HomeMy WebLinkAboutPE 2.82.7; LA COSTA SOUTH UNIT 1 LOT 31; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
PENOZ p2-7
51
65-00
MC
13 /V v Mj~l 8 ~2 IL
Validation by Finance
Department
Building Permit Plan Check No
FOR APPLICANT TO FILL IN
Site AddLass Surety Company Bond No.
L1ega1 Description Map No ,
/ 2 ,,
Surety Address
______________________________ Subdivision Name Date Filed Rec'd by
Owner Ph ne Cash deposit Rec'd by Date filed
$
Owner's Addres
3',3' 7S7
The following documents are required and shall become a part
of the gading permit when they are approved.
,/Grading plans Specifications
P1 ns by Civil Engineer R.0 E h cc' ,T-i4N..gHJ q' _.iL. Soil report Geologic Report
, Drainage structures ____ Other
Compaction report
Address Phone '.1z C
l Engineer / R.C.E. Phor3e
P4LP4 74//L
I Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
_ A PART 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. Proposed use of grade site
-'"Z> / 0J 6 - /L A I - /" 4~ - 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.
Pr1d Schedule f 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 adin
and the provisions and c dition5 any permit issued p uant to
this application
Under City Code Sec. 11.06 170 this grading is:
D REGULAR GRADING - City inspector will make inspections
listed below.
Signature of ermittee
D CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
Owner or authorized agent INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE
- Date
.-//Ik Rough- _______________________
EIA Log No.-' 'j
By
prior to drains
Final - slàpes planted
Grading permit fee $ Plan check fee $ Compaction reports rec'd OOOF .
Permit Issued
- -j' ) Private engr. cert. rec'd.
uy '-..- L_,dle _______I Copies:- White-Office; Green-Building;
Permit Expiration Date i/- L? Z.__-.- 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