HomeMy WebLinkAboutPE 2.8.7; RANCHO AGUA HEDIONDA LOT H; Engineering ApplicationAra .r. 7
PERMIT NO._________
PApp I i ca tion for Grading Permits (letter code + number) - .
CITY OF CARLSBAD Llot
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision
1200 Elm Avenue C=City contract
729-1181
FOR _APPLICANT _TO_ FILL _IN
Site Address Surety Bond Bond No.
4t'e,jIric&rt r1as
L'gI De'cri tionPcrtjoflQLO'tMap No.g3 Surety Company c°-
Subdivision Name Surety Address
Phoneg5'o/ Date Filed Rec'd by )oner
,,,, Ot4D
)ner's Address Cash deposit Rec'd by Date filed
_________________________ $
Plans Civil EnQineer R.C.E.I3g'J ,
fl The following documents are required and shall E i'r/ad1 ~iYi*/ become a part of the grading permit when they
are a roved.
ng plans _ifications
_$il report _Jnity map
Finage structures aining wal Is
ipaction report _Other
ress Phone
l Engineer R.0 E. Phone'16'1cz1f
t...Ca/'if. 7 c7 flQ
rJina. Contractor Phone 5 -0?I
4€zj-cLcn b'rôs £ n/-ru L1
adress Check if super ised SPECIAL CONDITIONS WHICH ARE MADE
4'I1e. .c-re* grading A PART OF THIS PERMIT
arty responsible fovral I supervision J41 'ipe Aardcc'ri I. Authorized hours of operation: 7:00 AM to
roposed use of grade site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber of cubic yards Engineer.
Cut Fill Import Waste Adequate provisions shall be made for
erosion and siltation control.
J O Ipo I I All slopes shall be planted per direction
of Parks & Recreation Director. Total
ivE Ic faAr,o,J J't/ Compacted fills (yes or no)ye-s
n.Ret ng perffiit prior iin wall Dermlt requiredProposed Schedule of Start Finish
Operations (dates) S76 ac ess oall towed —o end o t oA a4 v enida ithe sou ncth westnas.i I hereby acknowledge that I have read the applica- pr per y
tion and state that the information I have providec
- INSPECTION DATE INSPECTOR'S
is correct and agree to comply with all City SIGNATURE
Ground preparation ordinances and State laws regulating excavating anc
grading, and the provisions and conditions of any Rough grading permit issued pursuant to this application.
Compaction report rec'd.
Signature of Permittee___________________________ Planting & drainage
Owner or authorized Final certification rec'd.
Grading permit fee $15.00 + $63.00 = 7800,4( Work completed
Surety bond released
Permit Validation
by &ti Date /8A14
Permit Expiration Date /8 A/g 76
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
OApplication for Grading Permits
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT
(letter code + number)
LIot
S=subd iv is ion
C=City contract
WY -4-76 !PAI°1925****22.00
FOR APPLICANT TO FIll IN
Site Address
6100 Avenida_Encinas
Surety Bond Bond No.
Legal Description portion of No. 823
8,_ Rancho _Agua_Hedionda
Surety Company
Subdivision Name Surety Address
Owner Phone 438-2901
Winslow Pacific
Date Filed Rec'd by
Owner's Address
6100 Avenida Encinas
Cash deposit Rec'd by Date filed
$
P lans by Civil Engineer R.C.E.13,817
E. Brian Smith
The following documents are required and shal
become a part of the grading permit when they
are approved.
Grading plans _ifi cat ions
oil report Vicinity map
Lnage structures Retaining walls
i-bmpaction report Other
___________________________________________
Address Phone
2656 State Street
Soil Engineer R.C.E. Phone 746-4544
So. Calif. Testing Lab..
;rading Contractor Phone 729-0981
Richardson_ grog - CcnFrr -cr
ddress Check if supervised
2564 Ste Srpt grading y
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall supervision
Thnms 14,. Pihrlscn I. Authorized hours of operation: 7:00 AM to
roposed use of grade site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber 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 200 200
of Parks & Recreation Director.
NOTE: This permit is issued for a
Total
slope repair to fulfill the intent
Compacted fi I Is (yes or no)
ES
of Section 11.06.090 of the Carls- Proposed Schedule of Start Finish
Operations (dates) 5-5-76 5-12-76
bad Municipal Code. 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 applicat L
Signature of Permitte )(/(
Owner or authorized agent________________________
INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
n
- Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Grading permit fee Work completed
Surety bond released
Permit VaIid
by pate vew"Oc
Permit Expiration Date
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD