HomeMy WebLinkAboutPE 2.81.33; LA COSTA AVE; Engineering ApplicationPhone L/b... ? 975 Cash deposit Rec'd by Date filed
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Building Permit Plan Check No. 1 2,6 O
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue r
438.5541
PE NO.
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2;00 8P .. -
8 I, ?200 )
FOR APPLICANT TO FILL IN ,
Site Address Surety Company Bond No.
Legal Description Map No.
,
Surety Address
of
Subdivision Name I
I I Date Filed Rec'd by
Owner
j_Ny'M
-. Owner's Address
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Plans by Civil Er
Address ti t(é1 t4t
Soil Engineer
S'Ati iit
i Grading Contractc
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Address
P. riLJeo3 4r1'
CA
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nee r R.C.E.
P Phone
53%-A)Ib,
R.C.E. Phone
rL4(fOçEra, Phone 4-tc 4cc
The following documents are required and shall become a part
C0 of the grading permit when they are approved.
q Grading plans Specifications
Soil report Geologic Report Z Drainage structures . Other
Compaction report
Party responsible for overall supervision
AMec, SuoR
Proposed use of grade site
- ,' /
Number of cubic yards
Cut Fill
So
Proposed Schedule of
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. ("s I -w
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ENVIRONMENTAL CLEARANCE Date 7/ 3/ "
EIA Log No. '
By
Grading permit fee $ 57j,# Plan check fee $ (5
Permit Issue
by
dJ,U, _________ Date
Permit Expiration Date
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Haul routes are to be approved 'by City Engineer.
Adequate provisions shall be made for erosion and siltation
control.
All slopes shall be planted per City Code.
All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
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.
Rough - prior to drains
Final - slopes planted
Compaction reports rec'd.
Private engr. cert. rec'd.
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