HomeMy WebLinkAboutPE 2.11.36; LA COSTA SOUTH UNIT 5 LOT 364; Engineering ApplicationS Application for Grading Per•
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO.2 It, 3c;;,
(letter code + number)
7/30/80iL0Jt 610J 3p
S=subdivis ion
C=City contract
FOR APPLICANT TO FILl IN
Site Address Surety Bond Bond No.
Legal Description Map No.
3
Surety Company
Subdivision Name Surety Address
Ow "r Phone p Date Filed Rec'd by
Address
Uwi - rA'u, 51 4Rkb4cL
Cash deposit Rec'd by Date filed
$
Plans by Civil Engineer R.C.E.
Ati
The following documents are required and shall
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
A ddress Phone
Loxy'- oo'i '75-304 4
Soil Engineer R.C.E. Phone
4 M
Grading Contractor Phone
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
'arty responsible for-overall supervision
ZTf%MES 5, pE' I. Authorized hours of operation: 7:00 AM to
'roposed use of grade site
1 6 A o
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber of cubic yards I
Cut Fill Import Waste
Engineer.
Adequate provisions shall be made for
- erosion and siltation control.
All slopes shall be planted per direction
I I of Parks & Recreation Director. Total
Compacted fills (yes or
Proposed Schedule of Start Fl ish
Operations (dates)
I hereby acknowledge that I have read the applica-
tion and state 1-hal- the information I have providec
is correct and agree to comply with all City
ordinances and State laws regulating excavating anc
grading, and the provisions and conditions of any
permit issued
Signature of Permi 44i.2l
Owner or authorized ent
-
,
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
=Finalertification rec'd.
Grading permit fee $ k completed
Surety bond released
Permit /al id
by Date______
Permit Expiration Date___________________________
THIS FORM WHEN PROPERLY VALIDATED BY. SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD