HomeMy WebLinkAboutPE 2.90.03; LA COSTA ESTATES NORTH LOT 80; Engineering ApplicationApplication for Grading Permit PE NO. /
CITY OF CARLSBAD -
ENGINEERING DEPARTMENT
2075 Las Palmas Drive Validation by Cashier Project Engineer Initial 438-3634
Assessors Parcel No. 'Z/S - ',/-J5
FOR APPLICANT TO FILL IN . • • FOR DEPARTMENT USE
Site Address
'Z 48 f"1A- r4oL- (i-r'7')-T DATE INITIAL
Secured Agreement Rec'd.
Legal Description <j74 e7?f - S Map No.
&0 OF cA9ic/-#15-4
Cash Deposit Receipt No.
Projct Name . Drawing No. Building Permit Plancheck No.
k117
nwp- (re).
wner . Phone
, 1i.s -. kti' ., 3i-65.
General Permit Requirements
All grading and erosion control work shall be done in accordance with
City Ordinances,
.
Authorized hours of operation: 7:00 a.m. to Sunset, Monday through
Friday, excluding city recognized holidays.
Grading work shall not commence until after the pré-construction,
Owners Address . m -g 1Ptviô- c-og
Plans by Civil Engineer Phone cç e/'4b
Address Phone'3.
_.n,575 C_(it1S •'r.. 6:'. -
. conference has been held with the City Inspector
All off-site haul routes require separate approval by the City Engineer Soil Engineer R.C.E. fhone 13O - 31
VI i)+J )a hç k .1't A right-of-way permit is required for all work done in the city right-of-
way. - Grading Contractor • Phone -
24 Hr. Phone Special Requirements: Address - .
Party responsible for overall supervision
Proposed use of grade site
Number of cubic yards
Cut Fill Import Waste
Under City Code Sec. 11.06.170 this grading is:
0 Regular Grading - City Inspector will make inspectiàns listed below.
0 Controlled Grading - private grading engineer shall observe work,
Proposed Schedule of Start Finish
Operations (dates)
-
coordinate tests and make reports
I hereby acknowledge that I have read the application and state that
the information I have provided is correct and agree to comply with Inspection Date Insp. Initial
Initial - Site Prep.
all City ordinances and State laws regulati exc ati and grading,
and the provisions and conditio of an pe mit s d pursuant to
this application.
Signature of Permittee
Rough - Grade
Owner or authorized agent,
-
Final - Slopes Planted
-
-
Compaction Reports Read
ENVIRONMENTAL CLEARANCE -
Date
EIA Log No. -
Private Engr. Cert. Rec'd.
By -
O.K. For Release
Grading permit fee $ Plan check fee $
Copies: Permit Issued
by Date White - Office; Yellow - Inspector; Pink - Permittee
Permit Expiration Date • Golden Rod - Finance; Green - Building
A PERMIT TO DO THE WORK DESCRIBED • THIS FORM WHEN PROPERLY VALIDATED IS
- - THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD OR UNTIL THE EXPIRATION DATE SPECIFIED ABOVE: