HomeMy WebLinkAboutPE 2.11.35; LA COSTA GREENS LOT 1; Engineering ApplicationA
•
Application for Grading Pe1i r$i'
,
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NOJ.
(letter code + number)
Llot
S=subd ivis ion
C=City contract
FOR APPI ICANT TO Fill IN
fl
Site Address
14
Surety Bond Bond No.
Legal Descript Map No. Z0-7-,L, 2,q aSX4
Surety Company
Subdivision Name Surety Address
)wner I Phone
-7
Date Filed Rec'd by
_____________________
Owner's Addrss
iZi 2:3;2s EV 2,L? S, C Cash deposit Rec'd by Date filed
$
Engineer R.C.E.
95o/l) i'?11
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
1O kSg(. fà
Soil Engineer R.C.E. Phone
6ljrtjA3 A1.)Q&2P /p 5/755
Grading Contractor Phone
A/4.
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
'arty responsible foJ)overall supervision
J4'.'4'QI' I. Authorized hours of operation: 7:00 AM to
'roposed use f grade site
VjU,'r c),1J1ç) S
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 5oo I /Ooo I '700 of Parks & Recreation Director. Tota l /9p ui
Compacted fillg (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 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
,
s/pplication./
Signature of ermittee—___—c2e1
Owner or authorized agent_______________________
INSPECTION •. DATE INSPECTOR'S
SIGNATURE
Ground preparation
Roughgrading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Grading peit ~ 76, Work completed
Surety bond released
by ate
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