HomeMy WebLinkAboutPE 2.11.54; OAK INDUSTRIES PARCEL A; Engineering ApplicationINSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
-
inal certification rec'd.
Work completed
Applical-ion for Grading Permit
P CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO. PEIASY _______
(letter code + number)
10109180L9t ''P S sub •506.0
01)015989 iISIOfl60. IL C=City contract
FOR _APPLICANT _TO_ FILL _IN
Site Address Surety Bond Bond No.
?bliRu?4'-GpjT Rb.
Leqal Description Map No. Surety Company
V/s-exc- GL P.i. c119 TE4e7,y4 e. 6s Ljf Lrr
Subdivision Name Surety Address IS4& itrjs si-re p EV ____________________ Owner Phone Date Filed Re'd by
07 Io -rs 434Z13 r -i
Owner's Address Cash deposit Rec'd by 'ate filed P.o, -CM RtB/I CIa. gzø,a $
Plans by Civil Engineer R.C.E. The following documents are required and shall IJ( c o2L' Assec. become a part of the grading
are approved.
permit when they
Address Phone
197 Sh.#D,eo ?ZJIj 971-77Z 4ading plans
iI report
Specifications
Vicinity map Soil Engineer R.C.E. Phone
2.gzy ZATEP. j&'jz.j ainage structures walls _Retaining
Grading Contractor Phone Compaction report - Other
ddress Check if supervised SPECIAL CONDITIONS WHICH ARE MADE
I grading A PART OF THIS PERMIT
party responsible for overall supervision
Authorized hours of oDeration: 7:00 AM to
roposed use of grade site
ibO$TP.ThL_ciftBU _PL
umber of cubic yards
Cut Fill Import Waste
875COI , 0= _(4, ''i
otal
acted fills (yes or no)
Proposed Schedule of Start Finish
Operations (dates) OCT
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 an c
grading, and the provisions and conditions of any
permit issued pursuant to this application.
ignature of Permittee______________
ner or authorized agent__________
5:00 PM, Monday-Friday.
2.HaulroutesaretobeapprovedbyCity
Engineer.
3.Adequateprovisionsshallbemadefor
erosion and siltation control.
4. All sloDes shall be olanted Der direction
of Parks & Recreation Director.
Grad ing perm it fee $3
sureTy Dona releasea
Permit Validation
by 1LC $_Date/ __- 7i. 19,4.r4i
Permit Expiration Date _/c?-', 09 e,
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