HomeMy WebLinkAboutPE 2.11.20; LA COSTA SOUTH UNIT 1 LOT 37; Engineering Applicationc,e
,Pàpplication for Grading Permits
CITY OF CARLSBAD
BLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO. _//r L,'
0411etter code + number)
Llot
S=subdivis ion
contract
FOR APPLICANT TO FILL IN
Site Address
S.W.Corner_ Navarra _Dr.&Viejo_ Castilla _Way
Surety Bond Bond No.
Legal Description Map No.
Lot _37_La_ Costa _South _Unit _1 6117
Surety Company
Subdivision Name
Q.T. 79-13
Surety Address
)wner Phone
John _Joseph 438-1949
Date Filed Rec'd by
Owner's Address
2704 La Golondrina St. Carlsbad
Cash deposit Rec'd by Date filed
$
P lans by Civil Engineer R.C.E. 22096
SRW Associates, Inc. C.J.Randie
The following documents are required and shal
become a part of the grading permit when they
are approved.
Grading plans Specifications
Soil report Vicinity map
_Drainage structures Retaining walls
_Compaction report Other
Address Phone
800 Grand Ave. Suite AG-1 434-3191
Soil Engineer R.C.E. Phone
Benton Engineering Inc. 10,332 565-1955
Grading Contractor Phone
Address Wdress Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall supervision
I. Authorized hours of operation: 7:00 AM to
roposed use of grade site
13 Unit Condominium
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 1300 I 300 I 1 1000 of Parks & Recreation Director. Total
Compacted fi I Is (yes or no)
Yes
Proposed Schedule of Start Finish
Operations (dates) Not known
I hereby acknowledge that I have read the applica-
tion and state that the information I have provide
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 t is pplication.
Signature of Permittee__________________________
Owner or authorized
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
ugh grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Grading permit fee $ g 1/ CK
Permit Validation
by Date
Work completed
Surety bond released
Permit Expiration Date
THIS FORM WHEN Y VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX.(6) MONTH PERIOD