HomeMy WebLinkAboutPE 2.9.14; BRUCE SMITH GREENHOUSE; Engineering ApplicationPERMIT NO.
Ataum pplication for Grading Permits (letter code er)
f (V CITY OF CARLSBAD LIot
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision
1200 Elm Avenue C=City contract
729-1181
.77 :u 1O8.O FOR _APPLICANT _TO_ FILL _IN
Te Address Surety Bond Bond No.
_ 2A 10
Legal Description Map No. Surety Company
)4Tt 3 T, iS 1 '-(ct)
Subdivision Name Surety Address
Phone Date Filed Rec'd by
71; - U C C311-
Owner's Address Cash deposit Rec'd by Date filed
/3f6 6'O1I?W 4-c $
Plans by Civil Engineer R.C.E. The following documents are required and shall
become a part of the grading permit when they
A ddress Phone are approved.
Grading plans _Specifications
Soil Engineer R.C.E. Phone Soil report _Vicinity map
_Drainage structures _Retaining walls
radj.pg Contractor Phone Compaction report _Other
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall supervision
I. Authorized hours of operation: 7:00 AM to
roposed use of grade site
4 c./rcjj&c
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber of cubic yards cvt) 17 10 S
Cut Fill Import Waste
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction 3 I fvc_I voN
of Parks & Recreation Director.
Site to be used for agricultural
-
Total
purposes only. Compacted fills (yes or po)
/Vo TP f1L
Proposed Schedule of Start Finish
Operations (dates) SL
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 applicatigq.
INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report
Signature of Permittee Planting & drainage
Owner or authorized agent Final certification rec'd.
Grading permit fee $108 .00 Work completed
Surety bond released
Per,ion
Date mrawY
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