HomeMy WebLinkAboutPE 2.7.3; NORTH BASSWOD AT JAMES DRIVE; Engineering Applicationion for Grading Permit
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO. 1.13
(letter code + number)
L lot
S=subdivisión
C=City contract
FOR APPLICANT TO Fill IN
Site Address Surety Bond Bond No.
.' 1 3L - (4
Surety Company
Subdivi •on Name . Surety Address
Owner . Phone
7s-_3_93a,5_
Date Filed Rec'd by
Owner's Add,ss
!)°-,' 4'2 7
Cash deposit Rec'd by Date filed
$
Plans by Enaineer / R.C.E. The fol lowing documents are required and shal
become a part of the grading permit when they
an S Specifications
Soil report Vicinity map
Drainage structures Retaining walls
Compaction report _Other
L,-Phone d dress if c3'7 :;
Soil Engineer R.C.E. Phone
1/ tJ/V
;radin ae+cYr g Phone
Address eck if s,pervied
47 9.*, L? &YtTiF/Ai
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
'arty responsible for, overall supervision
I. Authorized hours of operation: 7:00 AM to
Proposed use of grade site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Jumber of cubic yards
- Fill Import Waste
-
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shal.l be planted per diredtion 70 0 I .,o , I '- 1 of Parks & Recreation Director. Total
Compacted fills (yes or no)
Y,
Proposed Schedule of Start Finish
Operations (dates) -/-1.r-
I hereby acknowledge that I have read the applica-
tion and state that the information I have providec
is correct and agree to comply with all City
ordinances and State laws regulating excavating anc
grading, and the provisions and conditions of any
permit issued pursuant to this application.
Signature of Permittee
Owner or authorized agent
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Grading permit fee Work completed
Su y bond released
Permit Va d ton
by i1L1 Dat F2B7cE
Permit Expiration Date ____________________
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,