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HomeMy WebLinkAboutPE 2.81.62; LA COSTA ESTATES LOT 72; Engineering ApplicationApplication for Grading Permit CITY OF CARLSBAD ENGINEERING DEPARTMENT 1200 Elm Avenue 438.5541 PE NO. Validation by Finance Department 2/O4/8I403 37;00 M: OIO 1~4 I2/Uh/L j j/1UL it 1. Building Permit Plan Check No. FOR APPLICANT TO FILL IN Site Address Surety Company Bond No. 7331 L Fv,E/t CG:5T. Legal Description Map No. Surety Address Lo-t 1,-4CQSr3 lESiii5.. .9-301— Subdivision Name Date Filed Rec'd by Owner Phone Cash deposit Rec'd by Date filed Pi_-rut. Owner's Address : The following documents are required and shall become a part 9c'j' C4i k...o C—'r-. L.. A Co S-T—). of the grading permit when they are approved. ( Grading plans Specifications ? Soil report Geologic Report ______ Drainage structures Otier ____ Compaction report dL . p,i Plans by Civil Engineer R.C.E. Co ft- he . 4sJoc-i.i-is Address Phone 396 iv 14-'&' IQI —iv irzâ-f. '7 ~' / Soil Engineer R .C.E. Phone Grading Contractor Phone SPECIAL CONDITIOF'4.WHICH ARE MADE 73 * A PART OF THIS PERMIT Address CQ! PA,L. 5-r-. SCc'i,.-o,p . Authorized hours of operation: 7:00 AM to Sunset, Monday - Friday. - Haul routes are to be approved by City Engineer. Party responsible for overall supervision J. ' Proposed use of grade site 14 'se. 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. loo All fills to be compacted to at least 90% of optimum Proposed Schedule of Start Finish - Operations (dates) 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 State laws regulating excavating and grading, and the provisions and conditions of any issue rsuant to Under City Code Sec. 11.06 170 this grading is: D REGULAR GRADING - City inspector will make inspections this application. Signature of Permittee _ i listed below. E CONTROLLED GRADING - Private grading engineer shall observe work, coordinate tests, make reports. Owner or authorized agent U2t.LiJ - INSPECTION DATE INSP. SIGNATURE Initial - site prep. ENVIRONMENTAL CLEARANCE - Date ____________________ Rough - prior to drains ElA Log No. ____________ By Final - slopes planted Compaction reports rec'd. Grading permit fee $ Plan check fee $ Private engr. cert. rec'd. Permit Issued Jj j - 2-/7 (7 by - L)ate ( ' Copies: White-Office; Green-Building; Permit Expiration Date V '/'! 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