HomeMy WebLinkAboutPE 2.83.15; LA COSTA VALE UNIT 3 LOT 430; Engineering ApplicationBuilding Permit?Thn Check No
.4
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
1-7 PE NO.
Validation by Finance
4j0 MC
83 4tt'00 '1
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No. A)/A-
Legal Description Map No. Surety Address
,4. L4 '10
Subdivisibh Name IA Date Filed Rec'dby
deposit ' Rec'd by Date filed
$
The following documents are required and shall become a part
of the grading permit when they are approved.
Grading plans ..L" Specifications
Soil report Geologic Report
' ,Drainage structures ______ Other
V Compaction report
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Haul routes are to be approved by City Engineer.
' Adequate provisions shall be made for erosion and siltation
control.
All slopes shall be planted per City Code.
All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
Owner Phone
Owner's Address
Ct;
Plans by Civil Eigineer R.C.E.
I Address Phone II
I10
I
941 —
/104
4
oil Engineer R.C.E. Phone
T ooL I
Grading
Address
Party responsible for overall supervision
1ch4 Ok.%c
Proposed dse of grae site
Number of cubic yards
Cut Fill Import Waste
3o
Proposed Schedule of Start Finish
Operations (dates)
I hereby acknowledge that I have read the application and state that
the information I have provided is correct and agree to comply with
.. _.J c'... i..... i ..._ -
grading, a iLY uiuiuidiii.e dilU 1dke uaw reyuiiurig XdVdti11Y dilU yrduirly, Under City Code Sec. 11.06 170 this grading is: - and the provisions and conditions of any permit issued pursuant to U REGULAR GRADING . City inspector will make inspections
ted below. this application. li
Xbserve
TROLLED GRADING - Private grading engineer 1alI Signature of Permittee work, coordinate tests, make reports.
Owner or authorized agent 6v,,ej INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE.
Date 111~3Rough - prior to drains
'
_
EIA Log No/3J,
By t Final . slopes planted lu 4L
Grading permit fee $ 00 Plan check fee $ 9O Compaction reports rec'd. 14-1
Permit Issued
by Date - 1,2:1 /
Private engr. cert. rec'd.
Copies: White-Office; Green-Building;
Permit Expiration Date 4 4"lO/V?iiJ ff.i#'( Di*7 Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
o /r1ufJ-7qcC
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD