HomeMy WebLinkAboutPE 2.84.07; LA COSTA VALE LOT 436 & 437; Engineering Application,10w~r, /Vo. Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
PE NO.Z. 84.07
07-(72 -V-0 )
Building Permit Plan Check No.
Validation by Finance
Department
Q/ UT/ Q 44 16 A-', M
FOR APPLICANT TO FILL IN
Site Address
3,~k -3 0 V&-,L/ 1? 0 0
Surety Company Bond No.-
Legal Description Map No.
i- & r Ll 31.4- 7 C'r 7 2- 0
Surety Address
Subdivision Name
- fr~3_ ,1,11~cosr,4 LIAtc-7 Y'Ir
Date Filed Rec'd by
Owner Phone
1_E-r"keV-L 112o ,-j-V -4 3 4~, -~i Z (4 'Z-
Cash deposit Rec!d by Date filed
I $
Owner's Addoss
IDEL lZery 0494_56,69 '72-01)?
/the following documents are required and shall become a part
rading permit when they are approved.
Grading plans Specifications
Soil report Geologic Report
Drainage structures Other
Compaction report
Plans by Civil Engineer R.C.E.
a !I
Address Ptione
Sy 6 S ~,VrtF
Soil Engineer R.C.E. Phone
'37
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
0 A PART OF THIS PERMIT
Address 1 . Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Party responsible for overall supervision
0 W -- /?— Haul routes are to be.approved by City Engineer.
Proposed use of grade site
~, - 61 V e. C- t~7_vq --, h 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.
0 ov 6000 I &> I C_>
Proposed Schedule of Start Finish All fills to be compacted to at least 90% of optimum
Operations (dates) :3 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:
D REGULAR GRADING - City inspector will make- inspections
this application. Vsted below.
WCONTRbLLED GRADING - Privategrading engineer shall
Signature of Permit-tee
?nt—
observe work, coordinate tests, nialke reports.
Owner or authorized ag
INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
01'" Date Rough - prior to drains
EIA Log No. W Final -.slopes planted.
Compaction reports rec'd. Grading permit fee $ Plan check fee $
0~ 5; Private engr. cert. rec'd. I 'Permit lssuqr_~,,_
oc_ e
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eb Zo-y 1/1, -4 sr
by Date 0 1 -Office; Green-Bbilding; Copies; White
Permit Expiration Date Yellowdrispector; Pink-Permittee; Goldenrod- Finance
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMIT ISVALIDFORASIX (6) MONTH PERIOD