HomeMy WebLinkAboutPE 2.9.18; SNIDER RESIDENCE; Engineering ApplicationPERMIT NO.D.
Application for Grading Permit (letter code+ number)
CITY OF CARLSBAD LIot
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision
1200 Elm Avenue C=City contract
729-1181 S 'fl ?-77 - cc 696******.CO
/ FOR APP! ICANT TO Fill IN
Sã'fe Address
/S(
Surety Bond Bond No.
LjagaI Description Map No. Surety Company
Subdivision Name Surety Address
Nap Phone Date Filed Rec'd by
)wfer's Addr
- r Cash deposit Rec'd by Date filed $ ii
Fans by Civil Engine R.C.E.
t' /39/7
The following documents are required and shal
become a part of the grading permit when they
are approved.
i_Grading plans Specifications
Soil report Vicinity map
Drainage structures Retaining walls
Compaction report Other
Address Phone
. .J'i •;f/; 7_L9 7J/
Soil Engineer R.C.E. Phone
Grading Contractor Phone
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
Droposed use of grade site / _7ifrc7L ,7'-. D—
161,
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 AN /03 o of Parks & Recreation Director. Tota l
Compacted fi I Is (yes or no)
Ye e, ' go :,-&
Proposed Schedule of Start' Finish
Operations (dates) Z-'77 C2.77
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 application.
Signature of Permittee___________________________
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 $ Work completed
Su y bond released
Permit Validation
by Date 7ZO-77
Permit Expiration Date /-7c52-77
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