HomeMy WebLinkAboutCT 76-18; PLAZA CAMINO REAL; Engineering Application-,~ .. ---"-.~./-"--.---,~~~ ~"*~.-.------~--------~--------~--/ /:#!t; a~ /l.:£.iftt~· -"~:'1ication for GradingPe~mit
." '-CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
729-1181 Validation by Finance
Department
Building Permit Plan Check No. _____ _
FOR APPLICANT TO FILL IN
i Legal Description
f
I Sl,lbdivision Name p t-.
! ~Alt
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il Owner's Address' I ,
It C:>/l () /../ tie sr: Sr, Lofl15 1-10 ~
Map No.
! Address III~" h "?, Phone : 5657 nJltSIII!?5 dtVo, tt·l3} 967-Z{;;OO
; Soil Engineer . R.C.E. Phone nA ~a 'I !~WMD CL '/PO. f-;/'fj 1. !!!:t-. ~ tI,
j Grading Contra<;:tor U Nk:bW IV A it;; IS/I mE
1 Address --) Party rEjSPonsible ~over~II}~e~/ . . .
I J(!)/ItJ. F--~A~OC{;
I" aoposed Use of frlide si~ LJ . J-"': fa-I i rdL@llf (JIm 0t/,.fN lJo t-~L (' CATiON
1 Number of cubic yards • I cut/q300 em cr::J Impo" 0
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waste/~ :3(t1
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Surety Bond
Surety Company
Surety Address
Date Filed
Cash deposit $ ,
Bond No.
Rec'd by
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 --Retaining Walls
--Drainage structures --Other
--Compaction report
1.
SPECIAL CONDITIONS WHICH ARE MADE
APART OF THIS PERMIT
Authorized hours of operation:
7:00 AM to 5:00 PM, Monday -Friday.
2. Haul ,routes are to be approved by City Engineer.
3.
4.
Adequate provisions shall be made for erosion and siltation
control.
All slopes sh.all be planted per direction of Parks &
Recreation Director.
1 5. 1 '1 hereby acknowledge that I have read the application and state ~hat
All fills to be compacted to at least 90% of optimum
density unless noted otherwise.
I the information I have provided is corr-ect and agree to comply with
I all City ordinances and State laws regulating excavating and grading,
! and the provisions and conditions of. any permit issued pursuant to I this application.
1 'h1 0-" I Sigtlawr~ of Permitterf!LC)J" vi 0 R, t: 5 T,1/(".
f Owner or authorized agent 11 /L~ j/;[J('~Ad.....J
{ . /7 .'. /.
! ENVIRONMENTAL ~RANCE -' I D,ate ..,-----_--'--
I EIALog No.
INSPECTION
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
DATE INSPECTOR'S
SIGNATURE
II By Final·certification rec'd. !;-.I __________ -.-________ ..,.-____ +-___________ ._-------------
GraOing permit fee $ Work compt"eted
Permit Issued Surety bond released by __________ _ Date ________ -..J CopIes. WhIte-OffIce, Green-Building;
Permit Expiration Date Yellow-Inspector; Pink-Permittee; Goldenrod-Finane
THIS FORM WHEN PROPERLYVALIDATED IS A PERMIT TO DO THE WORk DESCRIBED
THIS,PERMIT IS VALID FOR A SIX (6) MONTH P.ERIOD
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