HomeMy WebLinkAboutPE 2.8.1; LA COSTA DE MARBELLA; Engineering ApplicationSu
Work completed
y bond released
Grading permit fee $,g 4040
6pplication for Grading Permits
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO._________
(letter code + number)
Llot
S=subdivis ion
C=City contract
FOR APPI ICANT TO Fill IN
Site Address Surety Bond Bond No. Li c 4 Legal Des cri n Map No. p tio.
Surety Company
divisin e Surety Address
L
Phone// Date Filed Rec'd by
C-s-i -J4 Tt'bc q-Lmoo
Owner's Address
I _3 r O 1 ________
Plans by Civil E4er
''x,.jtiec_.c,2,i_. Cash deposit Rec'd by Date filed
$
R.C.E. The following documents are required and shal
become a part of the grading permit when they
Address Phone are approved.
__________________ Gradi plans Specifications
fleport Vicinity map
Dr Jj.age structures Retaining walls
npaction report Other
Soil Engineer R.C.E. 171 Phone
l7Jr?)O ec-iqtc(
;raing Coractor Phone
r 1Q/9V
Address
6,S 1"1I Ch k if supervised
4-ei
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
1. Authorized hours of operation: 7:00 AM to
roposed use of grade sTile 5:00 PM, Monday-Friday.
-tiz... LoP€- Haul routes are to be approved by City
Engineer.
Adequate provisions shall be madefor
erosion and siltation control.
Umber_ of cubic yards
Cut Fill Alp p
•
I I All slopes shall be planted per direction
of Parks & Recreation Director. Total
&/OtZ eJ,4pL_14,Jc_E W,rs.i 7'rL..E , Compacted fills (yes or no)
(4 G
Proposed Schedule of Sta Fi ish
Operations (dates) i/._/ ,
I hereby acknowledge that I have read the applica-
- INSPECTION DATE INSPECTOR'S
SIGNATURE
tion and state that the information
is correct and agree to comply
I have providec
with all City
Ground preparation ordinances and State laws regulating excavating anc
grading, and the provisions an
permit issued pursuant to
conditions of any
cation Rough grading
Compaction report rec'd.
Signature of Planting & drainage
Owner or authorize age FinaI certification rec'd.
Permit Va i ion
by e.2 7JAZO
Permit Expiration Date 2775Ly2
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD