HomeMy WebLinkAboutPE 2.11.14; LA COSTA LAND CO; Engineering ApplicationApplication for Grading Permit Alb
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
729-1181
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t1fUfjLj79Ib 176,00 BP Validation by Finance UUU66 nen 09fdU 76.00 IL
Building Permit Plan Check No
FOR APPLICANT TO FILL IN
rSite Address Surety Bond Bond No.
_:)•' Surety Company
_PARCEL_ _223-050-47
Legal Description - Map No.
TAX NQ-
Subdivision Name
N/A
Surety Address
Owner Phone Date Filed Recd by
OLIVENHAIN_M.W.D. 753-6466
Owner's Address Cash deposit Rec'd by Date filed
1966OLIVENHAINRDENCINITAS,,CA92024 $
Plans by Civil Engineer R.C.E. - The following documents are required and shall become a part
GERALD E. CAMPBELL 15325 of the grading permit when they are approved.
_____ Grading plans Specifications
V Soil report Retaining Walls
Drainage structures ______ Other
Compaction report
_AT_ _TIME
Address Phone
7807_CONVOYCOURT _2688080
Soil Engineer R.C.E. Phone
BENTON ENGR,INC. _ 565-1955
Grading Contractor Phone
UNKNOWN THIS
Address SPECIAL CONDITIONS WHICH AREMADE
A PART OF THIS PERMIT
Party responsible for overall supervision
OLIVENHAIN MUNICIPAL WATER DISTRICT 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. EXCESS LAND FILL
Number of cubic yards
Adequate provisions shall be made for erosion and siltation
control.
Cut Fill Import Waste
•
I
23,000
I All slopes shall be planted per direction of Parks &
Recreation Director. Proposed Schedule of Start Finish
Operations (dates) MAY 1980 SEPT 1980
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 cbnditions of any permit issued pursuant to
this application.
Signature of Permittee
INSPECTOR'S INSPECTION DATE SIGNATURE
Ground preparation
Owner or authorized agent Rough grading
ENVIRONMENTAL CLEARANCE - Compaction report rec'd.
Planting & drainage EIA Log No.
Date
By Final certification rec'd.
Work completed
h Surety bond released
--r L LJate '/''7 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 .
- a
Grading permit fee $
Permit Issue
by
Permit Expiration Date