HomeMy WebLinkAboutPE 2.9.45; LA COSTA VALLEY UNIT 3 LOT 142; Engineering Application$jWpplication for Grading Permit
PERMIT
(letter code + number)
( CITY OF CARLSBAD Llot
PUBLIC WORKS & BUILDING DEPARTMENT S=sudivision
1200 Elm Avenue )AN 11.78Efty9 Q0 f 4f*57.00
729-1181
FOR APPI ICANT TO Fill IN
Site Address Surety Bond Bond No.
LegI Description Map No
Jo7 i42 CJA)/7 73L71- Surety Company
Subdivisjo n Name
< c sri Surety Address
Owner
mA-
Phon8
-IV
Date Filed Rec'd by
)wnY's
Ad
ress $1 114 42 k)
Cash deposit Rec'd by Date filed
$
Pl an5 by Civil Engineer R.C.E.The
UrO,L) L)C% / ?7/3 following documents are required and shall
become a part of the grading permit when they
are apjwved.
_g plans
report nity map
A-DralAags—structures 7Retaining walls
n report _Other
ddress Phone
Soi l
Eg r
R.C.E. Ph e
?4J,S 2h? 7'-8'8O'
Grading Contractor Phone
¼ddress Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall supervision
I. Authorized hours of operation: 7:00 AM to
roposed use of grade site 5:00 PM, Monday-Friday.
Haul routes are to be approved 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 So .1'"' I I Director.ota1 of Parks
KMffjff1VRrb
Compacted fi I Is (yes or no)
DEC 02 1971. Proposed Schedule of Start Finish
Operations (dates)
CITY OF CARLSBAD 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 appV ation
Signature of Permittee
Owner or authorized agent_______________________
1 11
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- INSPECTION D In, INSPECTOR'S
SIGNATURE
Ground preparation
- Rough grading
Compaction report rec'd.
Planting & drainage
Final certificatior rec'd.
Grading permit fee Work compleTea
I Surety bond released
Permit
Date
Permit Expiration Date jCc-vtJ /fV/7
THIS FORM WHEN PFPERLYVALIDATEDBYSIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT _IS VALID FOR A SIX (6) MONTH PERIOD