HomeMy WebLinkAboutPE 2.9.16; LA COSTA VALE UNIT 3 LOT 497-492; Engineering Application*Ap'plication for Grading Permits
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO..q.[(_2
(letter code + number)
L=Iot
Ssubd ivis ion
C=City contract
FOR APPLICANT TO FILL IN
Site Address
0-00~QLJQ2A,.
Surety Bond Bond No.
Legal Description Map No
Lc ts
Surety Company
Subdivision Name y,4LE_3
Surety Address
Owner Phone
4k,cJ De/yiuke. S575ij Date Filed Rec'd by
__________________________
Owner's Address
(tA-' it4 Cash deposit Rec'd by Date filed
$
a,\byivil' Eniner
R.C.E.
C.. c4JG%....E(t#4..'j
The following documents are required and shal
become a part of the grading permit when they
9proved.
plans 7fi cat ions
- report -iinity map
nage structures jTning walls
paction report _Other
Address Phone Sc' _('Jitisi54I 7241 7 Engi neer R.C.E. Phone
10 351_-.
Grading Contractor Phone
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
art' responsible for overall supervision
Joj io,e oL 421Je I. Authorized hours of operation: 7:00 AM to
roposed use of g'rade sit%
1'ôc_-
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 77ociI 7)_qop _F C!) I of Parks & Recreation Director. Total
Oak
Compacted fiIls
Cj
or no)
Proposed Schedule o4, Stact Finish
Operations (dates) 1
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 and
grading, and the provision ditions
permit issued purs ant to a
Signature of
Owner or authorized agent
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
.._Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Grading permit fee $321.00
Permit Validation
by Date Z7Z/LP7
Permit Expiration Date ,'7 7/ Y97.
Work completed
Surety bond released
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