HomeMy WebLinkAboutPE 2.84.44; LA COSTA ESTATES NORTH; Engineering ApplicationI 0'
, Building,Permit Plan Check No. ______ _
FOR APPLICANT TO FILL IN
Site A!;ldress
Application for Grading Permit' ".
CITY OF CARLSBAD
ENGINEERING DEPA,RTMEl'ft "
1200 Elm Avenue
438·5541
-, ~
Surety Address
Date Filed
Cash deposit. '
.$
, Validation: by Pim!l~ce
Dej:>C!rtmelJt· ';'
Rac'dby
Rec'd by .
: The foilowing dOGuinents:~r~,.required and shall'becom!l:C! part
1-~~:ll~-.r2~~Qjag~":2:::L _______ -,-_~_~_~; of ~r,a~!ngpe('mit when, they ~re c;lpprbVEld., ' " '
,~Gr~din~.plans " .. : "V"' $peCific~tions ..
b--~~-=---I--":;"~"'-'-"":::"":~--------=--'-~---"!-----II ~ Sad. report ' __ ' ,.:Geo~o9Ic Report ,-7' DratnaQe structures -, -"-. Other
1-'--:-'-...... ~~~'-;--'--...!-~I..1.!....I'---2..-'-':-'~..!o.£:""-""""'-"""'~--''-'-'~-'--_11 __ , _ Compaction report, •
Addr.ess
Cut
" Proposed Schedule of
Opera~ion~ (dates)
Waste
Start Finish
I hereby .~cknowledge that I have read the application anq state that
,-: the infor~aticin 'I ,have provided is correct and agree to comply with
I, SPECIAL cbNortlONS'WH:18H; ARE'MADE;
.A PART{~F THIS PE:RMIT
1. Atlthorized hours of operation: .".
7:00 AM to Suns'et, Monday -,i=r1da~.
3. Adequate provisions,Jlhall be mC!d~ f6r erb,sIon anc!siltation
control.
4. All slopes shaU-be'plante(;:L.per Cjty Co!;ie.
".'
5. An fills ~o,be compacted. to ~~ 'le~s~9b%;<;>foptrmum'.:
density UnleS!iMted 6therwise,~: , , ...
all Cixy:ordinances a.rid State laws regulating excavating and grading, , Under Oity Code $~c"; 11..06 170 thi~;gr9-di~g is: ',' '
and the provisions and Gonditions of any permit issued pursuant to 0 REG LAR GRADING -'City Jnsp:ector will lTI~ke inspectibns .
, " this applica~iolJ. ' ~ ~ Ii ed below.. " "," ',' : ... '. '
, • ' Jf'Y ~ CONTROLJ,.:Ep 9RADING -;Privat~ grading engineer stiall :
',. Signature of Permittee ~._ ~ " observe work, Goordinate tel?ts'rn~kerepor-ts. ' '
() INSPEQTioN PAtE iN$P. SIGNATURE.," "Owner'or alitho~ized agent "
t--,-,--'-'-----'--,--,---,-----------------'--":--Ilnitial -site prep. '
ENVIRONME;NTAL CLEARANCE -1 ~ " I~-------'-~-:-+,-'--~"-'" '~',."..' ,-+---,-'~-'-;-----~ p-D .. tI, 8:"'+ Rough -prior to dr.aihs " EI~ iLog No. ~-t. e "" , atEl --:::--"-'-Jr'-A-'-,-'L)f---i-,-'--
Final -slopes planted' By rrr I....--.;"---'-' ___ ---'-____ ~..tz::~:::::::::::::;~~~~-__:__~~--=-:::-~~~--.,.-----. .,...,.
I coD Compaction reports rf'lc'd. Grad[n~ permit fee $ t~
'P~rmit' IS5I,Jed ,
py
Permit Expiration Date
:Plan check fee $ '0.-
Date _______ -,'--_-'
'Private, en.gr. cer·t. rec'd ..
'Copies: White-Of.fic~; Green-Building;
YeIl6w-lnspector; 'Pinl<::P~fr:nitteei Golde!ir~d-Finance
THIS 'FORM WHEN PROPERLY VALIDATED IS A PERMITTO DO THEWORK DESCRIBI;D
rHIS PERMIT IS VALiD FOR ASIX (6) MONTH PERIOD ' ' '