HomeMy WebLinkAboutPE 2.84.64; LA COSTA VALE LOT 476; Engineering ApplicationZ?'V6. ,t4.Z4_9
Application for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438.5541
PE NO. 2' 84,64-
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Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No.
Legal Description Map No. Surety Address
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Subdivision Name Date Filed Rec'd by
Owner Phone Cash posit Rec d by Date filed
Owner's Address following documents are required and shall become a part 4'çy3 D. of the grading permit when they are approved.
Plans by Civil Engineer R.C.E.
0 . Grading plans Specifications V Soil report Geologic Report Address Phone
3@ DAL ,/g4QQf D1 g.m. 74/4/ _,,1 ______ Drainage structures Other
Compaction report Soil Engineer R.C.E. Phone
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Grading Contractor , Phone SPECIAL CONDITIONS WHICH ARE MADE
wk A PART OF THIS PERMIT
Address
caff d Authorized hours of operation: lit, 166 4- 7:00 AM to Sunset, Monday - Friday.
Party responsible for ovell sup ervi ion
Haul routes are to be approved by City Engineer. Bob Steiw.ctA. C'lL
Proposed use of grade sit
cix'4 d44V1)fiJzf Adequate provisions shall be made for erosion and siltation Number of cubic yards control.
Cut Fill Import Waste
All slopes shall be planted per City Code.
/q70 ,4/70 9'
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,
and the provisions and conditions of any permit issued pursuant to - Under City Code Sec. 11.06 170 this grading is:
0 REGULAR GRADING - City inspector will make inspections this application. below.
CONTROLLED GRADING - Private grading engineer shall Signature of Permittee ,f observe work, coordinate tests, make reports.
Owner or authorized agent i%zi7 INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTALCLEARANCE - ;3 Date ________________________ Rough - priortodrains
ElA Log No. ,E/4 ?3/
By , Final - slopes planted
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Grading permit fee Plan check fee $ Compaction reports recd.
Permitd / / Private engr. cert. rec'd.
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Permit piration Date
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
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