HomeMy WebLinkAboutPE 2.9.26; LA COSTA MEADOWS UNIT 4; Engineering Applicationpplication for Grading Permits
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
PERMIT NO.
(letter code + number)
Llot
S=subd iv is ion
C=Citv contract
729-1181
9C126-77 cc 3578******96.00 -PAID
FOR APPI ICANT TO Fli I IN
Site Address
7 - 30 L 6
Sur qty Bond Bond No.
Legal Description Map No. Surety Company
Subdivision Name
1& 221 ad 'I
Surety Address
)wner)j / Phone Date Filed Rec'd by
Owner's Address
I
Cash deposit Rec'd by Date filed
$
P lans by Civil Engineer R.C.E.The
/3, P/ 7 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
\ddress Ph ne
51 ..ttt.- ,L.2
Soil Engineer R.C.E. Phone
7.22gg/
Grading Contractor Phone
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall supervision
;n p I. Authorized hours of operation: 7:00 AM to
>roposed use of grade site 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
N umber 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 33ôo I joo fl00
of Parks & Recreation Director. Total
Compacted fills (yes or no)
1
,f /A -D- Proposed ScheduIeUf Start
Operations (dates)
Finish
II- 7-77
I hereby acknowledge that I have read the.applica-
lion and state that the information I have provided
is correct and agree to comply with all City
ordinances and State laws regulating excavating and
grading, and the provisions and conditions of any
permit issued pursuant to this application.
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.
comp leted Grading permit fee $96.00 Work comp
a
Surety bond released
Permit Validation
by Date(U7? .
Permit Expiration Date
THIS FORM WHEN. PROPERLY VALIDATED BYSIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD