HomeMy WebLinkAboutPE 2.9.11; CANON PARK - UNITS 1, 2 AND 3; Engineering Application*Application for Grading Permit*
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO.c..9.If
(letter code + n-umber)
LIot
S=subd iv is ion
C=City contract
77 nil
FOR _APPLICANT _TO_ FILL _IN
Site Address North of La Costa Ave. Surety Bond Bond No.
West _of_Quinta_Street
Legal Description Map No. Surety Company
LiOtS DIZOD II
ubdivision Name Unit #3 Surety Address
lowner Phone Date Filed Rec'd by
ILa Costa Land Company 438-9111
Owner's Address Cash deposit Rec'd by Date filed
ans by Civil Engineer R.C.E.
ddress Phone
i.i.i.# i i.'ffi YL1!U 'Fff'L3 Engineer R.C.E. Phone
ing Contractor Phone
The following documents are required and shall
become a part of the grading permit when they
are approved.
_Grading plans 7Specifications
,SoiI report $Vicinity map
_Drainage structures _Retaining walls
ompact ion report Other
ddress Check if supervised SPECIAL CONDITIONS WHICH ARE MADE
I grading A PART OF THIS PERMIT
party responsible for overall supervision
Authorized hours of operation: 7:00 AM to
roposed use of grade site
mber of cubic yards
Cut Fill
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be Dlanted Der direction
ota of Parks & Recreation Director.
ompacted fills (yes or no
(1
I1.I) £jfI1()
INSPECTION DATE INSPECTOR'S SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Work completed
Surety bond released
Perm;it ~Validpflon
Note: see separate permit for models.
Permit Expiration Date 1U7V ///977
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
Proposed Schedule of Start Finish
Operations (dates) 5/16/77 11/16/77
I hereby acknowledge that I have read the applica-
tion and state that the information I have provide
is correct and agree to comply with all City
ordinances and State laws regulating excavating an(
grading, and the provisions and conditions of any
permit issued pursuant to this application.
Signature of Permittee sç Co
Owner or authorized agent_____________________
Grading permit fee $
p
- PERMIT NO.tCI.i
plical-ion for cading Permits (letter code + number)
CITY O4ARLSBAD LIot .. 9.1I
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision
1200 Elm Avenue C City contract
729-1181 1 c -
7,4 9001~b7-
FOR APPLICANT TO FILL IN
ite Address West of Cadencia St. Between
Retiro Street and La Costa Avenue
egal Description Lots 251-253 Map No.
and a portion of Lot 254 7779
ubdivision Name
Surety Bond
urety Company
Surety Address
I-7IO e/"-/77
Bond No.
wner Phone
La Costa Land Co. 438-
wner's Address Costa Del Mar Road
Carlsbad, California 92008
Ians by Civil Engineer R.C.E.
Rick Engr. by Norm Arn1F
ddress Phone
-NIT"
Jl t'l() 'TCO 1VG.. uprLsnpa IL4iöI
oil Engineer R.C.E. Phone
Bnton 1nginring 10332 55-l955
rading Contractor Phone
La Coti T.n1 Co- 41A-9111
ddress Costa Del Mar RoadTheck if supervised
Carlsbad, California ) grading X
arty responsible for overall supervision
Benton Engr. and T-a Cosf T.n1 Co-
roposed use of grade site
P.UD. -
umber of cubic yards
Cut Fill Import Waste
Date Filed Rec'd by
Cash deposit Rec'd by Date filed
The following documents are required and shall
become a part of the grading permit when they
are approved.
)<'Grading plans Specifications
7~7Soil report Vicinity map
Drainage structures Retaining walls
Compact ion report _Other
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
I. Authorized hours of operation: 7:00 AM to
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted Der direction
ota I of Parks & Recreation Director.
Compacted fiIIs(yes or no)
YES
Proposed Schedule of Start Finish
Operations (dates) 2/21/77 8/20/77 9-2- A )T
I hereby acknowledge that I have read the applica-
tion and state that the information I have provide
- INSPECTION DATE INSPECTOR'S
is correct and agree to comply with all City SIGNATURE
ordinances and State laws regulating excavating and Ground preparation
grading, and the provisions and conditions of any - Rough grading permit issued pursuant to t app ica io
Compaction report rec'd.
Owner or authorized agen d j Final certification rec'd.
Signature of Permittee___________________________ Planting & drainage
Grading permit fee $ Work completed J2.C)()
Per it Va
by
r Q
.ALfJ0
4,V 4 /J ate'2/"1/
Surety bond released
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