HomeMy WebLinkAboutPD 79; LA COSTA VALLEY #5; Engineering Application\ __ , .
,,;. \
-plication for Grading Permit -
PERMIT NO. '· ~ '"'
{fetter code+ number)
CITY OF CARLSBAD L= lot
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Ei'm Avenue
729-118 I
S=subdivision
C=City contract
FOR APPLICANT TO FILL IN
Site Address 7226 .~licante Road S·u.rety Bond Bond No. ,,. •. .. ""·"· •' . ------~-.. Surety ''6Qmpany ..... --Legal Description r~o-::..: ii.' oi: Soo11 Map No. -,.
' / ~J~1 ft 36. Tl.lS,. 1-t/,1lJ 15730
Subdivision Name Surety Address"'--,. ,,.,,. ... ., .... -...
.,,,-
La Costa Vnll.oy U~1l·i:. m:, • 5 "\:. .. ,.._ .. _....,,.-
Owner Phone Date Fi led -;Jj_":,__~,, Rec'd by __ ..... ·,
· ... ~~ Sillll(;lll J!t ;1ca·t. Ltd. $56-3355 -__ ..... -~ ' --..
Owner's Address Cash_....depbs it Rec'd by'~, Date f i I ed
991.!3 Cm1u:li.T.t0 Plt).CO San Diegoi, C~if,, $ ~""' ·,., .... .. Plans by Civil Engineer R.C.E. The fol lowing documents are requtFed and shal
WilliaJn ~* n.t.o!t 941G become a part of the grading permit~wb~n they
Address ' Phone are approved.
509 E:JJ:.1 A YJ-e o , ccaz-lobad, ca. 129-49137 ~:Grading plans ~: Specifications
Soi I Engineer R.C.E. Phone }t.,( Soi I report ~,..;"'Vicinity map
rti.ll!OJ11 G,, C ... 1. ll579 462-3000 ~~:'.CDra i nage structures ~~-:r' Retaining wa I Is a" :ta ---3rading Contractor Phone U Compaction report Other --
Address Check if supervised SPECIAL CONDITIONS WHICH ARE MADE
qrad i nq A PART OF THIS PERMIT
~arty responsible for overal I supervision .n.l Sliolqt.'!iBt I • Authorized hours of operation: 7:00 AM to
Proposed use of grade_~ite 5:00 PM, Monday-Friday. condomtnilll-11 Cono~ruotion 2. Haul routes are to be approved by Citv
Number of c4b i c yard=stookpile Engineer.
Cut · Fi 11 ;fiffp6f.;f. Waste 3. Adequate provisions shal I be made for
" ' 1~. erosion and s i I tat ion contro-1.
l '1, OO?~~ I 1, 100 ----I lu-100 (_,.3,900 4. Al I slopes sha 11 be planted per direction , ___ of Parks & Recreation Director. Total ""'Jl .... .ii: ""J: 5. 'el18te 1'£!:l~Cll to ~ diz~ of Qi; lOiJi...1:Q.:.,
it!ppr~.:f b':f Cit.if l:'1:nginoa't' .. Compacted f i 11 s (yes or no) i'oo 7\'Y",1"l1"l/"-~1n4 'ir.N""l{-•ir,.n 4.:t TM,,... i}l tw' cl"H,"'-'~·.nf+t'.'l 7}N1
t;££3 · lot.~ ,:.-::r..:ed. ~<'.".h 8, l$174 u:~t ):'.':'~:) -Proposed Schedule of Start Finish
Operations (dates) 11, .; '. 'i -, ~I 'I ~ ... r '."' I; r ~u~...-1"."'1/o-P ·r ,_.,,, f!n".:1.{"'.t~ T ,iim/1 t"',r; ~ -t G,, Rs~g t;.;1lli to b~ c-onstxu::*·;;.-a by I hereby acknowledge that I have read the app Ii ca-,Tl~ l 1:1 • 11'fi/L
tion and state that the information I have provided INSPECTION DATE INSPECTOR'S
is correct and agre~ to comply with a I J City SIGNATURE
ordinances and State laws regulating excavating and Ground preparation
grading, and the provisions and conditions of any Rough grading permit issued pursuant to this application.
·--,, ' Compaction report rec'd.
Signature of Permittee ,. -/ . '' Planting & drainage " Owner or authorized agent ,~-
Final certification rec'd.
,.. {• ,,,,-.-.,,.,,,...) Work completed Grading permit fee $ j ...... ~ .. -:.,,,,.::---·-. ~~"t -.... /f,Z,,, ~ ...... 1i1 +?f' Surety bond released
Permit Va'I i da-t i.,or;i 1P{!,'' h ~ I 1 •· ·•
by ,1-1 / /.>,lLc1£_,,11"l-1 t:"1--.· ,.., l-;{4 Date&: .. / 1 ~--n ~,• J -A • •
Permit Expiration Date r?c.7:, /, .}<;) 24-
THIS FORM WHEN PROPERLY VA(iDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD