HomeMy WebLinkAboutPE 2.81.28; LA COSTA ESTATES NORTH LOT 81; Engineering ApplicationApplication for Grading Permit PE NO.
CITY OF CAILSBAD,
ENGINEERING DEPARTMENT
1200 Elm Avenue
4385541
Finance 600 MC
Building Permit Plan Check No le
FOR APPLICANT TO FILL IN
Site Address ______
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Surety Company Bond No.
Map No. Legal Description Surety Address
Subdivision Name a r 75"1 Es -r -r iV &=a Date Filed Rec'd by
Owner Phone Cash deposit Rec'd by Date filed
$
Owner's Address
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The following documents are required and shall become a part
ofthe'ading permit when they are approved.
ading plans Specifications
Soil report Geologic Report
Pie structures ___ Other
Plans by Civil Engineer R.C.E.
(T 1-i-- W no D / '77
Address Phone
Cô&Ikiy CT Sftj/rE&p cfZOO
=ionR.C.E. Soil Engineer Phone
Grading Contractor Php...
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—SPttRL —CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Party r\onsible for ovejuervision
ñC_K (OC.e__E1i.iV"r £9 Haul routes are to be approved by City Engineer.
Proposed use of grade site
1(-L_ a('VI1 I._.y 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.
Do 40 3'IO()
All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
Start Finish Proposed Schedule of
1 Operations (dates) US,AQ1
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 it issu 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 I
EIALogNo
t417 t
Rough . prior to drains
Final - slopes planted
Compaction reports rec'd.
Grading permit fee $ 90V Plan check fee $ 41m, 7 2D
Private engr. cert. rec'd. Permit Issued 2
by Date ' I Copies: White-Office; Green-Building;
Permit Expiration Date I 2- 2s i5l Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED ISA PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH.PERIOD