HomeMy WebLinkAboutPE 2.11.46; LA COSTA VILLAGE LOT 3; Engineering ApplicationPERMIT NO. L//. t/6
pplication for Grading Permits (letter code + number)
CITY OF CARLSBAD LIot
PUBLIC WORKS & BUILDING DEPARTMENT 91108Siidivisior3B;c .9p
1200 Elm Avenue LI614C=+9/E5njrac$flI T 729-1181
cr
rnR APPI ICANT TO P I i IN
Site Address Surety Bond Bond No.
I
Lrall Map No. Surety Company
Subdivision Name L. CcVU€
Surety Address
Owriar Phone Date Filed Rec'd by
Owner's Address
9Co EL ¶? 3Za
Cash deposit Rec'd by Date filed
$
by Civi EngJneer R.C.E.
¶Zx bL4 J'ycvAi3 The following documents are required and shal
become a part of the grading permit when they
are approved. /5 ad ing plans Specifications
7iI report Vicinity map
structures Retaining walls
4,,'Compaction report Other
Address e
<~Sq 7, )A-_PmAffZE> W!~q
Phone
GiJ .CT14'
Soil Engineer RIC E Phone
Z'? 6coo,9EK17Drainage
Grading Contractor • 11 Phone
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall supervision et:buBL Jpvr7rs3 I. Authorized hours of operation: 7:00 AM to
roposed use,of grade site
_
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Number of cubic yards
Cut FHl Import Wast\j -
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction
of Parks & Recreation Director. Total
Compacted-fills (yes or no)
4S
Proposed Schedule of Start Fini h
Operations (dates)/80
I If of I I hereby acknowledge that I have read the applica-
tion and state that the information I have provide
is correct and agree to comply with all City
ordinances and State laws regulating excavating a
.
nd
grading, and the provisions and conditions of any
permit issued pursuant
Signature of Permitte'
Owner or authorized agent
- INSPECTION DATE INSPECTORS
SIGNATURE
Ground preparation
Rough grading
Compaction report recd.
Planting & drainage
Final certification rec'd.
Grading permit fee Work completed
Surety bond released
Permit Validation
by,4s4(4t- Date q 1c c7
Permit Expirat'ion Date 3-/a--
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