HomeMy WebLinkAboutPE 2.83.23; LA COSTA ESTATES NORTH LOT 103; Engineering ApplicationApplication for Grading Permit 41
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541 Vali
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address
4 k Surety ComPanV,,V/k Bond No.
Legal Description Map No. Surety Address
- Lo-t I Cs h -"t'L p'.) IA
Subdivision Name Date Filed Rec'd by
Owner
_. Phone Cash deposit ec' Date filed
$
Owner's Address LI Otv Is L- CA.- t&-'O i&Q ?- ".C(L CCA c
The following documents are required and shall become a part
of ty(ding permit when they roved.
Plans by Civil Engineer R.C.E. Grading plans - Specifications
_Soil report Geologic Report Address Phone Drainage structures ______ Other
Compaction report Soil Engineer R.C.E. Phone '1
0 Cci-?o1J_L-4S
Grading Contractor Phone %O SPECIAL CONDITIONS WHICH ARE MADE
TV?4crQ 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. C.. 6L,44(C(_'J
Proposed use of grade site
g(cLE 11 Adequate provisions shall be made for erosion and siltation Number of cubic yards control.
Cut Fill Import Waste
All slopes shall be planted per City Code.
'100 I T 300
Proposed Schedule of Start Fipish 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, 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 willmake inspections this application. jisted below.
'CONTROLLED GRADING - Private grading engineer shall
Signature of ( observe work, coordinate tests, make reports.
Owner or author age INSPECTION DATE INSP. SIGNATURE
Initial . site prep.
ENVIRONMENTAL CLEARANCE -
Dat ________________ Zffj .3' ! Rough- prior to drains
EIA Log No. ____________ &PL_ Final - slopes planted
By iQ-
Compaction reports rec'd.
Grading permit fee $ Plan check fee $ S, OD Private engr. cert. recd. PermJ,..ye _... .,fl 7,. 1Vfl4L.-
.-, e7 A fl9
Copies White-Office; Green-Building;
Permit Expiration 0"ate
-
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 /