HomeMy WebLinkAboutPE 2.7.15; LA COSTA ESTATES NORTH; Engineering ApplicationApplication for G°Ffing Per*
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT N0./27/3
(letter code + number)
LIot
Nov 4v
i on is
FOR APPLICANT TO FILL IN
ISite Address East end of Alicante Road South] Surety Bond Bond No.
Legal Description Map No. Surety Company
Port-ion _of_ Section _25_Tl2S_R4W
Subdivision Name Surety Address
Estates _North
Dwner Phone Date Filed Rec'd by
l.a (st a Land Company 753-1181
Dwner's Address Cash deposit Rec'd by Date filed
Costa Del Mar Road, Carlsbad $
Plans by Civil Engineer R.C.E. The following documents are required and shall
William B. Rick 9416 become a part of the grading permit when they
Address Phone are,proved.
C"cifjcations 3088 Pio Pico Boulevard 729-4987 9,ding plans
Soil Engineer R.C.E. Phone __si I report L-inity map
Philip H. Benton 10332 565-1965 VDjinage structures 'taining walls
3rading Contractor Phone Compaction report Other
Unknown
Address Check if supervised SPECIAL CONDITIONS WHICH ARE MADE
grading Yes A PART OF THIS PERMIT
Party responsible for overall supervision
Benton Engineering Company I. Authorized hours of operation: 7:00 AM to
Proposed use of grade site 5:00 PM, Monday-Friday.
Single family homesites/Roads 2. Haul routes are to be approved by City
Number of cubic yards Engineer.
Cut Fill Import Waste 3. Adequate provisions shall be made for
erosion and siltation control.
91,0001 91,000 -0- ( -0- 4. All slopes shall be planted per direction
Total 91,000
of Parks & Recreation Director.
Mvx '(JL w --- . ompacted fills (yes or no)
Yes
Proposed Schedule of Start Finish cVtt.fLLC 3,
Dperations (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 an
grading, and the provisions and conditions of any
permit issued pursuant to this application.
Signature of Permit-t-ee &t f
Owner or authorized agent__________________
Grading permit fee $.
I
INSPECTION DATE INSPECTOR'S
SIGNATURE
I Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
inal certification rec'd.
Work completed
Surety bond released
Permit Validation
by Date____
Permit Expiration Date /1Ar'/ /'7
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