HomeMy WebLinkAboutPE 2.8.4; LA COSTA VALE III; Engineering Application!'.M 1 ''""- -,• ,. .. .- .. ..'-.. ' .. " -
FERMIT NO.________
W lWlication for, Grading Per (letter code + number)
CITY OF CARLSBAD Lllot
PUBLIC WORKS & BUILDING DEPARTMENT =subdivision
1200 Elm Avenue .. - C=CityLcontracti
729-1181 . S
... C?AD\c p2L4r 1L
FOR APPLICANT TO FILL IN (I WH'IFLE (iPr' Tt.)
Isite Address • Rancho Santa re Road 1 Surety Bond Bond No.
I Description Map No. urety Company
ubdivision Name Surety Address
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
'S
I. Authorized hours of operation: 7:00AM to
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Engineer.
Adequate provisions saI I be made for
erosion and siltation control.
All slopes shall be planted per direction
of Parks & Recreation Director.
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INSPECTION '
DATE INSPECTOR'S
SIGNATURE
Ground preparation -
Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Work completed
Surety bond released
Perm] it\laI idatio'ñ
by 4-i'UI,DL1 trt1A Date 3Jt7JT
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
wner - Phone
La Costa Land Company 753-1181
wner's Address
Costa Del Mar Road, Carlsbad
lans by'Civil Engineer R.C.E.
'William B. Rick 9416
ddress Phone
3088 Pio Pico Blvd., Carlsbad 729-4987
oil Engineer R.C.E. Phone
Phil Benton '10332 563-1955
rading Contractor: Phone
Cameron Brothers, - 278-3050
ddress Check if supervised 7766 Balboa Avenue, S.a.grading
arty responsible for overall supervision
Benton Enqineerinc ColnDanv
roposed use of grade site Borrow
umber of cubic yards 1.
Cut Fill Import Waste
I I I 600,000
Total 600000 CY
Compacted fills (yes or no) No
Proposed Schedule of Start Finish
Operations (dates) 3-5-76 9-5-76
I hereby acknowledge that I have read the applica-
tion and state that the information I have provided
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 of Permittee €J
1
Owner or authorized agent (
Grading.permit fee $
Date Filed Rec'd by
Cash deposit Rec'd by Date filed
The fol lowing documents are required and shall
become a part of the gracing permit when they
are approved.
'grading plans "Specifications -
;Soil report ,/Vicinity map
/prinage structures Aétaining walls
'Compaction report, Other