HomeMy WebLinkAboutPE 2.9.20; ELM AVENUE LOTS 17-24; Engineering ApplicationPERMIT NO.,L92.'0
(letter code + number)
L= I ot
S=subd ivis ion
C=City contract
pplication for Grading Permits
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
FOR APPLICANT TO Fl LI IN (,Ic 77 2406******(.UU
Site Address
-u Z41 64. M 4v&, Surety Bond Bond No.
Legal Description Map No. Surety Company
Pc'icô ki _Lots
Subdivision Name fJOUt Surety Address
Owner Phone
Pvto M(.z(c c& 't&t.'i- ' 2a7 Date Filed Rec'd by
-
Owner's Address 297( C4-C?AQ &L/$?,
Cash deposit Rec'd by Date filed
$ e_-
P lans by Civil Engineer R.C.E. The following documents are required and shal
ctiti.) S,-€tYbI 131817 become a part of the grading permit when they
are approved.
Grading plans Specifications
Soil report Vicinity map
Address Phone
rir '1 7293.9I
Soil Engineer R.C.E. Phone
74-233 Drainage structures Retaining walls
..$Compaction report _Other ;rading Contractor Phone
14 AT t_7rzAc 70 7-4440
Address Check if supervised & L L,5MJ 14O
SPECIAL CONDITIONS WHICH ARE MADE 96 -' grading k A PART OF THIS PERMIT
Party responsible for overall supervision
P_ 1A c'icri's I. Authorized hours of operation: 7:00 AM to
'roposed use of grade site 5:00 PM, Monday-Friday. 0FF1cE UC(_01t\Lc_.. Haul routes are to be approved by City
lumber of cubic yards . Engineer.
Cut Fill Import Waste Adequate provisions shall be made for
erosion and siltation control
04 1 10 4-
I
- All slopes shall be planted per direction
of Parks & Recreation Director. Total
:fkA) 72- Compacted fills (yes or no) c'c
Proposed Schedule of Start Finish
Operations (dates) 810-77 3/ 77
I hereby acknowledge that I have read the applica-
- INSPECTION DATE INSPECTOR'S tion and state that the information I have provided
is correct and agree to comply with all City SIGNATURE
Ground preparation ordinances and State laws regulating excavating and
grading, and the provisions and conditions of any Rough grading permit issued pursuant to this application.
Compaction report rec'd.
Signature of Permit Planting & drainage
Owner or authorized agent_______________________ Final certification rec'd.
Grading permit fee $ Work completed
Su Dona releasea -
Permit Validation
by Date e 77 Z9
Perm it E€/9/& xpI ration 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