HomeMy WebLinkAboutPE 2.10.10; PALOMAR AIRPORT BUSINESS PARK LOTS 9-10; Engineering ApplicationPERMIT NO. f'12 10, 10
(letter code + numbbr)
Llot
S=subd iv is ion
C=City contract
plicai-ion for Grading Permit
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm' Avenue
729-1181
FOR APPLICANT TO FILL IN
Site Address
S. E '1/RRcy/ 17E/V&
c'rE QE_,4_P/A19
Surety Bond Bond No.
Legal Description Map No.
L0T3 9 ,0 c4EIS8140 TI rf 734,d, /44Pø-8054
Surety Company
Subdivision game
17,4-LOM,112 4/p9g7 z3'S/,4/eS5 049g
Surety Address
Owner Phone
OYw4/4c7 ) /AJC. 4-32-S7/
Date Filed Rec'd by
Owner's Address
6200 '1/12RoV/ D/VE5 c,,eLS&D> •
Cash deposit Rec'd by Date filed
$
P lans by Civil Engineer R.C.E. ce
Mt)A///4-1. 5M,S11'ut'jyeLD,PHaPsJ /534.
The following documents are required and shal
become a part of the grading permit when they
are approved.
Grading plans Specifictions
Soil report Vicinity map
Drainage structures Retaining walls
Compaction report Other
4
Address Phone
C/5 4S9 .77EET
Soil Engineer R.C.E. Phone
feot3e/2T P,647e I9SSO, -3-SéoS
Grading Contractor Phone
70 &F Se=
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall supervision
I. Authorized hours of operation: 7:00 AM to
roposed use of grade site
E)CP4f/S/O/if/Co4/57,,0f A/eWW,9P6N('6S 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Number of cubic yards
Cut 7000 Fill Import Waste—
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted ,per direction
of Parks & Recreation Director. Tota l
Compacted fi I Is (yes or no)
Proposed Schedule of Start Finish
Operations (dates)
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.
P lanting & drainage
- Final certification rec'd.
Grading permit fee $ Work completed
Surety bond released
Permit Validation
by Date
Permit Expiration Date___________________________
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