HomeMy WebLinkAboutPE 2.82.16; LA COSTA ESTATES NORTH LOT 57; Engineering ApplicationApplication for Grading Permit is
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
PE NO. Sl._,?
Validation by Finance
Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No
Et k k s.,
Legal Description Map No. Surety Address
'7)28
Lo r s7ri 1S
Subdivision Name Date Filed Rec'd by
Owner Phone Cashi Rec'd by Date filed
1.
Owner's Address
(721Ll L_JOItC. 9cD3 The following documents are required and shall become a part
O' : of the grading permit when they are approved.
,
,r ading plans Specifications
_____ il report Geologic Report
Plans by Civil Engineer R.C.E;
14 1-76
Address Phone
.. -r 2 2 -L1 Drainage structures ____ Other
Compaction report Soil Engineer Phone L
Grading Contractor Phone
. RvAer-.
SPECIAL CONDITIONS WHICH ARE MADE '5,-c1 A PART OF THIS PERMIT
Address i4 Cic__ O& 1. Authorized hours of operation: -C C- o3 7:00 AM to Sunset, Monday• Friday.
Party responsible for overall supervision
Haul routes are to be approved by City Engineer.
Proposed use o4rade site 1 2.
Adequate provisions shall be made for erosion and siltation Sin
Numr of cubic yards I control.
Cut Fill Import - Waste
All slopes shall be planted per City Code.
3,100
Proposed Schedule of Start Finish All fills to be compacted to-at least 90% of optimum
Operations (dates) as &Ofl ,c . 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 iiy oruinances anu ataie laws reguiatung excavating anu grauung, Under City Code Sec. 11.06 170 this grading is: and the provisions and conditions of any permit issued pursuant to EL REGULAR GRADING - City inspector will make inspections
this application. listed below.
Signature of Permittee
U CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
Owner or authorized agent
.
INSPECTION DATE I INSP. SIGNATURES
Initial - site prep.
ENVIRONMENTAL CLEARANCE
Date , Rough- prior to drains
EIALogNo.
l//c-.3 [9y&- By zx~~j~ Final . slopes planted
Grading permit fee $ .Q Plan check fee it V9
Compaction reports rec'd.
Permit Issued
by
Permit Expiration Date
7 r& — 1 Private engr. cert. rec'd..
Date_____________________________ Copies: White-Office; Green-Building;
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
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
PE NO. 2-ZIL
Validation by Finance
Department
Building Permit Plan Check No,
-- FOR APPLICANT TO FILL IN AMMYRAtaAalh - . -
Site Address
1328 .I 1&e'k S'-.) Cort6aj
Surety Company
-
Legal Description Map No. Surety Address
I—of 51 Map 1230.- I
Subdivision Name I_a... QoM_-
C&rbbd Trttd 7s—
Date Filed Rec'd by
Owner Phone Cash deposit Rec'd by Date filed Le- K. Rd L/3 B —75OS $
Owner's Address . The following documents are required and shall become a part
471 tJri-n' 'S4-,%2*rIsbJ) C4 c'2_009 of the grading permit when they are approved.
Plans by Civil Engineer R.C.E.
Dennis E. Zrmt.u' C_'(7(c Grading plans Specifications
_____ Soil report Geologic Report Address Phone
#'O. Box 3B, Drainage structures ___ Other
Compaction report Soil Engineer 1C.E. Phone
E, Zerru- C (0(07f0 3 s 5,T,5
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
APART OF THIS PERMIT
Address Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday. Party responsible for overall supervision
Haul routes are to be approved by City Engineer. K. RonLI Leep&r-
Proposed use of grade site
titltj
Numt?
je Adequate provisions shall be made for erosion and siltation er of cubic yards
. control.
Cut Fill Import Waste
All slopes shall be planted per City Code.
!/OO 2OOOy qoo yiL —
Proposed Schedule of Start Finish All fills to be compacted to at least 90% of optimum
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 permit issued pursuant to Under City Code Sec. 11.06 170 this grading is:
0 REGULAR GRADING - City inspector will make inspections this application. listed below.
A" &2at~~_ LOp—
0 CONTROLLED GRADING - Private grading engineer shall Signature of Permittee observe work, coordinate tests,, make reports.
Owner or authorized agent /-.Z'J INSPECTION DATE INSP. SIGNATURE
.
Initial - sife prep.
ENVIRONMENTAL CLEARANCE -
Date _____________________ Rough - prior to drains
EIA Log No.
BY -
Final -slopes planted
Compaction reports rec'd. Plan check fee
Per it ssu 0`7
____
Private engr. cert. rec'd.
______________________________ Date
Permit Expation Date 1 L Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD