HomeMy WebLinkAboutPE 2.11.32; LA COSTA MEADOWS UNIT 4; Engineering ApplicationApplication for Grading Per•
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO.2_IL32.
(letter code + number)
o;ou 3P
ObuI330B SubdI/3lsIonj0.0
IL C=City contract
FOR APPLICANT TO FILl IN
Site Address Surety Bond Bond No.
Legal Description Map No.
73'7
Surety Company
Subdivision Name Surety Address
Owner Phone G,oy 7'5,'-54'o-- 7,-71
Date Filed Rec'd by
Owner's Address
Roeoc-itc0z /R U
Cash deposit Rec'd by Date filed
$
P lans by Civil Engineer R.C.E.
'Jfr/hyCotcr7 /,.w-,r
The following documents are required and shal
become a part of the grading permit when they
are approved.
Grading plans Specifications
Soil report Vicinity map
Drainage structures _Retaining walls
Compaction report _Other
ddress Phone
C9- 69'-S-1 9&6V k1/jsT5T y1i 6c1
Soil Engineer R.C.E. Phone
Grading Contractor Phone
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
'arty responsible for overall supervision
EI2 ,fic74(-Tj.vtoj I. Authorized hours of operation: 7:00 AM to
roprced use of grade site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Jumber of cubic yards
Cut Fill Import Waste
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction ALA TU /'7o I Zoi_ô ( -b-
of Parks & Recreation Director. Total
Compacted fills or no)
Proposed Schedule of Start Finish
Operations (dates) I- /
/ ,
_______________________________ 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 t application
Signature of Permittee 4_
Owner or authorized agent
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
- Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Grading permit fee $ Work completed
4 Surety bond released
Permit Valida
by j O* Date&1/ r
Permit Expiration Date___________________________
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK D(:::
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD