HomeMy WebLinkAboutPE 2.9.19; HIGHLAND LOT 12; Engineering ApplicationPERMIT NO.q
(letter code + number)
L= I ot
S=subdivis ion
C=City contract
Opplication for Grading Permit
CITY OF CARLSBADs
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
Allfl 10-77 SPAIO 7Q00
FOR APPLICANT TO F111 IN
Site Address 4440 (-ltaLAL tc 7, Surety Bond Bond No.
Legal Description Map No Surety Company
Subdivision Name Surety Address
)wner
'4K4 'uA DA )AOL1tO
Phone Date Filed Rec'd by
Owner's Address
i4 0rA LAl.J S4& Lacc Lvu Cash deposit Rec'd by Date filed
$ e--
Plans by Civil Engineer R.C.E.
S<(1H 17 The following documents are required and shal
become a part of the grading permit when they
are approved.
$Grading plans Specifications
_Soil report Vicinity map
Drainage structures ?<Retaining walls
Compaction report Other --(I—
Address Phone s-r4TE T. 7a9.-8981
Soil Engineer R.C.E. Phone
cA.'#E. ,vor,F ,TY
Grading Contractor Phone
,1 OVF,t.iA?*t. ?Jor,FyC.Ir
Address Check if supervised
grading '
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
Party responsible for overall supervision
1A0 15$4(T1+ I. Authorized hours of operation: 7:00 AM to
'roposed use of grade site
F(lL't'
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
Jumber 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
of Parks & Recreation Director. Total
r- I ~ , Pr' Compacted fills (yes or no) 1k Ft_
Proposed Schedule of Start Finish &- Operations (dates) Z-77 2—Z-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 and
grading, and the provLsins and conditions of any
permit issued pursuait t1 this apfilication.
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 $ 29 00
Work completed
Surety bond released
Permit Validation
by/i'V1 Date
Permit Expiration Date Z—/'9-?
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