HomeMy WebLinkAboutPE 2.84.30; LA COSTA VALE UNIT 3 LOT 485; Engineering ApplicationApplication for Grading Permit
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NEE1TiG D EA T-MT
1200 Elm Avenue
438.5541
Building Permit Plan Check No.
PE NO.62.8l._3o
lidation by Finance
oartment
FOR APPLICANT T hu N
Site Address Surety Company Bond No. 70 A
Legal Description Map No. Surety Address LQr Vc
Subdivision Name Rec'd by
er Phone Cash deposit , Rec'd by Date filed 4Ow
A,1e rrrsC4 -V $
Owner's Address
3 Z)QZ_cJ,
The following documents are required and shall become a part
1 of the grading permit when they are approved.
plans Specifications 19rading Plans by Civil Engineer R.C.E.
Soil report Geologic Report
structures Other __.
/Dompaction
Address Phone
ngi
rainage
report Cneer n... R.C.E. Phone S L
Gradingntractor Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address ck_ Authorized hours of operation: C- 7:00 AM to Sunset, Monday - Friday. / sponcible for overall supervision Party re YAP
Haul routes are to be approved by City Engineer'. Proposed use of grade site
Adequate provisions shall be made for erosion and siltation
control.
5 7
Number of cubic yards
Cut/5O Fill /'OO Import Waste
All slopes shall be planted per City Code.
L
Proposed Schedule of Start Finish 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
this application.
C;3 GRADING - City inspector will make inspections V~ELAR
below.
CONTROLLED GRADING - Private grading engineer shall
Signature of Permittee ___________________________________________ observe work, coordinate tests, make reports.
Owner or auth — INSPECTION DATE INS P. SIGNATURE
Initial - site prep. -_-
ENVIRONMENTAL CLEARANCE -
Date __ ____________________ /1/I/tV Rough -prior to drains
ElA LogNo. gi.
By 2 72"-~-., Final - slopes planted
Compaction reports rec'd. Grading permit fee .$ % , Plan check fee $
Private engr. cert. rec'd. f,q /q Permitsued
-
by ---i.ri !--Y--- Date \ ¼) '-\ C White-Office;
Permit Expiration Date '.
Copies:
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