HomeMy WebLinkAboutPE 2.85.01; LA COSTA VALE UNIT 3 LOT 475; Engineering Application27W&a /tJ7
Application for Grading Permit PE NO. _____________
CITY OF CARLSBAD I
ENGINEERING DEPARTMENT 8C,5.01
1200 Elm Avenue I We 00 MC inarjce 438 -5541 ç I Deøartment '--'.'-
Building Permit Plan Check No,
FOR APPLICANT TO FILL IN
Site Address £ - * 111 Surety Company Bond No.
Legal Description M a No Surety Address
r D\1T'4
Subdivision Name Date Filed Rec'd by
Owner Phone Ca sh deposit Rec'd by Date filed
' Thr 7O
$
Owner's Address The following documents are required and shall become a part z if, IS l'D L /11? P0 ir of the w'ading permit when they are approved.
Plans by Civil Eng,ineer R.C.E. 4//~Gradin plans Specifications S t' fri Co f/V i/ __
Soi eport Geologic Report
rainage structures Other
Address Phone
I/tI4 b
______
action report. Soil Engineer R.C.E/ Phone
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Address 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. Proposed use of grade site
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.
c
chedule of Proposed Finish Start 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:
GRADING - City inspector will make inspections
this application.
/~E ULAR
d below.
TROLLED GRADING - Private grading engineer shall
Signature of Permittee . observe work, coordinate tests, make reports.
. Owner or authorized agent INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
ENVIRONMENTAL CLEACE
- _______________________ Date "ji4 Rough - prior to drains
E I A Log No.
By Final -slopes planted
Compaction reports rec'd.
.
Grading permit fee $ iL Plan check fee to
Permi_jssued
Private engr. cert. rec'd.
.4 - . .. ,. • L a _________________________ Dy vv-zcv uate ' - Copies: White-Office; Green-Building; / Permit Expiration Date /J—/ . Yellow-Inspector; Pink-Permittee; Goldenrod-Finance ______________________________________________
THIS FORM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
CNEc Lcg. Qal SLOPES THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
I— -