HomeMy WebLinkAboutPE 2.81.10; LA COSTA MEADOWS UNIT 4; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
PE NO. '
7
—'-"•
Validation by Finance
Department
5/20/812077 84,000 MC
nin, n.,7 ini;'rr1 1i•
Building Permit Plan Check No.
FOR APPLICANT TO FIIA. IN
Site Address
c. 19 oed
Surety Company ........- BondNo. -
egacnp tion '_P7-559 Map No. Surety Address
Subdivisio4, Name Date Filed Rec'd by
Owner Phon J7q Cash deposit Rec'd by Date filed
$
Owner's Address 679/
The following documents are required and shall become a part
of the tling permit when they are approved.
V'Grading plans Specifications
'4oil report
Geologic Report
structures ___ Other
Compaction report
Plans by Civil Eineer R.C.E.
&AC.) .7Lf/ )e(&J J fl 7
Address Phone * S1k or Drainaoe
Soil Engineer R C.E. Phone /o3
. g Con ract Phone
'w --EtTtiThTIONS WHICH ARE MADE
A PART OF THIS PERMIT
s
tParty esponsible for overall s
f Authorized hours of operation:
7:00 AM to Sunset, Monday- Friday.
0 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.
1101 701-
All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
Proposed Schedule of Start Finish
Operations (dates) P/
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
...,2
Owner or authorized agent 6t i? (Qik.2D
Under City Code Sec. 11.06 170 this grading is: - -
LI REGULAR GRADING - City inspector will make inspections
listed below.
LI CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
Date './t&'/L3
EIA Log No.
' By
Rough - prior to drains
Final - slopes planted
Compaction reports rec'd.
-
yu
Grading perm' fe Plan check fee $
Private engr. cert. rec Per mKI cT)k?Q - ....
j , / / upi es. vv iii Le-..# ii U i. u
Permit Expiration Date ___________________________________________ 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