HomeMy WebLinkAboutPE 2.81.19; LA COSTA MEADOWS UNIT 4, LOT 732; Engineering Application1 Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541 . PENO.2?I/?
F41O
Validation by Finance
Department
Building Permit Plan Check No
FOR APPLICANT TO FILL IN
Site Address
.
Surety Company Bond No.
Legal cript2 No. Surety Address
Subdivision Name
LA_Coi-i-ros
Date Filed Rec'd by
Owner Phone
L c ( E. (i1e9 L J. 14tvS -1S3 -52j4_7
Cash deposit Rec'd by Date filed
$
Owner's Address 729 9/6!
74c 11Z.A.1t\
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
,jans by Civil Engineer
Ps
R.C.E.
ccs.
Address Phone s. t'iø .
Soil Engineer R.C.E. Phone
Soasbk'eAwTo Inc
Grading Conractor Phone
g-t- Lb
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
A_ddress
+Ox"c 604 EffC.Oflct(dO '?2O2S'
Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Party responsible for overall supervision
]*.& IWIes / OVIft Haul routes are to be approved by City Engineer.
Proposed use of grade site
9154l,u 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
- - - Under City Code Sec. 11.06 170 this gra ding is:
LI REGULAR GRADING - City inspector will make inspections
this application. listed below.
LI CONTROLLED GRADING- Private grading engineer shall
Signature of Permittee ___________________________________________ observe work, coordinate tests, make reports.
Owner or authorized agent ___________________________
INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
Date _____________________
Rough - prior to drains
EIA Log No.
By
Final - slopes planted
Compaction reports rec'd. Grading permit fee $ Plan check fee
I Private engr. cert. rec'd. Permit Issued
h'.i
\\
Permit Expiration Date
Date Copies: White-Office; Green-Building;
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