HomeMy WebLinkAboutPE 2.86.21; LAGUNA PLAZA; Engineering ApplicationApplication for Grading Permit PE NO. 2.86. 2/
CITY OF CARLSBAD
*270_L/ ENGINEERING DEPARTMENT
1200 Elm Avenue
Validation by Finance
438.5541 Department
Building Permit Plan Check No.
FOR APPLICANT TO FILL IN
Site Address Surety Company Bond No.
631 LAC/,'iwl 12Q.
Legal Description Map No. Surety Address
45ses509 Its,PA#!#2O3/OI7O /722
Subdivision Name Date Filed Rec'd by
5,4i/OE -
Owner Phone Cash deposit Rec'd by Date filed
,924 4-
Owner's Address The following documents are required and shall become a part
,g49 5, r 66IVV4IDL - of the grading permit when they are approved.
Plans by Civil Engineer R.C.E.
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Grading plans Specifications
_____ Soil report Geologic Report Address Phone Drainage structures ____ Other
Compaction report Soil. Engineer R.C.E. Phone
'_iiS4C.
Grading Contractor Phone SPECIAL CONDITIONS WHICH ARE MADE
1/Awi 4-14-61of A PART OF THIS PERMIT
Address Authorized hours of operation: 2745- Asweitc 57 n4A I's 4cI 7:00 AM to Sunset, Monday - Friday.
Party responsible for overall supervision
7'6!,v&,C ax1f -1 Haul routes are to be approved by City Engineer. Proposed use of grade site
dar Lc - gu,L AIA,C.
Number of cubic yards Adequate provisions shall be made for erosion and siltation
control.
Cut o Fill o Import /400 Waste
All slopes shall be planted per City Code.
Proposed Schedule of . St rt 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, - -. Under City Code Sec. 11.06 170 this grading is: and the provisions and conditions of any permit issued pursuant to REGULAR GRADING - City inspector will make inspections
this application, listed below. LI CONTROLLED GRADING - Private grading engineer shall
Signature of Permittee observe work, coordinate tests, make reports.
INSPECTION DATE INSP. SIGNATURE Owner or authorized agent
Initial - site prep.
ENVIRONMENTAL CLEARANCE -
Date _____________________ Rough - prior to drains
EIA Log No.
By
Final - slopes planted
Grading permit fee $ Plan check fee $
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 PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD