HomeMy WebLinkAboutPE 2.11.13; PLAZA SOUTH OFFICES PARCEL 2; Engineering ApplicationPERMIT NO.________
(letter code + number)
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*pplication for Grading Permits
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
129-1181
FOR APPLICANT TO FILL IN
Site Address
El Camino Real & Hosp Way, SE Quadrant
Surety Bond Bond No.
Legal Description Map No.
Parcel 2 P.M. No. 8586
Surety Company
Subdivision Name
Plaza South Offices
Surety Address
Owner Phone
I-Jughs Investments 714/759-9531
Date Filed Rec'd by
Owner's Address
Two Corporate Plaza, Newport Beach, CA 92660
Cash deposit Rec'd by Date filed
$
P lans by Civil Engineer R.C.E.
PRC TOUPS 85593
The following documents are required and shall
become a part of the grading permit when they
are
ading plans _Specifications
II report Vicinity map
..rainage structures Retaining walls
Compaction report _Other
Address Phone
2223 Ave. de la Playa, La Jolla, CA 714/454-9162
Soil Engineer R.C.E. Phone
Robert Prater As.s.oc. 18121 714/453-5605
;rading Contractor Phone
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Party responsible for overall supervision
I. Authorized hours of operation: 7:00 AM to
roposed use of grade site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Jumber 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 280.0 I 2800 - I - of Parks & Recreation Director. Total
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 Permiti-ee
Owner or authorized agent-
INSPECTION DATE INSPECTORS
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
WorK complereci
Surety bond released
Permit Vali
by SAlk Date____
Permit Expiration Date ro W. AC'izi A. BDJE .A'T
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
Grading permit fee $ q0