HomeMy WebLinkAboutPE 2.11.48; LA COSTA MEADOWS UNIT 2; Engineering ApplicationApplication for Grading Permi '\ PE NO.
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue I
Validation by Finance 438.5541 Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address - (6(-6o.3 ,MJ1'4 is#'#it ST?LEEt.
Surety Company Bond No.
Legal Desiong _q Map No. Surety Address
-
Subdivision Name Date Filed Rec'd by
Owner Phone sr Cash deposit Rec'd by Date filed
Owner's Address
4 ..'i$ LA 41Y1 4T1514 12.k9 ) 0"412 _. The following documents are required 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 Civil Engineer R.C.E.
. Address Phone
Soil Engineer R.C.E. Phone
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address
Authorized hours of operation:
7:00 AM to Sunset, Monday- Friday.
Party responsible for overall supervision
Haul routes are to be approved by City Engineer. Proposed use of grade site
Adequate 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.
Proposed Schedule of Start Finish
Operations (dates)
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 provisio and nditions of any permit issued p
this application.
Signature of
ursuant
Owner or auth ___________________________________
I
Under City Code Sec. 11.06 170 this grading is:
LI REGULAR GRADING - City inspector will make inspections
listed below.
U CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION' ,DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
Date _____________________
EIA Log No. ____________
Rough - prior to drains
Final - slopes planted
Compaction reports rec'd.
Grading pe
1
n check f $
Perm
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( Private engr. cert. rec'd.
by \.....' "- pee ' ( )&9,&.~1 Copies: White-Office; Green-Building;
Permit Expiration Date E Z_j 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