HomeMy WebLinkAboutPE 2.11.67; LA COSTA ESTATES NORTH LOT 98; Engineering Application
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
Validation by Finance
Department
Building Permit Plan Check No.
/I2/60 339 6600 BP
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No.
Legal Description Map No. Lo+ Surety Address
Subdivision Name Date Filed Rec'd by
Owjar, Phone
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Cash deposit Rec'd by Date filed
$
Owner's Address
i Auburn t2k'. t4u41 Icv' 2'41
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
En gineer R.C.E. Phone
Plans by Civil Engineer R.C.E.
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Address Phone &
47b V.J. ¼/ecyrt-+ ECOdIO %02 1214
Gradingntractor 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.
All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
Proposed Schedule of . Start Finish
Operations (dates)
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 provisions and conditions of any permit issued pursuant to
this application.
Signature of Permittee
Owner or authorized agent
Under City Code Sec. 11.06 170 this grading is:
0 REGULAR GRADING - City inspector will make inspections
listed below.
0 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.
By
Rough - prior to drains
Final - slopes planted
Compaction reports rec'd. Grading permit fee $ 7 /6c, Plan check fee $
Private engr. cert. rec'd. Permit Issued
-
by JAIW' '--- Date I Copies: White-Office; Green-Building;
Permit Expiration Date ______________________________________________ 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