HomeMy WebLinkAbout415 Adobe St Grading Permit-signed TY OF
PERMIT NUMBER: ENG-2021-00004
KE
%t,� �� � PERMIT STATUS: ISSUED
DREAM EXYREMF Effective Date: 9/19/23 Expiration Date:8/31/24
130 S MAIN LAKE ELSINORE,CA 92530
TEL: (951)674-3124
WWW.LAKE-ELSI NOR E.ORG
PERMITTEE: CHRIS MADSEN CONTACT: CHRIS MADSEN
ADDRESS.-
EMAIL: madsenhomes@sbcglobal.net
WORK DESCRIPTION:
Precise Grading Plan for 415 Adobe Street, Lake Elsinore
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PROJECT PERMIT SPECIFIC CONDITIONS-RESTRICTIONS: THIS IS YOUR RECEIPT WHEN MACHINE VALIDATED
LOCATION:
415 ADOBE ST
LAKE ELSINORE,CA 92530
OTHER ID:
PERMIT FEES:
FEES CHARGES FEES: FEES PAID: FEES:
GRADING PLAN CHECK 5218.40 GRADING PLAN CHECK $219.40
ADMINISTRATIVE CHARGE ($200) $200.00 ADMINISTRATIVE CHARGE (S. $200.00
PUBUC WORKS IMPROVEMENT PLAT $345.49 PUBLIC WORKS IMPROVEMEI $345.49
REFUNDABLE SECURITY DEPOSIT $6,964.80 IMPROVEMENT INSPECTION $530.56
IMPROVEMENT INSPECTION FEE $530.56 GRADING PERMIT FEE - PER C $240.00
GRADING PERMIT FEE- PER CUBIC Y, $240.00 KANGAROO RAT HABITAT $80.00
KANGAROO RAT HABITAT $80.00 PUBLIC IMPROVEMENT IN-LIE $2,600.00
PUBLIC IMPROVEMENT IN-LIEU FEE $2,600.00 ADMINISTRATIVE CHARGE (5 $200.00
ADMINISTRATIVE CHARGE ($200) $200.00 SECURITY REFUNDABLE DEPC $500.00
SECURITY REFUNDABLE DEPOSIT $500.00 DIF DRAINAGE FEE-TOWN#: $1,056.00
DIF DRAINAGE FEE-TOWN #2 $1,056.00 REPRODUCTIONS-COPYING $3.25
REPRODUCTIONS-COPYING $3.25
TOTAL FEES: $6,964.80
ISSUED BY: ( � ISSUED DATE: 09/19/2023
Owner / plic`ant / Contractor / Agent
i
NOTES & CONDITIONS
Call either of the Engineering Inspectors: Scott Rippstein at 951-538-9116, or Matt Reed at 951-805-8632
WITHIN 24 HOURS of RECEIVING THIS PERMIT to schedule a preconstruction meeting.
A copy of this PERMIT, approved plans and SWPPP &applicable REAP must remain onsite at all times or a STOP
WORK NOTICE will be issued.
Thursday,July 11,2024
r I
Please read and initial:
("v of take Elsinore.Enaineering Division I I
j _1, 1 am Licensed under the provisions of Business and Professional
i Post in conspicuous place on the job Code Section 7000 et seq.and my license is in full force,
i Permit Card/Approved Plans must be available for each inspection
or inspection will not be made 2, 1,as owner of the property,or my employees w/wages as their
sole compensation will do the work and the structure is not intended or
You must furnish PERMIT NUMBER and the JOB ADDRESS for offered for sale.
each respective inspection: CONTACT Engineering Inspector
listed on front to schedule inspection 09<I,as owner of the property,am exclusively contracting with
licensed contractors to construct the project
I have a certificate of consent to self-insure or a CerUtfcate Of
Worker's Compensation Insurance or a certified copy thereof.
DEPARTMENT USE ONLY -5. 1 Shall not employ any person in any manner so as to become
subject to Workers Compensation laws in the performance of the work for
Inspection Item Inspector Date which this permit is issued.
Soil Stripping/Clearing
Dry Weather Earthwork Note: If you should become subject to Worker's Compensation after
making this certification,you must forthwith comply with such provisions or
Wet Weather Earthwork this permit shall be deemed revoked- l
;1"—ardsvape Stockpiles
Cut Sloped 2H:1 V or Flatter
Rough Footing Excavation Inspection Item Inspector Date
-Conventional,TYP Retaining Wall—separate permit required
-Piers&Caisson Driveway I Private Road
Trenching Sub-Grade Preparation
Trench Plates Approach Grades/Width
Other---- Vertical Clearance
Fills Turning Radius/Tumouts
Setbacks Structural Section
Preparation of Ground Portland Concrete(Rigid)
Approved Fitt Material Asphalt Concrete(Flexible)
Fill Slopes 2H:1 V or Flatter -Crushed rock or Gravel
Toe Bench/Keys -Other Unpaved
Compaction of Ground Road Drainage
_Other Code Violations
Drainage I Terracing—� Non-Stormwater Discharge—note on separate form
Positive Drainage from Bldg Illegal Storm Drain Connection—note on separate form
Culverts/Catch Basins Hazardous Conditions
Drainage for Cut/Fill Slopes Grading w/o Permit
-Terraces/Swales intermediate Reports
-Subsurface Drainage Compaction Test Summary
-Interceptor Drains Elevation Certificate(SFHA)for Pad
Erosion Control BMP's Progress Grading Report
SWPPP ONSITE Final Grading&Reports
Short Term: Soils Grading Report
Silt Fence/Plastic Covering As-Graded Plan(redline)
Straw bale/Gravel bag Barrier Geologic Grading Report j
Sediment BasinfTraps Elevation Certificate(SFHA)wlphoto
Check Dam/Gravel Bag Berm Notice of Completion—recorded
Fiber Rolls/Jute Netting Notice of Termination
Rock/gravel Constr.Entrance
Wrid/Dust Control
Long Term
Hydro-mulching RELEASE
Straw/Wood Mulch i Division Date Staff
Geotextiles&Mats FIELD INSPECTION
Energy Dissipation Devices IN HOUSE TECHNICIAN
Stream Bank StabUt Ization _ DISTRIBUTION: APPLICANT,FILE,INSPECTOR,NPDES COORDINATOR
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