HomeMy WebLinkAboutPE 2.11.49; LA COSTA ESTATES NORTH LOT 94; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO._______
(letter code + number)
L= lot
S=subd iv is ion
C=City contract
FOR APPLICANT TO Eli IN ' "
Site Address 2-630
A Cc4\)A Surety Bond Bñ'd No. '
Legal Description Map No. 4Vf'14
Surety Company
Subdivision Name
4--A- 60'fPc 1A1> Nbr2VH-
Owner
Surety Address
Phone4/
,
(f
0
.?7.7 Date Filed Rec'd by
NQQr l tress
,r, CAAD ,4 gzoc* Cash deposit Rec'd by Date filed
$
Plans by Civil Engineer R.C.E.
E12JDk m Aot 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
Address Phone
J5B AL1fAAJ1712 Pc J1 E 4b 72Z3
Soil Engineer R.C.E. Phone
,7tsJLJ J41IIgiW,r Iy3l i_jjg
rad i ng Contractor Phone
Nor pgr-e
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall supervision
oRe) I. Authorized hours of operation: 7:00 AM to
r000sed use of ara1de site
FOP— ?r2.b 11b_F/
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.
All slopes shall be planted per direction i4 I 2-0Z2_
of Parks & Recreation Director. ota I
Compacted fills s-br no)
Proposed Schedule of Start Finish
Operations (dates) t21ee1 10, 10,917
I hereby acknowledge that I have read the applica-
tion and state that 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
,
n. permit issued pursuantto this a Iic/.j
Signature of Permittee_________________________
Owner or authorized agent _______
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
— Rough grading
Compaction report
Planting & drainage
Final certification rec'd.
Grading permit fee $
-' -
Work completed
Surety bond released
Pe rm
Oy
i
by_~
tr Va~ ) V_ Date u',k/t5o I
Permi xpira ion 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