HomeMy WebLinkAboutPE 2.9.9; ROYAL HOMES UNIT 6; Engineering Application\ \\ () \\Application for Grading Permit
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT
(letter code + number)
Llot
Ssubd iv is ion
C=City contract
FOR APPLICANT TO Fill IN
Site Address
ArP/i°ril /cfr RJ7 1#
Surety Bond
Legal Description Map No.
7 1v_7-.'C-2--
Surety Company
Subdiv ion Name
ka ),rA 1,
Surety Address
Phone )wnerCñ L ~ &— LOP/Y7
Date Filed Rec'd by
Owner's Address
P.023 3" C4iL584O Cash deposit Rec'd by Date filed
$
Plans by Civil Engineer R.C.E. ,Pin'V 51417-r/ /k
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 ,ther
Phone ¼ddre
51C,4Ls84b e'9?J
Soil Engineer R.C.E.Phone
17)iicc v6..74rc ./41'1? 139CY3*#cE
;rading Contractor Phone T/I'Li-oi'/
ddress Check if supervised /Yb SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
'arty responsible for overall supervision 4J1L.L15 L /VOL4JLL TRI I. Authorized hours of operation: 7:00 AM to
Proposed use of grade site
.- f E~ i•.5'7•4-L JIb Mg--S
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 c I I _- of Parks & Recreation Director. Total
20s;000 Cu. Y,6 -S
A/&47ir. 4/Cqr'J IS5LO 4iJ 4 4 -n 'CA - X4rcAJ Compacted fills (yes or no) r -
Proposed Schedule of tart Finish
Operations (dates)
I hereby acknowledge that I have read the applica-
tion and state that the information I have provide
is correct and agree tocomply 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
Owner or authorized agent
ool ___________
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
Tinal certification rec'd.
Grading permit fee $ _u-jw Work completed
rety bond released
Permit \a I i dat i on
/ by (%L %4,k4A Z Date
Perr4t Expiration Date /O/C/77
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD