HomeMy WebLinkAboutPE 2.11.41; RANCHO AGUA HEDIONDA|DANIELS CABLEVISION LOT B; Engineering ApplicationPERMIT NO.,//, '/1
pplication for Grading Permiti (letter code + number)
CITY OF CARLSBAD L=Iot
PUBLIC WORKS & BUILDING DEPARTMENT I0/02/8 Ssubdivision
1200 Elm Avenue 0015427%yontr SO .00 TL 729-1181
FOR APPLICANT TO FILL IN
Site Address
57W_ELC4Mw0_7L.
Surety Bond Bond No.
Legal Description Map No. Surety Company
Subdivision Name
lZ'P*c4-0 6WA
Surety Address
Owner Phone Date Filed Rec'd by
Owner's Address '2-12-5 T, CLtO woe Cash deposit Rec'd by Date filed
$
Plans by Civil Engineer R.C.E. The following documents are required and shal
become a part of the grading permit when they
a7,approved.
prading plans _Specifications
il report _Vicinity map
ainage structures Retaining walls
ompaction report Other
¼dd ss Phone p. O. le'>ç L 7l-8-IY34
Soil Engineer R.C.E. Phone
.SE C#,&i9. $c(L ?(Z(7 Zeo-432J
Grading Contractor Phone
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
'arty responsible for overall supervision
Se,. I. Authorized hours of operation: 7:00 AM to
'r000sed use of grade site
LL€) kT
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber 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 7 2 S C>3 °
of Parks & Recreation Director. Total
Compacted fi I Is (yes or no)
Proposed Schedule of Start Finish
Operations (dates)
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 /1
Owner or authorized
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
I certification rec'd.
Grading permit fee $ Work completed
Su y bond released
Permit Validation
by Date k
Permit Expiration Date
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD