HomeMy WebLinkAboutPE 2.11.58; RANCHO AGUA HEDIONDA LOT B; Engineering ApplicationPERMIT NO._______
\pplication for Grading Permits (letter code + number)
CITY OF CARLSBAD Llot
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision
1200 Elm Avenue C=City contract
r)W6 43r 2-03-
729-1181
S
FOR APPLICANT TO FILL IN
Site Address
6200 El Camino Real
Surety Bond Bond N>_-
Legal Description Portion of Lot Map No.
Rancho _Aqua _Hedionda "B" 825
Surety Company
Subdivision Name
Lner
Surety Address
Phone
Beckman _Instrurrents,_Inc. (714)_773-8370
Date Filed Rec'd by
I0/27/Rnq,
Owner's Address
2500Harbor Blvd.,Fullerton,CA92634
Cash deposit Rec'd by Date fil6d'1
$
Plans by Civil Engineer R.C.E.
Pogoway/Borkovetz Associates 14751
The following documents are required and shal
become a part of the grading permit when they
are.approved.
_rading plans Specifications
/' Soil report Vicinity map
_Drainage structures Retaining walls
_Compaction report Other
\dg s Phone (213) Wils hire Blvd.,L.A.,CP90010937-2600
Soil Engineer R.C.E. Phone
Woodward-Clyde Consult. 17553 (714) 224-2911
Grading Contractor Phone
\ddress Check if supervised
gradingX
SPECIAL CONDITIONS WHICH ARE MADE
APARTOFTHISPERMIT
'arty responsible for overall supervision
I. Authorized hours of operation: 7:00AMto
3roposed use of grade site For Construction of new
76,800sq.ft.Building&ParkingArea.
5:00 PM, Monday-Friday.
2.HaulroutesaretobeapprovedbyCity
Number of cubic yards
Cut Fill Import Waste
Engineer.
3. Adequate provisions shall be made for
erosion and siltation control.
4.Allslopesshallbeplantedperdirection 3180 2600
of Parks & Recreation Director. Total
Yes
Compacted fills (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 provide
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
Owner or authorized agentDAVIDSONASSOCIATES,
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Though grading
Compaction report rec'd.
Planting & drainage
ARCHITECTS Final certification rec'd.
released
Permit Validation
Date
Surety bond
r 1:
Kcompleted
Sur
by _
Work Grading permit fee $ q
eo-k
Permit Expiration Date 7 4 1,4q- ________________________
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE W®RKDESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD