ENVIRONMENTAL CLEARANCE - Compaction report rec'd.
Date Planting & drainage
____________ EIA Log No.
Final certification rec'd. By
Work completed
I Surety bond released
Date Copies: 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
Grading permit fee $
Permit Issued
by
Permit Expiration Date