HomeMy WebLinkAboutPE 2.85.55; STAGECOACH PARK; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
438-5541
PE NO.
Validation by Finance
Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address , Surety Company Bond No. TAoACH PAP,-ic-
Legal Description .4/ -4lf5f'a' 'J7'1'-M*r*o. Surety Address
EEfIvaj k_gtL - iEPT'_I71 LE
Subdivision Name Date Filed Rec'd by
Owner / Phone Cash deposit Rec'd by Date filed c rn1' oc 4a $
Owner's Address
12..eo /\ £4,a.L13AID A.
The following documents are required and shall become a part
Lt V E, of the grading permit when they are approved.
___ Grading plans )( Specifications
___ ___ X Soil report Geologic Report
Plans by Civil Engineeri e-t. R.C.E.
c 2 IS 44 D
Address Phone
3o P10 2ALSeAc '7z?- 41 7
X Drainage structures Other
Compaction report Soil Engineer R.C.E. Phone
frit.I4PlEL l4I4ILL 2i (AS-2Q
Grading Contractor(REr +ou3ECoi..r7)Phone SPECIAL CONDITIONS WHICH ARE MADE
HA c, toSUCn0, 44--3q APARTOFTHISPERMIT -
Address
V3 4S P0-rj+gLL1O 14 Cg4 on ______
As I "Ivy Party responsible for overall superv?sion
Haulroutes are to be approved by City Engineer. 1A LEIS iIiLT1., '4 -
Proposed use of grade sde
24Dl-1M0k1-r'.2 PAQ.k.. Adequate provisions shall be made for erosion and siltation
control. Number of cubic yards rZeD:ss EAQT%AOJ. =I.7o,xoci'
Cut sFill Import $ Waste All slopes shall be planted per City Code.
S,eoc
Proposed Schedule of . Start Finish All fills to be compacted to at least 90% of optimum
Operations (dates) 10-2 t-6S t'L — t -SS 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
this application.
Owner or authorized agent
ENVIRONMENTAL CLEARANCE -
Lii? 94-3 Date /.
EIA Log No.
By
Grading permit fee $ Plan check fee $
Under City Code Sec. 11.06 170 this grading is:
REGULAR GRADING - City,jnspector will make inspections
listed below. L
rO El CONTROLLED GRADING - Private grading engineer shall
observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE
Initial - site prep.
Rough - prior to drains
Final - slopes planted
Compaction reports rec'd.
Permit Issued Private engr. cert. rec'd.
by Date ____________________ Copies: White-Office; Green-Building;
Permit Expiration Date 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