HomeMy WebLinkAboutPE 2.83.33; LA COSTA MEADOWS UNIT 4 LOT 721; Engineering Applicationr To. C PA-r)
Application for Grading Permit PE NO. - '
4PAY CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue I Validation by Finance 4385541 Department
Building Permit Plan Check No.
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FOR APPLICANT _TO_ FILL _IN
Site Address -n i M6vAWTA ulk'/ Surety Company Bond No
Legal Descrirition Map No Lxr4* 72
Surety Address
Subdivision Name I Date Filed Rec'd by
0wner64py LIkM
Pe Cap?it Rec'd by Date filed
Owner's ..4/i) D CA cA)c -r The following documents are required and shall become a part
of the grading permit when they are approved.
Grading plans Specifications
V" Soil report Geologic Report
Drainage structures ______ Other
Compaction report
by Civil Engineer R.C.E. Pla,
Pbu&)-o C 29f!.?
Address /4s Phone
Soil Engineer R.C.E. Phone
na Contractor i) 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 over II supervision
\44! Wr-rALL cr t1c/2. kk Haul routes are to be approved by City Engineer.
rop
d use of gradi.W
iJGi_ 1A)4)L'f DtL)/J& 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.
5 qq 4 1 0,- ..
Proposed Schedule of Start Finish
Operations (dates) (1 ,4.:cJG 3 2$ ,4si&93
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
,lI (tti ordinances and State ItAlC røni iktir,ri tv'n,,tinn and nr,rIinn '' "'"" Under City Code Sec. 11.06 170 this grading is: and the provisions and conditions of any
Signature of Permittee A to E REGULAR GRADING - City inspector will make inspections
this application. listed below.
LI CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
Owner or authoed \ INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONM 'TALCLE RN
- _____________________
Rough - prior to drains
ElA'LogNo ) -
Grading permit
Permit Issued
hv
Permit Expiration Date'
10C.3 Plan check fee $ I 5 2" Compaction ports rec'd.
T6-64L ' Private engrert. rec'd.
Date Copies: White-Office; Green-Building;
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