HomeMy WebLinkAboutPE 2.10.1; LA COSTA MEADOWS UNIT 4 LOT 689; Engineering Application-S .
PERMIT
Application for Grading Pert (letter code + number)
CITY OF CARLSBAD L=Iot
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision
1200 Elm Avenue . C=City contract
729-1181 5PAIO E8 17-78 _Cc 1994*****10Z.00
FOR APPLICANT TO FILL IN
Site Address
YBJ 3Ct _,- 'IZ.QLE
Surety Bond Bond No.
/L1-'-7
Legal Description Map No.
L,- '-I '734-7
Surety Company
Subdivision Name Surety Address
Owner Phone
Il g_\) [ôpi LDUcOAJ 757_-_is6 ./
Date Filed Rec'd by
Owner's Address
I V6 5 Cgi-zj p, MS ,
Cash deposit Rec'd by Date filed
$ /Uc.-'l .
Ians by Civil Engineer R.C.E.
1HL
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
_Jrainage structures ,Retaining walls
Compaction report 20ther,.O.1e
ddress Phone
'c C4rz--s3qp
Soil Engineer R.C.E. Phone
-1LPP ).j,cjrrc'gajs 156 -2_g- 724- 5I6
Grading Contractor Phone
ir_5 ,r'ts 7 24i_031 e
Address Check if s&p -vised
IZ76 htLXnaz \Jpç4 \hsTp grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall supervision
Z\3'ç A. CJA)pt),c) ,757-5ZS I. Authorized hours of operation: 7:00 AM to
roDosed use of grade site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber 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 I I -
of Parks & Recreation Director. Total
4-6
1,-Cl4ratUfl (i 4413) Compacted fills sor no)
CA I/./7g Proposed Schedule of mr, Start Finish
Operations (dates) )7 I3 3OF 1T76
I hereby acknowledge that I have read the applica-
tion and state that the information I have providec
is correct and agree to comply with, all City
ordinances and State laws regulating excavating anc
grading, and the provisions and conditions of any
permit issued pursuant to this application.
Signature of Permittee
Owner or authorized agent
- INSPECTION DATE INSPECTOR'S
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
I
by Date 2/777
Pe(mit Expiration Date m"7_-78
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD