HomeMy WebLinkAboutPE 2.81.53; LA COSTA GREENS UNIT 2 LOTS 186-187; Engineering Applicationam
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
PE NO. S3
ali ation Finance I2600 MC
Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No.
A,ic-,F $'Jy Tp.r. Io1S4.'4
LegaJ Description ' Map No. y4 s-i,,,
Gts t a 6 4€' fL& C.J c.;}4 t
Surety Address
°' iI& L
Subdivision Name Date Filed Rec'd by
Owner
,
Phone Cash deposit Rec'd by Date filed
$ _-
Owner's Address
.
4 p - x 1. 9 J .,
i
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
____
D
Drainage structures ____ Other
) Compaction report
séI.9rJ
Plans by Civil Engineer R.C.E. Li.. 13 3 .q &1S¼.. / Address Phone '.,39'-.9 c8
1 4 00 (o i.'< . S'+e_. I4 S
Soil Engineer RC.E. Phone
Grading Contractor ,. Phone
PJ1'.J(. -i Le'S
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address
3310 s - -'- L Authorized hours of operation:
7:00 AM to Sunset, Monday. Friday.
Party responsible for overall supervision
kAl' LEO,.
-
Haul routes are to be approved by City Engineer.
Proposed use of grade site
.L ,_ 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 St Finish
Operations (dates)
art
Jp I
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
Owner or authorized agent
listed below.
-- - Under City Code Sec. 11.06 170 this grading is:
LI REGULAR GRADING - City inspector will make inspections
0 00NTROLLED GRADING . Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE
Initial . site prep.
ENVIRONMENTAL CLEARANCE
Date ___________________
EIA Log No. U
o - QM
Final - slopes planted
!~y
Rough - prior to drains
-
Compaction reports rec'd.
Grading per $()Q/1c)(f) Plan check fee $
Private engr. cert. rec'd. Permit - / /
by ate Copies: White-Office; Green-Building;
Permit Expiration Date 4/ I 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