HomeMy WebLinkAboutPE 2.10.42; LA COSTA VALE UNIT 3 LOT 472; Engineering ApplicationPERMIT NO./1 OApplication for Grading Permit
CITY OF CARLSBAD
s
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision
1200 Elm Avenue n-City bq. contract BP 729-1181 00018461 5/21 /80 64.00 IL
FOR APPLICANT TO FILL IN
Site Address Surety Bond Bond No.
Legal Description Map No.
e-r 472 7950
Surety Company
Subdivision Name
V L& /7
Surety Address
Owner Phone L,q_./in2g.
Date Filed Rec'd by
)wner's Address
12 , ica (! -n i7e ct'.
Cash deposit Rec'd by Date filed
$
P lans by Civil Enain er R.C.E.
S8751' The following documents are required and shal
become a part of the grading permit when they
are approved.
vt-,rja ding plans Specifications
I report Vicinity map
_Drainage structures Retaining walls
_Compaction report _Other
Address PhonEP
30/f PiQ,4co _f4?d.7
Soil Engineer R.C.E. Phone
/o33z
Grading Contractor Phone
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty re-aponsible for overall supery ion / I7iz. S74c7/'L I. Authorized hours of operation: 7:00 AM to
ropos d use of grade site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Number 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 925 7/5 I of Parks & Recreation Director. Total
Compacted fills (yes or no)
Proposed Scedule 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 ,'
j0y~br or autho zed age _____________________
INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
25,f Certification rec ' d.
Gralng permit fee $ rvorc compieea
Su
Permit Validation
by 4-19-21 Date _c/lO
Permit Expiration Date__________________________
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE
y bond released
IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD