HomeMy WebLinkAboutPE 2.10.13; BRISTOL COVE; Engineering ApplicationPERM I T NO. PE 2,/12 1:3
(letter code + number)
S=subd iv is ion
C=City contract
l\pplication for Grading Permit•
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181 -
FOR APPI WANT TO Fill IN
Site Addres
'fc7o
Bond No. Surety Bond s! ?*3600
Lescription
__- Map No.
liz._61 -
Surety Company
___________________
Sub'isiQn Name.
Surety Address
)w Phone r Lk 7VI 13
Date Filed Rec'd by
Owner's Addres Lc7 c 1E b,2 Ads 6.
Cash deposit Rec'd by Date filed
$
lans by CivLl Engineer R.C.E.
,- 7ZJçj%/
The following documents are required and shall
become a part of the grading permit when they
are approved.
Grading plans _Specifications
Soil I report Vicinity map
kDrainage structures Retaining walls
Compaction report Other
________________________
ddres Phone z-Z64. /74 F C&13c~il
Soil Epgineer R.C.E. Phone
1A)/f c -Q//
Grading Contractor Phone
O(4- rtE-ct-
Address Check if sWzd
grading V
SPECIAL CONDITIONS WHICHARE MADE
A PART OF THIS PERMIT
Party responsible for overall supervision
w r-LS'Z.... I. Authorized hours of operation: 7:00 AM to
'ropoced use of grade site 5:00 PM, Monday-Friday.
Haul approved _routes _are _to_be_ _by_City
lumber of ards OW
Cut Fill Import Waste
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction _~y I I
I I of Parks & Recreation Director. Total
ji.j(Cr b&. ,ssto (Lo&..t.lo. 1/qo Compacted_ fills (yes or no)
E>!9 F121 h9
Proposed Schedule of Start Fi'ish
Operations (dates)
I hereby acknowledge that I have read the applica-
tion and state that the information I have provided
is correct and agree to comply with all City
ordinances and State laws regulating excavating and
grading, and the provisions and conditions of any
permit issued pursuant to this appIicatior.
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
Perrni 7n4
Date 71z 4! 2
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