HomeMy WebLinkAboutPE 2.11.40; LA COSTA SOUTH UNIT 4 LOTS 260 & 261; Engineering ApplicationOpplication for Grading Permit 0.
P67-
PERMIT NO.?-, /1140
(letter code + number)
CITY OF CARLSBAD Llot
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision ,
1200 Elm Avenue C=City contract
729-1181 8/04/602105 F500 6P
000I105 8/04/1310 1500 TL
FOR APPI ICANT TO Fill IN
Site Addr
116
Surety Bond Bond
Legal Description Map No.
Z 9.tLa 0,2 s .5,2ht
Surety Company
Subdivision Name
kwner
Surety Address
Phone
K7~1,j 0j
Date FiI__— Rec'd by
Owner's Addre s
27/b L cL Ca s dp os I t Rec' d by Date filed
Plans
g ,
C ivil Engineer ' R.C.E.
- joJ3-
The following documents are required and shal
become a part of the gradin'g permit when they
are approved.
XGrading plans Specifications
)(Soil report Vicinity map
Drainage structures Retaining walls
Compaction report Other
Address Phone
6•'O -
Soil Engineer R.C.E. Phone
Grading Contractor Phone
Address Check if supervised
grading i.-
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty respoasible for overall supervision
I. Authorized hours of operation: 7:00 AM to
roposed use of
________________________________
5:00 PM, Monday-Friday.
Haul approved _routes _are _to_be_ _by_City
— Nuof cubiyards
Cut Fill Import Waste
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction I 4.
of Parks & Recreation Director.
1000 C :'
Total
Compacted fills or no)
Proposed Schedule of Start Finish
Operations (dates) -26/1TD
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 Permittee f/t.._'
Owner or authorized agent ,.,Z.,L.
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec' d.
Planting & drainage
Final certification rec'd.
Grading permit fee $ 00
Permit Va Ida on
by Th2I Date
Permit Expiration Date _ 4 hVM 450'EPA
Work completed
I Surety bond released
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