HomeMy WebLinkAboutPD 80; LA COSTA HOTEL SPA ADDITION; Engineering Application. ·,. ', .. ) ___ ' --~~.· ... )-\• ,. ' . .,. ~ .. ~· ,,,., -~ ,~ ' ,, ... \
PERMIT NO. \ Application for Grading Permit (letter co~d_e_+_n_u~m-ber)
CITY OF CARLSBAD L=lot
PUBLIC WORKS & BU I LD l NG DEPARTMENT tJ.~'.!qt S=s.ubd i ~is ion
1200 EI JhAf~ntcifuC~rlJrd w1'.I G:ntcn~e 10 ~rocesc~;°i'\WO~ ntract
729 _ laf.'lft fS~.:o p:.-.ir.:·.~ .:::11«1 ot!:er o:i~1t.tements. ~o\"leil~,\~np
FOR APPLICANT TO FILL IN·
Site Address m,rth Side of Costa Del Um:
Rotld, 400 foet ~et of El. camino Real
Legal Description or,. 0 O Map No.
N •. E. Qum:tor.: of Geo,. 35, 'rl2S, R4W, S:SM.
Subdivision Name Uotol Spa Addition
Phone 753-1181
I ans bv Civ1 I .,Eri,gineer R.C.E Ric~ ~ng1no~~1ll.g company 9416
ddress Phone · 50$) Elr,1 Avenuo., ca:r:1sbad, ca. 739 .... 4gs7
oi I Engineer R.C.E. Phone ~hilip Hq B~nton 10332 $65•1956
rading Contractor Phone Car.10::oil Brothet"s. construotion co., 218-305
. a,r:.tv=:-t res12.~n_s. 1.P.J f3r -~t~~;...2Y_~ __ I _supervision
'-La-Gost.§,-,Land . ....:Co.Pt. ~n-.---·"'
roP.osed use of grade site Mot.el
Cut
cubic yards
Fi 11 Im ort
11,500
Total 11,soo
ompacted fi I ls (yes i~io)
' Proposed Schedu I e of SU~OD
0 erations (dates)
Waste
Nono
Finish
provisicns es·,.:itJ1is;;ed by ?1opos1tion 20 {Ow. 13, Chap. 1,
S'llt 27C03, -! <·"!, PJipfa !!ess:m;e: Cads), 1011 m.i? 111~
C~li~tiV bllibrn <g:oir.g forward with your projedBon d Nq.
understand t,:C iJbovo proced:ire and acknowledge the necessiW
ofS..teii~ilily'ciaG~.m!l!il:n~uirements of Proposition :l.
Chao. 1, Sec. 27000, et seq. Public Reso rces Coda ~ ke
$
The fol lowing documents are required and shal I
become a part of the grading permit when ~hey
are approved.
¼_Grading plans
2f._So i I report
_Drainage structures
'>"~Compaction report -'
_Specifications
_Vicinity map
_Retaining wal Is
Other
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
I. Autho~ized hours of o eration: 7:00 AM to
5:00 PM, Monday-Friday.
2. Haul routes are to be a
Engineer.
3. Ade uate rov is ions sha I I be made for
erosion and s i I tat ion contro-1 •
4. Al I sloes shal I be I anted er direction
of Parks & Recreation Director.
I hereby acknowledge that I have read the appl ica-1-------------------,-,----------:--:-
tion and state that the information I have provide INSPECTION DATE INSPECTOR'S
-i's correct and agree to comply with all City SIGNATURE
ordinances and State laws regulating excavating an Ground preparation
grading, and the provisions and conditions of any Rough grading
~ermit issued pursuant to this application.
l-\U.t:h.o:ri~ed 2¼.gont _ !, · Compaction report rec'd.
j ~K~i~~~~-lfO~elm~ < :::--\. -I !.,) Planting & drainage
Owner or authorized agent ___________ 1----F-,-i n-a--,l-c-e-r_t ___ lf,...,i_c_a_t_i o_n_r_e_c-=-, d-.---------
Work completed Grading permit fee $1S!l.,00 Paid Mar. 25, 1~74 +---:::------,----,-----,-----,,-----,-------------Surety bond released
Permit v7a1 i,.dat)on.,. ,""' / /. _
,,. -I' .,, !., ., .. ,/1. / , B i :y-)' by 1-,\>;// t .... f:.--l l""."t;,l,~.t-·'/ 1,..L-1.-,r...-: ... ,y·? Date~ ., ' ; /+'"-?-
Permit Expiration Date / () # /{i ' 7 ¢
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