HomeMy WebLinkAboutPE 2.8.21; PLAZA CAMINO REAL SHOPPING CENTER; Engineering ApplicationApplication for Grading Per
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT
(letter code + number)
Llot
Ssubd iv is ion
C=City contract
- PA in h
FOR APPLICANT TO F111 IN
1
Site Address
P14Z4 Ci4It1M/p t45te, $/IopPi'/ iNT
Surety Bond Bond No.
Legal Description Map No. Surety Company
Subdivision Name Surety Address
pA 6Ai11t10 /z-e4L-, 4-1._TlYhone
PM_17JEE5 Aowol
Date Filed Rec'd by
Owner's Address
1074 VV P/CO 9b LA
R.C.E.
c,104j S ,6L,41e 715/Q
Cash deposit Rec'd by Date filed
$
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 Phone
fg 57 60 1L/4/,L9- t., ,4 1?;-72_,,
Soil Engineer R.O.E. Phone
wt013tui*.e47 -CLYpe
Grading Contractor Phone
0((21_1141ii_a'Z..
Address Check if supervised
55c 14IP/7 SL Qj'/radinq
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall ,supervision
*VC-1 I. Authorized hours of operation: 7:00 AM to
Droposed use of grade site
F,'I7z//2p t-t 6/TiE
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 I I -
of Parks & Recreation Director. Total
'/Aoe &/PL ,JCE 7
Compacted fills (yes or no)
fi2/O77S) Proposed -Schedule of Start Finish
Operations (dates) 7Z0/976
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
INSPECTION DATE INSPECTOR'S
SIGNATURE'
Ground preparation
Rough grading IL
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Grading permit fee $ £14 I
Per it. VaIidati7fl
by Date
Permit Expiration Date IZ
THIS FORM WHEN PROPERLY VALIDATE
Work completed
Surety bond released
BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD