HomeMy WebLinkAboutPE 2.11.25; LA COSTA ESTATES NORTH LOT 54; Engineering ApplicationBuilding Permit Plan Check No
• Application-for Grading Pere •
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
729-1181
PE NO.2 f(-2'
9/09 /80143C9 9fl.fll
90000
DePartmen 9,
IL
FOR APPLICANT TO FILL IN
Site Address Surety Bond Bond No.
7ftD E t-r€ r -
Legal Description Map No. Surety Company
LOT' 4
Subdivision Name - 4 Surety Address
Owner Phone
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Date Filed Rec'd by
j-tE . US. 424-10
Owner's Address - 3088 - Pio Pio D. Cash deposit Rec'd by Date filed
¼ COLOVJEL.L APJ CA zusfixv> $ -
Plans by Civil Engineer R.C.E. The following documents are required and shall become a part
of the grading permit when they are approved.
Grading plans Specifications Address Phone - V 1- Soil report Retaining Walls Soil Engineer R.C.E. Phone A { 4Jb-tAr-5B 168 aa~
Drainage structures ______ Other
Compaction report Grading Contractor Phone
Address V V SPECIAL CONDITIONS WHICH ARE MADE
- A PART OF THIS PERMIT
Party responsible for overall supervision Authorized hours of operation:
7:00 AM to 5:00 PM, Monday - Friday. Proposed use ofgrade site
Haul routes are to be approved by City Engineer. 61 k3 ' V
Number of cubic yards
Adequate provisions shall be made for erosion and siltation
control. -
Cut Fill Import - Waste
I 7 ox. I -A4 r--> 32e9 All slopes shall be planted per direction of Parks &
Recreation Director. Proposed Schedule of Start Finish
Operations (dates) -
-
V
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 V
all City ordinances and State laws regulating excavating and grading,
V and the provisions and conditions of any permit issued pursuant to
this application. JAItls6.• - V INSPECTOR'S INSPECTION DATE SIGNATURE Signature of Permittee
Ground preparation
Rough grading Owner or authorized agent
ENVIRONMENTAL CLEARANCE - V Compaction report rec'd.
Date
7,"zJ
EIA Log No. Planting & drainage V
Final certification rec'd. By
Grading permit fee $ C-
Permit Is by ;::L44 JJ" Date / U -F10
Permit Expiration Date /4/1?1S F'I At' P.4rI
Work completed
Surety bond released
Copies: White-Office; Green-Building;
Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED ISA PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD