HomeMy WebLinkAboutPE 2.11.65; PARK VIEW ESTATES; Engineering ApplicationI-Jn P%rFL.1%1P%1M I 1%j FILL II'J
Site Ad" s Surety Company Bond No.
,J...eal Description Map No. Surety Address
&r 2 6 4e1?I24jPLr,)/_ division Name - Date Filed Rec'd by rEvr*r c
ner
Phone Cash deposit Rec'd by Date filed
7r $
Owner's Address The following documents are required and shall become a part
C1S. L4y..i__ka2a9er.st Z..c)/ C1ht* 9' of the grading permit when they are approved.
Grading plans Specifications
_____ Soil report Geologic Report
Drainage structures _____ Other
Compaction report
Plans by Civil Engin"er R.0 E
UW
Address Phone -,I,I E ci
R.C.E. Soil Engine Phone
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
C A.) ddress 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. d use o.iade site Propose
es Adequate provisions shall be made for erosion and siltation
control. Numberfof cubi'c yards
Cut Fill Import Waste All slopes shall be planted per City Code.
Proposed Schedule of Start Finish All fills to be compacted to at least 90% of optimum
Operations (dates) I_J17 ..5—/ 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, Under City Code Sec. 11.06 170 this grading is: and the provisions and conditions of any permit iss d pursuant to 0 REGULAR GRADING - City inspector will make inspections
this application. listed below.
0 CONTROLLED GRADING - Private grading engineer shall
Signature of rmittee observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE Owner or authorize agent
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
Date _____________________
Rough - prior to drains
EIA Log No. Final - slopes planted
By
Compaction reports rec'd. Grading permit fee $ 70 o.i Plan check fee $
Private engr. cert. rec'd. Permit Issued1 '
by I " Date / / 0 Copies: White-Office; Green-Building;
Permit Expiration Date / /' —P7 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