HomeMy WebLinkAboutPE 2.9.46; PALOMAR AIRPORT BUSINESS PARK UNIT 2; Engineering ApplicationPERMIT ___ (letter code + number)
Llot
S=subd iv is ion
C=City contract
pPlication for Grading Permit S
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
FOR APPLICANT TO FILL IN
Site Address
Vcsi c JQRk'o w D. Surety Bond Bond No.
Le al Description Map No
&4Lc4QZ? 7crrv. Z-9 84/8
Surety Company
Subdivision Name
&€ ,& Z11,117-, if Surety Address
)wn r Phone
i4uw, /_e,?aer_r,,i-sj_4- ____138-2552
Date Filed Rec'd by
)wner's Address
213/ 'Qt%owDE1 L9,qxLfAqv & Cash deposit Rec'd by Date filed
$
Ians by Civil Engineer R.C.E.
116173
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
Compaction report _Other
ddress phone /Ie5c /h,rci &,2'LiE JV.'$4i1 L2, 298-4/52
Soi l Engineer R.C.E. Phone
/,&/Z/ 453-50~
Grading Contractor Phone
Address Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
)ay respon ble foroveral I supervision
Dz27 ,4,qi€ ,4~.cOC. I. Authorized hours of operation: 7:00 AM to
rogsed use of grade sie
LI,ia.isiei,41- 5i7E 'yfI.c,t1fiVT 5:00 PM, Monday-Friday.
Haul routes are to be approved by City
lumber 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 539 537,500 1 - I -
-
of Parks & Recreation Director. Total 59j, 5% C
Compacted fills (yes or no) ,
Proposed Schedule of Start Finish
Operations (dates)
I hereby acknowledge that I have read the applica-
tion and state that the information I have providec
is correct and agree to comply with all City
ordinances and State laws regulating excavating anc
grading, and the provisions and conditions of any
permit issued pursuant to this application.
Signature of Permittee___________________________
Owner or authorized agent
- INSPECTION DATE INSPECTOR'S
SIGNATURE
Ground preparation
Rough grading
Compaction report rec'd.
Planting & drainage
FinaI certification rec'd.
Grading permit fee $ Work compleleci
Surety bond released
Permit Validation
by Date
Permit Expiration Date___________________________
THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD