HomeMy WebLinkAboutPE 2.7.5; CHURCH F THE NAZARENE; Engineering ApplicationApplication for Grading Per
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO.21S
(letter code + number)
LIot
S=subdivision
C=City contract
FOR APPLICANT TO FILL IN
Site Address
lkoo Las Flores Drive
Surety Bond Bond No.
Legal Description Map No.
Assessor Map No.Bk.156,Page 11 Parcel 65
Surety Company
Subdivision Name
k
Portion Tract 5,Laguna Mesa Tract
Surety Address
wner Phone
Church of khe Nazarene 714_729-0231
Date Filed Rec'd by
Owner's Address
2675 N.Highland Drive Carlsbad
Cash deposit Rec'd by Date filed
$
Plans by Civil Engineer R.C.E.
ElI Corporation Larry C. Rohloff 22429
The following documents are required and shal
become a part of the grading permit when they
are approved.
Grading plans _Specifications
Soil report _Vicinity map
Drainage structures _Retaining walls
_Compaction report Other
Address Newport Beach Phone
1300 Quail St.,Ste. 102 714 833-3805
Soil Engineer R.C.E. Phone
Cal-West Engineers Robt.P.Dennis 19874
Grading Contractor Phone
Owner- Builder 714-729-0231
ddress Check if supervised
Same as above grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall supervision
Owner- Builder I. Authorized hours of operation: 7:00 AM to
roposed use of grade site
New Church Site
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Number of cubic yards
Cut Fill Import Waste
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction 215k 2029 -- 12j
of Parks & Recreation Director.
S. No foundation or building permits
Total
prior to recordation of parcel map. Compacted fills (yes or no)
yes
Proposed Schedule of Start Finish
Operations (dates) April 8,1c55Apr.15, 1975
I hereby acknowledge that I have read the applica-
tion and state that the information I have provided
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 agent5,.1 /
INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
—Rough grading g
—_
g
Compaction report rec'd.
P f & d ge rainag-
Final certification rec'd.
Grading permit fee $ 90.00 Paid 3-7-74
Permit V ti
by Dat
Permit Expiration Date QC7-aLA'
THIS FORM WHEN PROPERLY VALIDA
work compieTea
Surety bond released
BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD