HomeMy WebLinkAboutPE 2.9.29; LA COSTA SOUTH LOT 162; Engineering Applicationapplication fbF Grading PermitS
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
PERMIT NO.Z,'-
(letter code + number)
LIot
S=subd iv is ion
C=City contract
-7 7 729-1 181
FOR APPI I(ANT TO Eli I lri 'ICT -6-77 42043******64.00
Site Address
0 PC ,S ;~l
. Surety Bond Bond No.
901-1 lu",~ — I
Legal Description Map N Surety Company
Subdivision Nam 74 1 Z Surety Address
)wner Ic' Phone Date Filed Rec' d by
Owner's Address Cash deposit Rec'd by Date filed
R.C.E. The following documents are required and shal
6ecome a part of the grading permit when they
are approved.
_Grading plans Specifications
oil report Vicinity map
Drainage structures Retaining walls
ompaction report Other
Address Phone 44e -
Soil Enginee /i R C.E Phone
Grading Contractor Phone
Address Check if supervised
AA -. grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
s nsible for,-overall arty rp pervision
I. Authorized hours of operation: 7:00 AM to
'roposed use of grade site 5:00 PM, Monday-Friday.
Haul approved _routes _are _to_be_ _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
of Parks & Recreation Director. Total
o&e '-
Compacted fills (y,6 1n
A94d Proposed Schedule of J stp
Operations (dates) 4j / cc.'9'
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 provisions and conditions of any
permit issued pursuant to this application.
-
Signature of Permittee___________________________
Owner or authorized
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Though grading
Compaction report rec'd.
—Planting & drainage
Final certification rec'd.
Grading permit fee $ Work completed
Surety bond released
Permit Validation
by fDA) ( Date/0-9-77
Permit Expiration Date A.-/'/
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