HomeMy WebLinkAboutPE 2.9.41; TRI-CITY AUTO PLAZA; Engineering ApplicationSu
Work completed
bond released
Grading permit fee $ 04
04V
pptication for Grading Permits
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO.
(letter code + number)
Llot
S=subd ivis ion
Cijty contract
JAN 24-78AFCA 176******811.00
FOR APPI ICANT TO Eli I IN
Site Address Pcec 2De/ A)o7e
Surety Bond Bond No.
LgaI Description
K o7 ? 74
Map No.
7C 7
Surety Company
Subdivision Name' Surety Address
)wpr r Phone Date Filed Rec'd by
~ddres6)//
/)Mc, / jti,- 2 Cash deposit Rec'd by Date filed
$ ,fj
lbiviI Engineer R.C.. The 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
Compac1-ion report Other
dres
6/
Phone
2 6/J4 7e
So*,J Engineer I R C.E Phone
ji Ce7/ ?r7
;rang £ontrtor Phone
¼ddress Check if supervised d' I ç37 grading / SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
oTs+bIe Vor oraII supervision ty
I. Authorized hours of operation: 7:00 AM to
ro ose-se of de site /) r 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber of cubic yars\
Cut Fill \\ Import Waste
Engineer.
Adequate provisions shall be made for
erosion and siltation control.
All slopes shall be planted per direction IS VT I /ycrts I I of Parks & Recreation Director.
7 3. f) Total
Compacted fills (yes or no)
Proposed Scheduliof Star,L
Operations (dates)
P
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 ths ap
Signature of Permittee________________ /,
Owner or authorized agent________________________
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
- Rough grading
Compaction report rec'd.
Planting & drainage
Final certification rec'd.
Permit Validation
by F- AlL— Date
Permit Expiration Date _7_~i>7e
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THISPERMITISVALIDFORASIX(6)MONTHPERIOD