HomeMy WebLinkAboutPE 2.84.56; KIM SINGLE FAMILY RESIDENCE LOT 428; Engineering Application
Application for Grading Permit
CITY OF CAR LSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
PE NO.
Validation by Finance
Department
Building Permit Plan Check No 223 -230 -r
FOR APPLICANT TO_ FILL _IN
Site Address Surety Company Bond No.
Legal Description I Map No.
Lc,k_42, 7Q
Surety Address
Subdivision Name Date Filed Rec'd by
Owner 43,-343S Cash deposit Rec'd by Date filed
Owner's Address 42-" / 4 The following documents are required and shall become a part
1 8 (,q i \/k. todvo XfViY'JL. of the grading permit when they are approved.
Plans by Civil Engineer' R.C.. Grading plans Specifications
Soil report Geologic Report Address t Phone __AZ
47 V-) Ve + 74.3.-,4 Compaction report
6inagestructures Other
Soil Engineer R.C.E. Phone
"AJ 251 t,5 17431Z-L4
Gradina Contra6or Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address
510% Authorized hours of operation:
7:00 AM to Sunset, Monday - Friday.
Party responsible for overall supervision
Haul routes are to be approved by City Engineer. 1T)flflS . 43c,•-3
Proposed use of grade site
&Y14t 1 Adequate provisions shall be made for erosion and siltation
Number bf cubic yards control.
Cut Fill Import Waste
All slopes shall be planted per City Code.
6,S'9 &778
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
,J ,__
the information I have provided is correct and agree to comply with
-----------------i regulating all IlL UEUllldIlUS dilU LdL laws ryuuaung excavating dflU graulny, Under City Code Sec. 11.06 170 this grading is: and the provisions and conditions of any permit issued pursuant to D REGULAR GRADING - City inspector will make inspections
this application. below.
Signature of Permitt (. \i\-'k LrCONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
Owner or authorized agentXi 4.~t ( f'tJtk, INSPECTION - DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
____________________
Rough - prior to drains
Date ________________________
EIA Log No.
permit fee $
Permit Issued
hv
Permit Expiration Date
slopes rinai - siupes pianieu By
Plan check fee $ Compaction reports rec'd.
-
Private engr. cert. rec'd.
Date Copies: White-Office; Green-Building;
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