HomeMy WebLinkAboutPE 2.9.33; PLAZA CAMINO REAL SHOPPING CENTER EXPANSION; Engineering Applicationtr PERMIT NO 2tt '3
, —j-- Application for Grading PermiS (letter code + number)
CITY OF CARLSBAD L=lot
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision
1200 Elm Avenue C=City contract
729-I l8l4S3
765*****0fl np
FOR APPHCANT TO Fill IN
Site Address
'44. f/t4/)c/2p-L_.
Surety Bond Bond No.
Legal Desa.tiorL7C , Map No. Surety Company
Suhd lvi s ion
)M/
Surety Address
wer Phone
41,44
Date Filed Rec'd by
)wnert's Address
t 731 CGSr P1 $w.o °&-i'J Cc-C Cash deposit Rec'd by Date filed
$
lan by Civil Exiineer R.C.E.
bib wo / -flcl
The following documents are required and shal
become a part of the grading permit when they
are approved.
V'G.cading plans _8'pecifications £4' ii report i4'icinity map
6ainage structures Retaining walls
vCmpac1-ion report "/Other
-
ddress Phone 55T1 (QJi g,ivp (ii) jOO
Soil Enaineer R.C.E Phone
COOOLfi4) CI.-5'iJ€ 2JSoL#j /'jii_9
Grading Contractor Phone
Address' Check if superv1,_-
Lk- grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
artv responsibje ove all supervision c4/44,J- I. Authorized hours of operation: 7:00 AM to
use of grade si'e
_____
5:00 PM, Monday-Friday.
Haul approved _routes _are _to_be_ _by_City
Jufnber 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 i ocoI .0 &0
of Parks & Recreation Director. Total
c:2LI&,,. ;!.!r /2 ,/7 7
Compacted fills (yes or no)
Proposed Schedule of.SPStart Finish
Operations (dates) JAN •7k'
I hereby acknowledge that I have read the applica-
tion 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 thA
Signature of Permit-tee 9 a~~
Owner or authorized age t t$t9/f
INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
- Rough grading
ëmpaction report rec'd.
Planting & drainage
Final certification rec'd. fLJL..
rading permit fee $ Work completed
Su Donci reiease
Permit Valida i n
by Date T,46/7 7
Permit Expiration Date to. /72
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD