HomeMy WebLinkAboutPE 2.83.04; LA COSTA ESTATES NORTH LOT 8; Engineering ApplicationApplication for Grading Permit PE NO. 'Z 0 3,O4 -
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541 Validation by Finance
Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address
zD 7 V/L P/ 64eI-53A
Legal Description Map No.
7r -;5 -4-
Subdivision Name
4 (ias7-7q E77-5
Owner Phone
I. $
Surety Company Bond No.
Surety Address
Date Filed '717keZI by
Owner's Address cfZz.- - The following documents are required and shall become a part
gg L//LL4--j- c7k, of the grading permit when they are approved.
Plans by Civil Engineer R.C.E. Grading plans Specifications i)T.. A r:j
/ Soil report Geologic Report Phone /Address
______ ______ 4-7 Lv L/ii -r iDoz, 743/u /Drainage structures ___ Other
iSoil En i-er .. Compaction report
ExEA,IIJA) EA /0332-
Grading Contractor J Ph SPECIAL CONDITIONS WHICH ARE MADE C—j 4413'- , 3-4-/3 / A PART OF THIS PERMIT
Address
S?0/ ,ZE/ &4/illltl/) At4LJ 4)L63AJé.. 7:00 AM to Sunset, Monday - Friday.
1. Authorized hours of operation:
Party responsible for overall supe.rvision
17/LI/J/ ? I11 14174i .) 1 2. Haul routes are to be approved by City Engineer. Proposed use of grade site
511L14'.LL /4fi1IL/ 3. Adequate provisions shall be made for erosion and siltation Number of cubic yards control.
Cut Fill Import Waste 4. All slopes shall be planted per City Code.
ea
Finish Proposed Schedule of start F /sh/3 5. 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:
REGULAR GRADING - City inspector will make inspections this application, listed below.
El CONTROLLED GRADING - Private grading engineer shall' Signature of Permittee observe work, coordinate tests, make reports.
Owner or authorized agent INSPECTION DATE INSP. SIGNATURE
____ ENVIRONMENTAL CLEARANCE
-
Initial - site prep.
Date _______________ Rough - prior to drains
E IA Log No. 8' ' 7
4 By . Final - slopes planted
Grading pe e Gu Compaction reports rec'd. Plan check fee $ -
Private engr. cert. rec'd.
by Copies: White-Office; Green-Building;
Permit Expiuion Date - c<'3 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