HomeMy WebLinkAboutPE 2.82.11; LA COSTA ESTATES NORTH LOT 11; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
O'1 5/1
438-5541
Al"
Building Permit Plan Check No. L' 1'
PE NO. 242.l(
Validation by Finance
Department
FOR APPLICANT TO FILL IN
Site Address
~~Q/eAkibi L
Surety Company Bond No.
Legal Descriptioji
L6r 1/ y Surety Address
Subdivision
4A-(_MjA_ j A141 W*- Date Filed Rec'd by
-
Owr Phone
'&_\(S 1flá4lLS 43c3 q$
Cash deposit Rec'd by Date filed
$
Owner's Address 3(o (o F'Z4l-4-i\a The following documents are required and shall become a part -
of the grading permit when they are approved.
"rading plans Specifications
Plans by Civil Engineer R.C.E.
Soil report Geologic Report
Drainage structures ______ Other
Address Phone
Compaction report Soil Engineer R.C.E. Phone
ALr4 mvIwE ZII6
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address
El Li yin'v"c . 1 Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday. / nsible for overall supervision Paj
0
N Haul routes are to be approved by City Engineer. Proposed use of grade site
Adequate provisions shall be made for erosion and siltation
control. Number ofcu6ic yards
Cut Fill Import Waste
All slopes shall be planted per City Code.
Proposed Schedule of Start Finish
Operations (dates)
All fills to be compacted to at least 90% of optimum
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 permit issued pursuant to
this application,
Signature of Permittee'TTi"TflflL.,5 (
Under City Code Sec. 11.06 170 this grading is:
REGULAR GRADING - City inspector will make inspections
listed below.
000NTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
Owner or authorized agent INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE
- 5,,,, ,
EIA Log No. 33 Date
By
Rough - prior to drains
Final - slopes planted
Compaction reports rec'd. Grading permit fee $ rc>Plan check fee $
Permit Issued
- < Private engr. cert. rec'd.
'-''-c.-.- uae Copies: White-Qtfiqe; Green-Building;
Permit Expiration Date 2' Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR ASIX (6) MONTH PERIOD
p 0 -