HomeMy WebLinkAboutCT 73-06; COSTA VERDE; Engineering Application~' .'~~' 'n~e'''~ci-73~' b' '" ,:' ," .','
',", . , . ·.P:PI i~atTon for Gn:~dJng Permit.
,'" . PERM'I T NO. ,
.' ,,' .". . , '. ' ." -:3
C I TYOF CARLSBAD . . I '1 .
. ,:( letter code + number)
L=lot
pLi~u C WORKS & BU:I LD I NG DEPARTMI::NT.) ~ J. .
1200: Elm Avenue )
729':'1181 v,
. S=subdivision
C=Citycontract
.. ;. " 0 ?9;: ';:)l.;~ ';~' i, 9f).CO
FOR APPLICANT' TO FILL I'N ,. ~ .. -. . Site~daress ' . Surety Bond. . Bon.d Nb .
.' $33 %-~4/l..Ai .29"; .. ~ . . ~~
Legal Description . A-Map No •. \."
/
Surety Comp~riy ~~. 5ft. ';---::'9 ..-A .. aY. ...
SUbdiv~on Name~
' .. ~--:;',~ Surety Adcrress
Pwn~~ Lf~'-7 Jhone Date Fi led Rec'd by
-'A"_ ff( 7/33 , /
bwner' 5 Address /~ .. Cash deposa Rec'd by Date f i fed t I '5 J"3 42.-1?7 . '. £/'7 ( ~ $
Plans b)( Civil Engi"nz.d/~ R.C.E. The following qocumenfs are required and shal u,,~~~ .. ~. !/§'7 '9 become a part of the grading permit when they
f,ddress .. Phone . are approved. 7g ?>oZ -7~ .. 6/~ ¥~Z.3t1?tJO ~Grading plans ~Specifications
ISo i I Engineer R.,C. E. Phone ~o i I .. report _Vicinity map
~ .~'pra i~age structures ~Retaining wal Is . . .. ~ra~ c\ntractor. Phone. XCompact i on report Other
. . ;;;Z. . . .p.-..&.. Z-~ <V . tp/ s-,.% .t; -.
~ddress '''''0 '~4~1a~ Lf :sup~rvised SPEC I AL COND,I T IONS WH I CH ARE MADE' --1 -L/! 4L. 4. , 'radin~ . ~ A PART OF THIS PERM·IT ,
Party responsrbl . forlX~J;q.! I sYPlrvislon '
7:00 AM to ~~ ~AJS-t ~ ,,> ~' .• '.? 0 h .. ~ \. Authorlzad houts of operation: __ -_. , ,.r" _ .. ~" /1'~ }1":If ~roposed use of~rade s i t~ ~ , 5:'00 PM, MondaY.,.Friday. . Z. 4" . " ,Zt-d' '.AYr> ~ 2. Haul routes are to be approved bv City
Number of cub iC yards Engineer.
Cut . Fi II Import . Waste 3. Adequate provisions shal I be made for.
eros ion and s i I taf ion contro I.
265"0 I Z-CS-tJ I . 0 ,.
t::> 4 • .AII s I·opes s·hal\. be planted per direction
of Parks & Recreation Di rector. 1T0tai 2-~S;& ~ . .A • ../. r·.-,;" , -
1C0mpacted ti II s (yes .or'no) ~.
Proposed Schedu Ie o-f. ~. . Start . Fin ish
OperatiQns (dates) . ~ W :13 -LJ.A::., 4. ~ '"'f, . --
/" ,
I hereby acknowledge that I 'have read the applica-
tion and stE!te that the information I have provided INSPECTION DAn: '1 NSPECTOR ' S
is correct and agr,ee TO comp.ly with all City .. SIGNATURE
ordinances and State law-s regu I ati ng excavat i n,g and Ground preparation
grading, and the provisions and concli t ions of any Rough grading permit issued pursuant to this app' ication •.
~&L 67 . Compaction report rec'd.
Signature of Permittee ...
Planting &. dra inage
Owner or authorized agent Final certification rec'd.
.. 90 .... 9 '.°_. . . Work completed Grading permit fee .$
Surety bond released
perM~on;
.. ~ Date ·/7·2..ft1-:z by.. ~ '4i4¥1 ......
Perm i t Expi rat ion Da~e /.r." L!:'.'JJlr. :?4f",/27~
TH I S FORM WHEN PROPERLY VAll DATED B¥ SI GNATURE I S A PERM IT TO no THE WORK DESCR I BI;D
THIS PERMIT IS VALID FOR·A SIX (6) MONTH .PERIOD