HomeMy WebLinkAboutPE 2.10.33; PLAZA EL CAMINO REAL; Engineering ApplicationIMPF'
Application for Grading Permit PE NO. •2. t03 3
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
729-1181 Validation by Finance
-.
Department
Building Permit Plan Check No. 7952 ...IRtnO M.•
FOR APPLICANT TO FILL IN
Site Address Sur Bond No.ety Bond
PRO) 27
Legal Description Map No. Surety Company
e C_(0
Subdivision Name
_______
Surety Address y
Owner Phone
4204
4&p/'/NG , (4W6
Date, FiLed Rec'd by
Owner's Address
(// cL/L 67 ST Lot/is, /40
Cah deposit Rec d by Date filed
$
Plans by Civil Engineer R.C.E. The following documents are required and shall become a part
/L/.75/ of the grading permit when they are approved.
______ Grading plans Specifications
___ Soil report Retaining Walls
Drainage structures _____ Other
Address It Phone
5/O57 bt1JIt.S///g6 /41D4 (1i) 97 ZCO
Soil Engineer R.C.E. Phone
wZ 124 - Z// " WAAD &(— 06 Compaction report Grading Contractor Phone
(1f4J1?.OW/JA/57/fflg.
Address SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Party responsible fo overall suoery n
'''iV"J , O t'
* Authorized hours of operation:
7:00 AM to 5:00 PM, Monday - Friday. use of 4rade s poser,
N14AI,U1- ThM Haul routes are to be approved by City Engineer.
Number of cubic yards
Cut/: Fill Import 10r Wastefj Adequate provisions shall be made for erosion and siltation
control.
/3,300 c1c2OOO .0 All slopes shall be planted per direction of Parks &
Proposed Schedule of Finish Start
'-79 Operations (dates)
/179 jpLL,'/ 'Recreation Director.
All fills to be compacted to at least 90% of optimum
l hereby acknowledge that I have read the application and state that density unless noted otherwise.
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. . INSPECTOR'S E INSPECTION DATE
Signature of. Perm itteA1' s7' 4' •_5 _,',c_
SIGNATURE
Ground preparation
Owner or authorized age2 Rough grading
ENVIRONMENTAL /ARANCE. .7 Compaction report rec'd.
Date _______________________
EIA Log No. Z 9.5 . Planting & drainage
Final certification rec'd. By - ''
Grading permit fee $ 3 . /IJ1 f'/ 8 -9 ol7 Work completed
Permit t8sDqd••f*7j 97L__ Date
Surety bond released
by Copies: White-Office; Green-Building;
Permit Expiration Date C io Pt' t2L2OA_ 1- " Yellow-Inspector; Pink-Permittee; Goldenrod-Finance
A co pee PeptiJ02Bz7 g,//7/7 If
DJtoo9I3FRM WHEN PROPERLY VALIDATED IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD