HomeMy WebLinkAboutPE 2.81.18; LA COSTA MEADOWS UNIT 2; Engineering Application0 Application for Grading Permit 0 PE NO2 ;gL/Lg
CITY OF CARLSBAD
.t/ ENGINEERING DEPARTMENT
1200 Elm Avenue
438•5541
.10
Building Permit Plan Check No.
Validation by Finance
FOR APPLICANT TO FILL IN
Site Addrese-_ Surety Company Bond No. çac
Legal Description No.
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Surety A ress
Subdivision Name Date Filed Rec'd by
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C ash d posit Rec'd by Date filed
~Thefo twer's Addre-.( lowing documents are required and shall become a part
of the grading permit when they are approved.
plans Specifications s by Ci lçineer R.C.E.
e Grading bR /4- ____ Soil report Geologic Report
Drainage structures Other
> Compaction report
Addres Phon e
zt C12 7'/ ngineer 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.
57 1II4J~J)
Numbe(of cubic yards
Cut Fill Import Waste
All slopes shall be planted per City Code.
Proposed Schedule of Start Finish
Operations (dates) f 'r'O —'D J
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 s regul ing excavati and grading
and the provisi and condition ny perm it pursuant to Under City Code Sec. 11.06 170 this grading is:
D REGULAR GRADING - City inspector will make inspections 7iss
this td below.
Xb
(ONTROLLED GRADING - Private grading engineer shall
Signature of ee serve work, coordinate tests, make reports.
Owner or authorized agent INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE
- Date __6 003 ______________
E IA Log No9PZ3
By
Rough - prior to drains
Final - slopes planted
Compaction reports rec'd. 0,0 Q.Q
Grading permit fee .$ Plan check fee
Private engr. cert. rec'd. Permit I,ied1 4?,, iciaii ,J
by 'C4.dqf p Date 0 ' 1a j Copies: White-Office; Green-Building;
Permit Expiration Date 2 i? SJ 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