HomeMy WebLinkAbout16-00000619 TR 31920-9 GRADING PERMIT CITY OF Engineering Division
LADE jS LSINORJE
-- _1 DREAM LXIKEME P"" 3RADING PERMIT
130 South
Min Street, Lake Elsinore, CA 951a 674-3124/F 951 1674-8761 92530 ® DRAINAGE PERMIT
PERMIT NO: 16-00000619 ® INSPECTI0I4APEIMIT
EXPIRES : 11/06/16
JOB ADDRESS . . . . . TR 31920-9
DESCRIPTION OF WORK GRADING
OWNER CONTRACTOR
WOODSIDE 05S, LP OWNER
11870 PIERCE STREET #250
RIVERSIDE, CA
RIVERSIDE, CA 92505 '
A. P. # 374-104-011
ENGINEERS EST
PERMITTED USE 900 CY / 1
GRADING PERMIT - 101 - 1000 YD
QTY UNIT CHG ITEM CHARGE
BASE FEE 220 . 00
8 . 00 X 50 . 0000 ADDL 100 YDS OVER 100 YDS 400 . 00
ENCROACHMENT PERMIT
QTY UNIT CHG ITEM- CHARGE
23339 . 00 X . 0650 ENGINEERS ESTIMATE 1517 . 04
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES Wt.re
GRADING PERMIT - 101 - 1000 YD 620 . 00 . 00 620 . 00$
ENCROACHMENT PERMIT 1517 . 04 . 00 1517 . 04
OTHER FEES
ADMIN FEE-SUBDIVISION(EP) 100 . 00 . 00 100 . 00 #
ADMIN FEE-GRADING 200 . 00 . 00 200 . 00
GRADING CASH BOND 500 . 0 0� n ; s 4 y 0 ;� ' ii 7- _V � n
PLAN CHK-ENG EST <50K 125 . 01j'; ;=; -055,18�Q.m LL m �.69 . JARY; ° .0 n I;fro
PLAN CHECK ADDITIONAL 1050 . 2617i i 5072�6 x m ry ..iO(2 — ii .e °" °° o
PLAN CHECK FEES 564 . 20 -n 6
1 Q 0 tom•. 0 r. rn i_n a —A :�
TOTAL 4676 . 51 ; 16 7110 In , '3�6 .' 5'�� .w" ii m, r"
I I M 1) t—•i +1 �•+ �—•� _ II —�•.. Ili m
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NOTES & CONDITIONS C, '13 :.n c01
�• 0
• Call the Engineering Inspector, Scott Rippstein 0% i� T
at 951-538-9116, WITHIN 24 HOURS of RECEIVING n ;'
THIS PERMIT to schedule a preconstruction meeting.
• A copy of this PERMIT,'approved plans-and SWPPP &,
Y..•�. I I t
applicable REAP must remain onsite at all times or I{
STOP WORK NOTICE will be issued.
Distribution: NPDES Coordinator with'A Inspector/File
Please read and initial:
City of Lake Elsinore, Engineering Division
_1 1 am Licensed under the provisions of Business and Professional
Post in conspicuous place on the job Code Section 7000 et seq.and my license is in full force.
Permit Card/Approved Plans must be available for each inspection
or inspection will not be made _2 I,as owner of the property, or my employees w/wages as their
You must furnish PERMIT NUMBER and the JOB ADDRESS for sole compensation will do the work and the structure is not intended or
offered for sale.
each respective inspection: CONTACT Engineering Inspector
listed on front to schedule inspection _3. I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project.
4. 1 have a certificate of consent to self-insure or a Certificate of
r emu, lnsurancc Or a....�.���.,,.. Fy .
DEPARTMENT USE ONLY _5. 1 shall not employ any person in any manner so as to become
subject to Worker's 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.
Fill/Landscape Stockpiles
Cut Sloped 2H:1V or Flatter
Rough Footing Excavation Inspection Item Inspector Date
-Conventional,TYP Retaining Wall—separate permit required
-Piers&Caisson Driveway/Private Road
Trenching Sub-Grade Preparation
Trench Plates Approach Grades/Width
Other: Vertical Clearance
Fills Turning Radius/Turnouts
Setbacks Structural Section
Preparation of Ground Portland Concrete(Rigid)
Approved Fill Material Asphalt Concrete (Flexible)
Fill Slopes 2H:1V or Flatter -Crushed rock or Gravel
Toe Bench/Keys -Other Unpaved
Compaction of Ground Road Drainage
Other Code Violations
Drainage/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)
Strawbale/G rave Ibag Barrier Geologic Grading Report
Sediment Basin/Traps Elevation Certificate(SFHA)w/photo
Check Dam/Gravel Bag Berm Notice of Completion—recorded
Fiber Rolls/Jute Netting Notice of Termination
Rock/gravel Constr. Entra
Wind/Dust Control
Long Term
Hydromulching RELEASE
Straw/Wood Mulch Division Date Staff
Geotextiles&Mats FIELD INSPECTION
Energy Dissipation Devices IN HOUSE TECHNICIAN
Stream Bank Stabililzation DISTRIBUTION: APPLICANT,FILE.INSPECTOR,NPDES COORDINATOR
U:\engr\Forms\Engineering Forms\Grading permit form 20150915.doe