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Home My WebLink AboutPE 2.84.50; LOT 481 OF LA COSTA VALE NO 3; Engineering Application-'...... • .. It . Building Permit Plan Check No. ______ _ FOR APPLICANT To"FILL IN Application for Gradin,g Permit ' •• CITY OF CARL'SBAO' ENGi·NEERING DEPARTMENT 12oD'Elm Avenue' 438·5541 Site Address i A l:r .... 'L .3 J, 4-I . If ellla.c( 0 5~ '. La. U::fi!O.-/' Cti. . Surety <::ompany Surety Address . . Subdivision ~ame / DateF{led , ., \ Vaiidation by FinaiJ<::e. Department . .j .. ' . .Rec"~ by OW9ir; '" .• # ()h <: Phone ~ CaslJdeposit . Rec'd by '. :DClte:filed Cnfl[<. y()JJ 'Od1 /2: -3/7h . $ . . , ." . 'Owner's, ~ddresh.... 4< L1 I J< . -t--/? 0'... ;' The following dec!l.menfs are requir.eq and snallbecorTie a PC!rt 71./ h ,r()/~JJ~1 llf'a.rtt/e .' JI,~~ll1. ua. /2083; .of the grading permit wher they ~re approved. '. _ .... ;' . . Plans bY tCiVil E~gJneer ." . pR.C.I:. 'r)/7I'Q ;./ ·G'· d" I . " . '. ,~' '. 'J' )k V ( +-l'f~ ~ .;''fl ,...,. ,~. ra mil P. ans -. -.-. Specification~ : .. C "" er"vtOM. :S50c(Q.; eS , ". ' ~ .. Soil report· __ GeologiQ REip',qrf Address __ J I ~ /F}Jl~e J~ l 7Cr5-~'!J:J6 1---./ D " ' t t ' .-Ot.her ' . ,.Iegs·9 S, ES('(JlA.q,co{(J blvcl'.t:Xdtdfdd. . , 1--;7"" ram~Qe. s ruc ures' ~ . . ~ . Compactipn>report So:VEngin?er . ./1 ,J R.C.E .. 9 Phone q' 3' _nd()d 'J'ok~ .l7efnO'nl-flSSOC'tJ~ ::A1?1 7 . ~I f)! . . • .' .. Grading Contractor Phone; i SPECIAl: CONDITIONS.WHI:GH ARE MADE . . I ' A,PAR:TOF THIS PT=RMIT' . , • '. 1. Authorized bours of o)Jer~tion: ~ 7:00 AM tO$l,Jiis~tj Mo~day'·Friday. . Address , . Adeq!J~te provisions shall. b~ m'ade tor .erpsion and' siltation contro,". . , ..' --" . . Proposed Schedule of Start Operations (dates) 'Finish All' fills to be compacted to at .Ieast .90% of optimum .. de:nsity ~nless ..n·oted·othElrwis~. . .. I hereby acknowledge that I have read the application and state that the 'infqrmation I have provided is correct and a~ree to comply with·· all City ordinances and State laws regulating excavating and .grading, ,and the provisi9n~ and conditions of any permit issued. pursuant to ; Under;City Code Sec •. 11.06170t!1iigradin·g is':·· ..... . this applic.afion.. ~ J.... ~, .' Signature of F?ermit,:tee V'lI1t. 0 ~ '. Owner or.. ~uthorlzed agent (£:~~ . '" , EN\/"I RONMENTAL CLEARANCE- '\ . EIA Log !'Io. Gradil'1gpermitfee $ . , Permit I~sued by Per-mit Expiration Date Date _______ ~ By Plan. check fee $ Date _________ -' ,~. "~ ULAR GRADING .-Ci~y inspector will. makeinspe?tion13 . ted below. .. CON.TROl-LED GRADING· Private gradin .. g engineer shall observe work, qoordin~te. tests, m?ke reports. iNSPECTION, "bAT~ .. INSP, SIGNATURE .' .- 'Iriitial -site prep. ' . .. .. . Rough· prior,to drains .. - " -,-- 'Final -slopes planted '. .-~ Compaction 'r~porfS' 'rec'd. e .... .. .. Private ~ngr. 'cert rec'd . " ... .. -_., COPIe.'S: White-Office; Green-Bu!ldmg, .. Yellow~llJspector; Pink·Perrn'ittee; Goldenl'od-Financ::e , ' .: ' -tHIS FORM WHEN ~ROPERLY VALIDATED ISA PERMIT TO DO THE WORK DESCRIBED, : . TH'IS PERMIT IS VAliD FOR A SIX (~>.):MONTH PERIOD ..