HomeMy WebLinkAboutPE 2.11.03; ROYAL HOMES UNIT 8; Engineering ApplicationLAppIication for Grading Permits
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO.________
* (letter code + number)
L=lot
S=subd ivis ion
3/25/8e C'iJty contr:at.oU MC
FOR APPL I CANT TO Fill IN
Site Address Sur tY Bond Bond No.
Legal Description Mao No Surety Q'ompany
Subdivision Name ) Surety Address
Owne Phone Date Filed Rec'd by
Owner's Address--
0
Cash deposit Rec'd by Date filed
$
Plans_ Civil Engineer, R.C.E.
I2.i1i_&) fr,'tiTk4
The following documents are required and shal
become a part of the grading permit when they
are approved.
4 Grading plans _Specifications
VSoil report Vicinity map
Drainage structures Retaining walls
Jompaction report Other
Address Phone
0-65Z.T4T Ov/n 199JI
Soil Engineer R.C.E. Phone
lLYp L, 4V /pj3
Grading Contractor Phone
Address Check if supervised
grading I—
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Party responsible for overall supervision
I. Authorized hours of operation: 7:00 AM to
Proposed use of grde site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
umber 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 i O bIc,S,7OO_I f ---
-
of Parks & Recreation Director. Tota l
Compacted fills (yes or no)
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 nd conditions of any
permit issued pursuant al ion.
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 $ Work compieTea
Surety bond released
Permit Validation
by Date
Permit Expiration Date___________________________
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