HomeMy WebLinkAboutPE 2.10.30; BRYAN OFFICE BUILDING PIO PICO AT LAGUNA; Engineering Application'*Application for Grading PermiS
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO.________
(letter code + number)
Llot
3/29/79349obdivisioQ640 BP
000 13484 C /7ntrt.00 Tg
FOR APPLICANT TO F111 IN
Site Address
2890 Pio Pico, Carlsbad
Surety Bond Bond No.
Legal Description Map No.
Port. Nw¼, Sect. 6, T12S, R4W, S.B.B.&M.
Surety Company
Subdivision Name
None
Surety Address
Owner Phone
Jerry Bryan 729-3680
Date FiIed Rec'd by
Owner's Address
P.0.Box 748, Carlsbad, CA
Cash deposit Rec'd by Date filed
$
Plans by Civil Engineer R.C.E.
R. S. Palm 18860
The following documents are required and shal
become a part of the grading permit when they
are approved.
rading plans /pecifications
oil report 'Vicinity map
lirainage structures Retaining walls
,ompaction report Other
Address Phone
1553-B Grand Ave,San Marcos 744-0361
Soil Engineer R.C.E. Phone
John Vernon 21121 743-8808
rading Contractor Phone
Holmes Construction 758-3170
Address Check if supervised
1939 W. Vista Way, Vista grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Party responsibIefor overall supervision
I. Authorized hours of operation: 7:00 AM to
Proposed use of grade site
Office Building
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber of cubic yards
350 Fill Import Waste 350 -0- -0- Cut
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction 350 350 -0- -0-
of Parks & Recreation Director. Total 350 CY
Compacted fills (yes or no) Yes
Proposed Schedule of Start Finish
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 application.
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 $ 3C.zo Work completed
I Surety bond released
Permit Validation
by ttf. i4.-r: Date 3 -30 -7 q
Permit Expiration Date 6 mzaly&S ,4ivE ñiE
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
- APFLCAT1ON ANU PtRMU FOR SFJ1C EXPIRES ONE YEAR FROM PL1JØ 4.
it
OF WNR 7
pDEORL0CA1I0?104OB I
GAt DESRIPTOW OF BLdG SITE
.-
.
. I I
41
SIOAd
4 i t
BELOW FOIR,ll
'PRMANENJ TEMPORAFY 0
SEEAE P!T (DEPTh) U $IQ r
SEPric TANK
LINE
-'
fit
011R REPAIR TEMP1 TtER
Ay ym
WATER SPURCE YPES .IRI fisOi&,
DATEREQUESTED _DATE NSPE1EO APPROVED___1!____0I*PPROVb_____$ECfl0 _HUMRERf_____ AØTAjIIAW*$
-
ss oo DPARTMENT OF PUBLR HEALTH CUS1OMEi .60o Ac ipic W' SAN OIE CA4M 92101