HomeMy WebLinkAboutPE 2.9.30; LA COSTA MEADOWS UNIT 4 LOT 730; Engineering ApplicationPERMIT NO.
(letter code + number)
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C=City contract
plication for -GradingPermi1- •
CITY OF CARLSBAD
IC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
FOR APPI ICANT TO Fill IN
Site Address
272O A'p.A1J-TA, 1A C7- Surety Bond Bond No.
Legal Description Map No.
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- Surety Company
Subdivision Name
/Jc wr Surety Address
Owner Phone-
-MOST J VitP' 6L7
Date Filed Rec'd by
Owner's Address -q
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Cash deposit Rec'd by Date filed
$
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
!23 I\/. -'fAic' 7 - '7-7t2../
Soil Engineer R.C.E. Phone
-
Grading Contractor Phone
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
'arty responsible for overall supervision
/'1S7-- Z2jetc9P. I. Authorized hours of operation: 7:00 AM to
'roDosed use of grade s
9 .
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Jumber 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 -1'
of Parks & Recreation Director. Total
- Compacted fills or no)
Proposed Schedule of Start Finish
Operations (dates) / 77
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 Permittee___________________________
Owner or authorized agent
/
INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Grading permit fee $ WorK compleTea
Surety bond released
Permit Validation
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