HomeMy WebLinkAboutGRADING PERMIT ISSUED EN
CITY OF ,os
PERMIT NUMBER: ENG-2020-00038
LADE LSII`IOI�E PERMIT STATUS: ISSUED
DREAM EXTREME Effective Date:5/14/20 Expiration Date:11/10/20
I. 130 S MAIN LAKE ELSINORE,CA 92530
TEL:(951)674-3124
WW W.LAKE-ELSINORE.ORG
PERMITTEE: RIVERATOWING CONTACT:
EMAIL:
WORK DESCRIPTION:
PGP W. FLINT STREET
PROJECT PERMIT SPECIFIC CONDITIONS-RESTRICTIONS: THIS IS YOUR RECEIPT WHEN MACHINE VALIDATED
LOCATION:
1146 W. Flint ST
LAKE ELSINORE, CA
OTHER ID:
PERMIT FEES:
FEES CHARGES FEES: FEES PAID: FEES:
IMPROVEMENT INSPECTION FEE $1,205.10 IMPROVEMENT INSPECTION $1,205.10
SECURITY REFUNDABLE DEPOSIT $500.00 SECURITY REFUNDABLE DEPC $500.00
ADMINISTRATION FEE-$200 $200.00 ADMINISTRATION FEE-S200 $200.00
GRADING PERMIT FEE-PER CUBIC Y $420.00 GRADING PERMIT FEE-PER C $420.00
GRADING PLAN CHECK-EXPEDITED $630.00 GRADING PLAN CHECK-EXPE $630.00
ADMINISTRATION FEE-$200 $200.00 ADMINISTRATION FEE-$200 $200.00
GRADING PLAN CHECK $660.00 GRADING PLAN CHECK $660.00
TOTAL FEES: $0.00
ISSUED BY: ISSUED DATE: 05/14/2020
Owner / Applicant / Contractor / Agent
NOTES&CONDITIONS
Call either of the Engineering Inspectors: Scott Rippstein at 951-538-9116,or Mike Payment at 951-805-9835
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.
GRADING: ® MASS/ROUGH i PRECISE ® DRAINAGE ENCROACHMENT: ®STREET IMPROVEMENT ®STORM DRAIN
OTHER INSPECTION (SPECIFY):
Thursday,May 14,2020
Distribution White:NPDES Coordinator with Application/Orange:Permittee
City of Lake Elsinore, Engineering Division Please read and initial:
1 I 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
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 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
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 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:1 V 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 Piates Approach vrades/Width
Other: Vertical Clearance
Fills Turning Radius/Turnouts
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Preparation of Ground Portland Concrete(Rigid)
Approved Fill 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/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)
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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. Entrance
Wind/Dust Control
Long Term
Hydro-mulching 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
https://Iakeelsinore.sliarel)oint.com/eng/Shared Documents/Engr/Forms/Engineering Forms/Grading permit form Energov 20171205_doe