HomeMy WebLinkAboutPE 2.11.43; LA COSTA ESTATES NORTH LOT 101; Engineering ApplicationGrading permit fee $ Work complelea
4 Surety bond released
Fe
by
Application for Grading PerS
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT 9,//XA 98Cji?e2jter code 4-JumbgF)
00013831 9/03/80 90.0 T
LIot
S=subd iv is ion
C=City 7tract
qo1&
FOR APPI ICANT TO Fill IN
Site Address / Surety Bond Bond No.
Letial Description Map No Surety Company
SuTibdion Surety Address
)wner Phone
cc i3/7
Date Filed Rec'd by
Owner's Address
CciiA CL8
Cash deposit Rec'd by Date filed
$
P lans by Civil Engineer R.C.E. t- ZP \t1Oô') 10 17 5 The following documents are required and shall
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
ddress Phone
7t Co&ivp\/ S..O. f-- ' —OO
Soil Engineer R.C.E. Phone
In
;rading Contractor Phone
ddress Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Party resibIe for overall supervision
I. Authorized hours of operation: 7:00 AM to
roposed use of grad site
erQo.
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber of culic ya
Cut Fill Import Waste
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction OO
I of Parks & RecreationDirector. Total
Compacted fills (yes or no)
Proposed Schedule of Start Finish
Operations (dates) 9c,cr GJ)JtQJ4
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
Owner or authorized agent
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Permit Expiration Date___6-18-1 If ____________________
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