HomeMy WebLinkAboutPE 2.9.49; LA COSTA GREENS LOT 7; Engineering Application76 d.q - ~9 pplicalion for Grading Permit S
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
PERMIT NO.PC.?.'1
(letter code + number)
Llot
S=subdivision
C=City contract
FOR APPLICANT TO FILL IN
Site Address
7 7- . C 7
Surety Bond Bond No.
Legal Description Map No.
7' 8
Surety Company
Subdivision Name Surety Address
Owner Phone
'9 Z 79 754 7- .4-22-0
Date Filed Rec'd by
Owner's Address
5A.)rAle 4' 4'i.2. 6~ c. 2.
Cash deposit Rec'd by Date filed
$
Plans by Civil Engineer R.C.E.
/'t
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
Compaction report Other
Address Phone
71-T47
Soil Engineer R.C.E. Phone
',q-.3 y A,..qz..
Grading Contractor Phone
\ddress Check if supervised
grading
SPECIAL CONDITIONS WHICH ARE MADE
A PART OF THIS PERMIT
arty responsible for overall supervision
T2l9L .) Cf C 6 I. Authorized hours of operation: 7:00 AM to
roposed use of grade site
/2. ')/7 CP 41 6
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 F/ I /V7 1 of Parks & Recreation Director. Total
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
Final certification rec'd.
Grading permit fee $ Work completed
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