HomeMy WebLinkAboutPE 2.10.43; RANCHO CARLSBAD; Engineering ApplicationApplication for Grading Permit
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
1200 Elm Avenue
729-1181
Building Permit PlanCheck No. 71 -I i
PE NO.
Validation by Finance
Department o, 9—/i'— ?y -
dth
FOR APPLICANT TO FILL IN
Site Address
vJ/5 L CA_P1UJO L1 io' CHJUT-
Surety Bond Bond No
Legal Description
P42 C12 ItW
Map No Surety Company
IIJ?AIC CO. 0P TH I/c-r
Subdivision Name Surety Address
lj &1 (POD —ti)
Owner
kS
Phone
4.2
Date Filed Rec'd by
Owner's Address
7E,,-C rY4'. LA dctiA :CA g2(Y37
Cash deposit Rec'd by Date filed
Plans by Civil Engineer \
5AI a&ui-rc IkZLut4uTtt)
The-following documents are required and shall become a part
of the grading permit when they are approved.
)( Grading plans Specifications Address Phone
2o.4 kCho JJfl - .X Soil report Retaining Walls
)< Drainage structures ___ Other Soil Engi e r / R.C.E. I Phone
xr*i APIS I!S) ilcr'o J Compaction report Grading Contractor Phone
AL FVJT% Co.
Address
85 I MJIi '.CA. lj(X2Q.
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Party responsible for overall supervisijl
LEJDL CJ'. TkC WAVE [A '12t%!. IJdJJi ,cA Authorized hours of operation:
7:00 AM to 5:00 PM, Monday - Friday. Proposed ue of gracje site
• (4) JA4EE FztI4ILY' iviz Haul routes.are to be approved by.City Engineer. N umber of cubic yards
• Adequate provisions shall be made for erosion and siltation
control.
Cut Fill Import Waste
4 ' All slopes shall be planted per direction of Parks &
Recreation Director. Proposed Schedule of Start Finish
Operations (dates) '2.4 ci' 7 ô ccr 79
All fills to be compacted to at least 90% of optimum
I hereby acknowledge that I have read the appli ation and state that density unless noted otherwise.
the information I have provid orr t a agree to comply with2
all City ordinances and St - a re la ti g excavati g and ria
and the prov ii?i?t-e i-tion p. it issu d rs to" -
this aPplicafion.
/ INSPECTION • DATE INSPECTOR'S
Signature o ermi e - - SIGNATURE
Ground preparation
Owner or a \horized ag • ;4j ' Rough grading
ENVIRONMAL1AR NCE - Compaction report rec'd.• -
Planting & drainage. EIA Log No.
Date ______________________
Final certification rec'd. . By _____________________
Grading permit fee $ a 2 O • Work completed
Permit lssed
.
Surety bond released--,
by 20
Permit Expiration Date ? MI4iitf melm .4gOVE DATZ Yellow-inspector;Pink-P;;mittee; Goldenrod-Finance
THIS FORM WHEN PROPERLY VALIDATED IS PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
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