HomeMy WebLinkAboutPE 2.9.8; MAGNOLIA MANOR; Engineering ApplicationPERMIT NO.q S
pplication for Grading Permit (letter code + number)
CITY OF CARLSBAD Llot
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision
1200 Elm Avenue C=City contract
729-1181
PR 13-77 2010******50.00
FOR _APPLICANT _TO_ FILL _IN
Site Addr's s
7.6>1 , A p+ 774 Surety Bond Bond No.
Legal Descrtion Map No Surety Company
SubdivisionName Surety Address I,
)wner 9 Phone
AC224 O4
Owner's 8ddress 0,
2/a
Plans by Civil Enaineer R.C.E.
Address Phone
2s4 /Jth 7? ?9
Soil Engineer R.C.E.Phone
radinq Contractor Phone
Rec'd by
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
ddress Check if supervised SPECIAL CONDITIONS WHICH ARE MADE
grading A PART OF THIS PERMIT
arty
,
7 overall supervision
I. Authorized hours of operation: 7:00 AM to
roposed use of e site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
umber of cubic yards Engineer.
Cut Fill Import Waste Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction
of Parks & Recreation Director. Iota I
Compacted fills (yes or r)
Proposed Schedule of Start Finish
Operations (dates)
hereby acknowledge that I have read the applica-
on and state that the information I have provide
s correct and agree to comply with all City
rdinances and State laws regulating excavating an
ading, and the provisions and conditions of any
rmit issued pursuant t is application
i
..
Signature of Permittee
Owner or authorized agent (1
INSPECTOR'S INSPECTION DATE SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Grading permit fee $ Work completed
Surety bond released
Permit Validation j J
by DatS//3/77
Permit Expiration Date 75
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6) MONTH PERIOD