HomeMy WebLinkAboutPE 2.10.26; LA COSTA SOUTH LOT 3; Engineering ApplicationPERMIT NO. PJ0,-6
Application for Grading Permit (letter code + number)
CITY OF CARLSBAD LIot
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision
1200 Elm Avenue C=City contract
729-1181
S 3/07 /792339 90.00 BP
0flfl12' I7I7
FOR APPLICANT TO FILL IN
Site Address
2408 L,9 Coçf,4
Surety Bo___- Bond No.
Le aI Des iption Map No. Suret
Subdiiiision Name Surety Address
0 I Z _________ Date FLLe4 Rec'd by
A )
7.
s Jiress
112 ; _____
Cash dep jJ Rec'd by Date filed
$
Ians b Civil Engineer R.0 E I,Zf.J1 ji
The following documents are required and shal
become a part of the grading permit when they
are approved.
t.-4rading plans L-cifications
7oi I report 4lcinity map
Diainage structures Retaining walls
'ompaction report Other
Address Phone
tfl2 X'A9.it/, 4iJ'AI4s" 2617
oi I Engineer R.C.E. Phone
Grading Contractor Phone
ddress Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
NMarty r r overall supervision /iPOflSI,,4A,lc I. Authorized hours of operation: 7:00 AM to
roposed u'se of grader site
57 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
um'6er 6f cubic yardI
Cut Fill Import Waste
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction /OD I
-
of Parks & Recreation Director. Total
Compacted fills (yes or no)
Proposed Schedule of Stan! Fi nish
Operations (dates) J.27
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
Signature of Permitt.%
Owner or authorized age /1
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
- Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Work completed Grading permit fee $
Surety bond released
Permit Validation
by_,,_____ Date _3-1,,-7c7
Permit Expiration Date,,j&j
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