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HomeMy WebLinkAboutPE 2.9.8; MAGNOLIA MANOR; Engineering ApplicationPERMIT NO.q S pplication for Grading Permit (letter code + number) CITY OF CARLSBAD Llot PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision 1200 Elm Avenue C=City contract 729-1181 PR 13-77 2010******50.00 FOR _APPLICANT _TO_ FILL _IN Site Addr's s 7.6>1 , A p+ 774 Surety Bond Bond No. Legal Descrtion Map No Surety Company SubdivisionName Surety Address I, )wner 9 Phone AC224 O4 Owner's 8ddress 0, 2/a Plans by Civil Enaineer R.C.E. Address Phone 2s4 /Jth 7? ?9 Soil Engineer R.C.E.Phone radinq Contractor Phone Rec'd by 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 Compaction report Other ddress Check if supervised SPECIAL CONDITIONS WHICH ARE MADE grading A PART OF THIS PERMIT arty , 7 overall supervision I. Authorized hours of operation: 7:00 AM to roposed use of e site 5:00 PM, Monday-Friday. Haul routes are to be approved by City umber of cubic yards Engineer. Cut Fill Import Waste Adequate provisions shall be made for erosion and siltation control. All slopes shall be planted per direction of Parks & Recreation Director. Iota I Compacted fills (yes or r) Proposed Schedule of Start Finish Operations (dates) hereby acknowledge that I have read the applica- on and state that the information I have provide s correct and agree to comply with all City rdinances and State laws regulating excavating an ading, and the provisions and conditions of any rmit issued pursuant t is application i .. Signature of Permittee Owner or authorized agent (1 INSPECTOR'S INSPECTION DATE 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 j J by DatS//3/77 Permit Expiration Date 75 THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED THISPERMITISVALIDFORASIX(6) MONTH PERIOD