HomeMy WebLinkAboutPE 2.10.25; LA COSTA MEADOWS UNIT #4 LOT 709; Engineering ApplicationWpplication for Grading Permiti
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
7')f tiOl
Zs-
PERMIT NO.
(letter code + number)
Llot
S=subd ivis ion
C=City contract
ILI lOt
FOR APPI ICANT TO Flit IN I//7.JOUU
Site Address
' A- ea"aM1;L
Surety Bond -.. Bond No.
Legal Description Map N/.
1-9y_709!
Surety Company
Subdivision Name
..&A_ -4 £.us_tZi / 7-
Surety Address
Ow er Phone Date Filed Rec'd by
Owner's Address
f
Cash dep.s.Lt_- Rec'd by Date filed
$
'tans by Civil Engineer R.C.E. LVi._e p 4Ag11— £t)
The following documents are required and shal
become a part of the grading permit when they
are approved.
Grading plans Specifications
lcSoi I report _Vicinity map
Drainage structures _Retaining walls
Compaction report Other
Address Phone
Soil Engineer R.C.E. Phone
J1z.) 55..JQsj
Grading Contractor Phone
ddress Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
'arty responsible for overall supervision
I. Authorized hours of operation: 7:00 AM to
Proposed use of grade site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Number of cubic yards
)--- Cut Fill Import Waste
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
. 4 All slopes shall be planted per direction r3)1
l I I ?oo
of Parks & Recreation Director. I ota )3cocr
Compacted fills (yes or no)
Proposed Schedule of Start Finis
Operations (dates) tTA-U. '79 7'
I hereby acknowledge that I have read the applica-
tion and state that the information I have provide(
is correct and agree to comply with all City
ordinances and State laws regulating excavating and
grading, and the provisions and conditions of any
permit issued pursuant to this application.
Signature of Permittee___________________________
Owner or authorized agen
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Grading permit fee $ Work completed
Surety bond released
Permit Vali
by Date
Permit Expiration Date m(h_1 e.tbp.t,ip_c/ci4
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD