HomeMy WebLinkAboutPE 2.9.5; CHESTNUT AVENUE - RALPH STAVER APARTMENTS; Engineering Application\ppIica1-ion for Grading PermitS
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT
(letter code + number)
Llot
S=subdivis ion
C=City contract
FOR APPLICANT TO FILL IN
Site Address Surety Bond Bond No.
307 CHESTNUT AVENUE
Legal Description Map No. Surety Company
SW_59.51_FT_ Lot _24_BLK_P204_150_8
Subdivision Name Surety Address
None
Owner P Ralph Stayer 7334 Date Filed Rec'd by
Owner's Address Cash deposit Rec'd by Date filed
110 Stratford Ct. Del Mar 9201 $
Plans by Civil Engineer R.C.E. The following documents are required and shal
Brian Smith Engineers Inc. 13,817 become a part of the grading permit when they
are approved. Address Phone
2656 State St. Carlsbad 729-8981 Grading plans _Specifications
Soil report Vicinity map Soil Engineer R.C.E. Phone
Brian Smith Engineers Inc. _Drainage structures Retaining walls
Compaction report _Other Grading Contractor Phone
Not _selected _yet.
Address Check if supervised SPECIALCONDITIONS WHICH ARE MADE
grading A PART OF THIS PERMIT
'arty responsible for overall supervision
Ralph Stayer-owner I. Authorized hours of operation: 7:00 AM to
'roposed use of grade site 5:00 PM, Monday-Friday.
13 unit apartment building Haul routes are to be approved by City
dumber of cubic yards Engineer.
0 . Cut 0 Fill Import2000 Waste 0 Adequate provisions shall be made for
erosion and siltation control.
0 I 0 I 2000 - 0 All slopes shall be planted per direction
of Parks & Recreation Director. Total 2000
Compacted fills (yes or no)
Yes
AprfiI977 Apift'i977 Proposed Schedule of
Operations (dates)
I hereby acknowledge that I have read the applica-
- INSPECTION DATE INSPECTOR'S tion and state that the information I have provide c
is correct and agree to comply with all City SIGNATURE
Ground preparation ordinances and State laws r1itating excavating and
grading, and the provisioy a1nd conditions of any - Rough grading permit issued pursuant t1 this apc
Compaction report rec'd.
Signature of ___________________________ Planting & drainage
Owner or authorized agent Owner Final certification rec'd.
Grading permit fee $ 84.00 (Paid)
WorK compleled
urety 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