HomeMy WebLinkAboutPE 2.10.16; BELLAVISTA LOT 8; Engineering ApplicationPERMIT NO. 10E z..tOi
pplication for Grading Permits (letter code + number)
CITY OF CARLSBAD L=lot
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision
1200 Elm Avenue C=City contract
729-1181 9/25/78219 71.00 BP
0001249 9/25/78 71.00
FR APPI IC.ANT Th F I IN flflf1ltth ill
Site Address
, Ah/- ,41d,is C74,
Surety Bond Bond No.
LeaI Description Map No
Z C Surety Company
Subdivision Name ;s
Surety Address
Owner
, ,fl
one Date Filed Rec' d by
Owner's Address ydjo
/30 371/ M' I
Cash deposit Rec'd by Date filed
$
Plans by Civil Engineer R.C.E.
J./. /c/62
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
Drainage structures _Retaining walls
Compaction report _Other
Address Phone 2733 (2ci's;de 7cc7-3f,'
Soil Engineer R.C.E. Phone
radinjontractor Phone
ddress Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
y responsible for overall supervision
f'ff' 757c& 5 I. Authorized hours of operation: 7:00 AM to
sed use of gcde site
/id. t -I)dah* c--.2.
N
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
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 4"ôo 1 of Parks & Recreation Director. Total
______ ,00
Compacted fi I Is (yes or no)
10011
Proposed Schedule of Start Finish
Operations (dates) SeOt cQc7 (, '79
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 tb't)appliçjbn.
Signature of Permitte g -
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 $719-0
Work completed
urey Dona reieaseg
Per ~d mto
by Z Date 74 77sJ
Permit Expiration Date t41c ipLp' 1cLFe.
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD