HomeMy WebLinkAboutPE 2.11.23; ROYAL HOMES NO 6; Engineering ApplicationApplicalion for Grading Permit
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO._2J3
(letter code + rumber)
L= I ot
S=subd iv is ion
C=City contract
FOR APPI ICANT TO Eli I IN
Site Address
PP14 ki.) i-
Surety Bond Bond No.
5/30/B11R72f3 ifln: Pr
Le al Description Map No.
1t /-4" f-R 7' - T - 2-
Surety Company 00U16726 120.0 Ti
Subvision Name
b4#4L
Surety Address
)wner
,41_.I5iff4I) j. Phone 9 ?_.
Que (
Date Filed Rec'd by
_________________________________________
)wners Addres ja4 tJç4
Cash deposit Rec'd by Date filed
$
flan by Civi Igineer R.C.E.
12-1 4-ó Z
The following documents are required and shal l
become a part of the grading permit when they
are approved.
t..,ding plans Specifications
-'Soil report Vicinity map
Drainage structures Retaining walls
jompaction report _Other
Address 979I
(Q.c, Tprc $i
Soi
li5o elo
Engineer R.C.E. Phone
Jfo 2I 9,4.4110
Grading Contractor Phone
ddress Check if supervised
grading X
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
sponsibIe for overall supervision
Uel-C,; I. Authorized hours of operation: 7:00 AM to
ropouse of grade site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber 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 go&O I I -
of Parks & Recreation Director. Total 8000
Compacted fills (yes or no)
Proposed Sched(ilof Start F
Operations (dates)
I hereby acknowledge that I have read e applica-
tion and state that the information I have providec
is correct and agree to comply with all City
ordinances and State laws regulating excavating anc
grading, and the provisions and conditions of any
permit issued pursuant to tXi s application.
Signature of Permitte I _l
Owner or authorized agent
INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
- Rough grading
Compaction report rec'd.
PI anti ng & drainage
Final certification rec'd.
Grading permit fee Work completed
I Surety bond released
Permit Validation
by Date________
Permit Expiration Date _/J-3c--
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