HomeMy WebLinkAboutPE 2.9.25; LA COSTA SOUTH UNIT 5; Engineering Applicationpplica-1-ion for Grading Permits
TY OF-CARLSBAD
.95 PUBLIC WORKS & BUILDING DEPARTMENT
, 1200 Elm Avenue
729-1181
PERMIT NO. I.S
(letter code + number)
L= I ot
SEP 2O-771 b * *8)400 contract
FOR APPI WANT TO Fill IN
Site Addrs S Surety Bond Bond No.
Legal Description Map No. Surety Company
70 600
Subdivision Name Surety Address
Owner Phone
4919 0/1
Date Filed Rec'd by
)wner's Address
V
/375—io/ 7Ii'ia-.
Cash deposit Rec'd by Date filed
la s by Civil Engineer R.C.E.The
/-L,l_z7T ( 4/08'
following documents are required and shal
become a part of the grad permit when they
are approved.
Grading plans
j/o#' Specifications
Soil report Vicinity map
Address Phone
/4c (' te//ld- 1/0 19
Soil Engineer R.C.E. Phone
/?'-?2' 60 iv Drainage structures Retaining walls
,Compaction report _Other Grading Contractor Phone
LJ- ' C ¼ddress Check if supervised SPECIAL CONDITIONS WHICH ARE MADE
grading A PART OF THIS PERMIT
arty responsible for overall supervision ci frt'?ypt- t -ey c I. Authorized hours of operation: 7:00 AM to
ropoced 'dse of grade site 5:00 PM, Monday-Friday.
(i,vri- //-p7 R4 1)6-_ Haul routes are to be approved by City
Jumber of cubic yards . Engineer.
Cut Fill Import Waste Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction
of Parks & Recreation Director.
9. A Total
/ 3
Compacted fills (yes or no)
-e fl-i Proposed Schedule of Start Finish
Operations (dates) /.2/77 £14 q77
I hereby acknowledge that I have read the appl ica-
tion and state that the information I have provide
is correct and agree to comply with all City - INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation ordinances and State laws regulating excavating and
grading, and the provisions and conditions of any
permit issued pursuant t this application. Rough grading
Compaction report rec'd.
Signature of -Planting & drainage
Owner or authorized agent_______________________ Final certification rec'd.
Grading permit fee $ 84 Work completed
Surety bond released
Permit Validation
by Date_______
Permit Expiration Date '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