HomeMy WebLinkAboutPE 2.9.10; NOR CO HOMES LOMA LAGUNA LOT 1; Engineering Application.&fRi1lT NO.F96/a
(letter code + number)
L=lot
Ssubd iv is ion
C=City contract
('"pplication for Grading Permit
CITY OF CARLSBAD 2 PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
- ' 729-1181
FOR APPLICANT TO FILL IN
Site Address
/2' ,iJ/d6
Surety Bond Bond No.
IVe2IVE
Leal Des rition Map No.
/ AA A/ Surety Company
__________________________
Subdivision Name
br/ /w wc
Surety Address
)wner Phone
/(%
Date Filed Rec'd by
Ow'ner's Addre s
395 Q7 L57 a't
Cash deposit Rec'd by Date filed
$
P lans; by Civil Engireer(k,'c) R.C.E.
/'A'749Z' ,40,u4r 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
_345>,'Q, e
Soil Engineer R.C.E.Phone '
(4/C' //3'/O'
Grading Contractor Phone
Address ' Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
artv responsible for overall supervision
,'(hp ,4/,g5
-
I. Authorized hours of operation: 7:00 AM to
roposed use of grade site 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 7//7I I /71 1 of Parks & Recreation Director. Total
Compacted fi I Is (yes or no)
Proposed Schedule of Start Finish
Operations (dates) 747
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
permit issued pursuant to this application.
Signature of Permittee___________________________
Owner r authorii zed Iae /f%/ 41'h7
INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
El inal certification rec'd.
Grading permit fee Work comp I eled
/3? ) -1 Surety bond released
Permit Validation
by Date -1*-7
Permit Expiration Date /Z/4-7 _-/.Y7'tO
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD