HomeMy WebLinkAboutPE 2.9.34; LA COSTA MEADOWS UNIT 4; Engineering Application?~ d-9. 3 4
.77— 577
*Application for Grading PermiS.
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT
(letter code + number)
LIot
S=subd iv is ion
C=City contract
SEP 29-7 SP 7 A10
FOR APPLICANT TO FILL IN
Site Address Sur7ety Bond Bond No.
Legal Description Map No
14 —7367
Surety Company
Subdivision Name Surety Address
kwpr Phone er Date Filed Rec'd by
Owner's Address
tfç 70 -fA
Cash deposit Rec'd by Date filed
P lans by Oivi I.ngineer R.C.E.
10 £A.i /—o,*
The following documents are required and shall
become a part of the grading permit when they
are approved.
Grading plans Specifications
SoiI report Vicinity map
_Drainage structures Retaining walls
Compaction report Other
Address ,-. Phone
_cxq
Soil Engineer R.C.E. Phone
-
Grading Contract iz Phone
77-
Address Check if supervised
,es4.4,.-t grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible fo,,l,,overalI
Ve'4 6tr..jLe
supervision
77 I. Authorized hours of operation: 7:00 AM to
roposed use of gra te
' L
5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber of cubit yardsj
Cut Fill Import Waste
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction ° I 70 I ')lO I of Parks & Recreation Director.
.
Tota l 7 f'E
&- -;-441/
7c Compacted fills (ye y
.1ç Start Finish Proposed Schedule of
Operations (dates) 7, All ./-c, r i-- 70 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 thic 'applicat
,
)4'
Signature of Permittee
Owner or authorized agent
INSPECTOR'S INSPECTION DATE SIGNATURE
Ground preparation
- Rough grading
Compaction report rec'd.
PIanting & drainage
Final certification rec'd.
Grading permit fee $ WorK completed
Surety bond released
Permit Validation
4 ,3 by /V Date Z177
THOR
Permit Expiration Date_________________________
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT YO DO K DESCRIBED
THISPERMIT IS VALIDFORASIX (6)MONTHPERIOD