HomeMy WebLinkAboutPE 2.11.29; PALISADES NO 2 LOT 6; Engineering Application(~ \\ -r~9 pplication for Grading Permit1
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT. NO. /1,2 '5'
(letter code + number)
LIot
S=subd iv is ion
C=City contract
FOR APPLICANT TO FILL IN
Site Address Surety Bond 7/22/80 I5L9Bond No. 64900 BI
Legal Description MaD No Z07 b Surety Company '''' 54(Ju
0001 I5L39 03 7/22/Rn
Subdivision Name Surety Address
)wrier Phone P_cZZ'7 7?-924?
Date Filed Rec'd by
)wng9ls ddrs ae ) ctz, Cash deposit Rec'd by Date filed
$
P lans by Civil Engineer R.C.E. /*V/7-?6' 07W 2/ 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
Phone ,q4t) 74/-q92/
SoLL R.C.E. Phone I- (.-/7Y C5c?96 7
;radina Contractor Phone 4&f 74'tZ
ddress Check if supervised
- grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall supervision
omw~I. Authorized hours of operation: 7:00 AM to
r000sed use of arade 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 5.3 770 7/_I of Parks & Recreation Director. Total 770 CD.
7,A c/R4i LOG 46 Compacted fills (yes or no)
'?l_ Proposed Schedule of Start Fi ish
Operations (dates) c3/I
I hereby acknowledge that I have read the 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 this application.
Signature of Permittee___________________________
_______ Owner
INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
'iI certification rec'd.
Grading permit fee $ Work completed
Surety bond released
Permit Validation/
by Date 7f)
Permit Expiration Date___________________________
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD