HomeMy WebLinkAboutPE 2.9.39; LA COSTA ESTATES NORTH LOTS 80 & 88; Engineering ApplicationPERMIT
pIication for Grading Permit (letter code + number)
CITY OF CARLSBAD Llot
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivisjon
1200 Elm Avenue C=City contract
729-1181
FOR APPLICANT TO FILL IN
ISite Address 1 Surety Bond Bond No.
Legal Description Map No. Surety Company
Lot 80,88 8302
Subdivision Name I Surety Address
wner Phone Date Filed Rec'd by
I American Bui1clinc Arts 239-3871
ner's Address
lans by Civil Engineer R.C.E.
dress Phone
rl Engineer R.C.E. Phone
e jZo t ,- , Pritz 45 - S6 05
ing Contractor Phone
Cash deposit Rec'd by Date filed
The following documents are required and shall
become a part of the grading permit when they
are approved.
Grading plans _Specifications
Soil report Vicinity map
_Drainage structures Retaining walls
_Compact ion report Other
ddress Check if supervised
------grading xx
SPECIAL CONDITIONS WHICH ARE MADE
APARTOFTHISPERMIT
'arty responsible for overall supervision
AlanMildwater I. Authorized hours of operation: 7:00AMto
'roposed use.of grade site
Residential hcinesite
5:00 PM, Monday-Friday.
2.HaulroutesaretobeapprovedbyCity
Number of cubic yards
Cut Fill Import Waste
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shallbe planted per direction
I
of Parks & Recreation Director. Total
Compacted fi I Is (yes or no)
YES
Proposed Schedule of Start Finish
Operations (dates) Dec, 77 Jan.78
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 t i appIicat n
Signature of Permittee ______________ __
Owner or authorized agent Gary Lipska
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Grading permit fee $ 84.00 _Workcompleted
Surety bond released
Permit VaIJ'ia+ion
by VC46YI_tee Date
Permit Expiration Date
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD