HomeMy WebLinkAboutPE 2.10.14; PALOMAR AIRPORT BUSINESS PARK; Engineering Application6plication for Grading Permit
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181 PcI. t
PERMIT NO._________
(letter code + number)
L=lot
S=subdivis ion
C=City contract
Jec,ep+
/76' 'tk 5403 /z4 Jig
FOR APPI IflANT TO Fill IN
Site Address,
-
Surety Bond Bond No. Alo &n c6
Legal Description L Map No. 4' Surety Company
0
S divisi NNarge. Surety Address
Wwner
Phone
___zci1.. 45 Date Filed Rec'd by
ddress
1jt7 A(2&)fri :C2A 1%um,PC Cash deposit Rec'd by Date filed $
Ins y Civil Engineer R.C.E. The following documents are required and shall
become a part of the grading permit when they
are approved.
)cGrading plans ,)Specifications
ISoil report ,/icinity map
Drainage structures _Retaining walls
Compaction report Other
cfdress phone 4l-€5.
124TibcCftLIAVE ,ccS0 .$C.M
Soil Engineer R.C.E. Phone
Grading Contractor Phone
Address Check if supervised
grading '-
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Da v. responsible for overall supervision
4e'L.L. Ci I. Authorized hours of operation: 7:00 AM to
Droposed use of grade site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Engineer.
Adequate provisions shall be made for
l'umber 6f cubic yards 300b ?cjoo
Cuf FilI .lmport Waste erosion and siltation control.
All slopes shall be planted per direction I I I of Parks & Recreation Director. Total
Compacted fi I no)
Proposed Schedule of Start Finish
Operations (dates) 4bctL 11- (L)i i7è.R 1c11C
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 is a lic ion.
Signature of Permittee LiU
Owner or authorized
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
—Rough grading
Compaction report rec'd.
Planting & drainage
—Final certification rec'd.
Grading permit fee 00 Work completed
Surety bond released
Permit Validat b 9 on y i Date <:_///5/_73
Permit Expiration Date _5;' v--4 44J,&r
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
,•%c \
\O"
IS A PERMIT TO DO THE WORK DESCRIBED