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HomeMy WebLinkAboutCT 73-18; RANCHO DEL PONDEROSA UNIT 3; Engineering Application-,---"------! , ~-- , • ~ PERMIT NO. App I i cat ion for Grad i ng Permi,... (letter co-'d-e-+;--n-u-m'-berl CITY OF CARLSBAD L=lot PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision 1200 Elm Avenue C=Ctty contract 729-1181 p:MID-;kcT..uo, I-I t:"47liDljq/;, ~ ~>a::;C(yT Ala. 591/ '[<, FOR APPLICANT TO FILL IN , S~ Addr~~si' L?~ ..,.. .&'; /'" .£"" ... 4-Surety Bond Bond No • _/...-...... 1_--, Leg~D,~ri~on 'j. ,Map No. Surety Company /11A:'. 'IJr ,), O-J.L) (_'NI?~ 'l!J"/;Jb Sub(!.~v i s i on Name R, P"/~j Surety Address "k-").j//fOlo }. J~I c/r ;;-3- Owner, ' .LL Phone Date Fi led Rec'd by U ,h~ .4:""", <' Xl -/-B?-e-21&!l Dwn,er' s A~~SS (:~;,~::~. Z;; / J/)(,/~ Cash deposit Rec'd by Date f.iled ,,:'~7 /S'" $ Pla~ by ~ I Engineer c:. R.C.E. l",j? The following documents are required and shall ,t!:'/"'K 'K/r':.//.M ,-//is'/ become a part of the grading permit when they , Address ~1-OR" A Phone ,1 a~pproved. ~ecifications ·'iZZn ?4/-<J7t' G ading plans poi) Engineer /tt,Y/),f'-R.C.E.. .;;;;.neV/ / ' oil report Zinity map //,h),,) p, .~"f> .;;' ,.>6,-", ,,;" -~ ,?l ~alnage structures etalning walls prad ~ng Contracto~ 7liMDl.E1?:lA.l Phone ompactton report _Other 144--()i?-3C' ~ddress Check if s~tsed SPECIAL CONDITIONS WHICH ARE MADE IV6/) ~I U.:'4 fl>'~i '",' .At' UAA~!.<1radln<1 A PART OF THIS PERMIT Party;responsible fo~;overall supervision , h;»./~.lZo:.JiI ~l.r,))J¥!5. I • Authorized hours of operation: 7:00 AM to \ Proposed use of grade 5 i te 5:00 PM, Monday-Friday. : L-',,;;. :':;/L;6' A./ >' ;All. 2. Haul routes are to be approved by Cltv Number of cubic yards Engineer. Cut Fi II Import Waste 3. Adeauate orov t s ions sha II be made for 17~lta7II1Z:8~ '-Y-I I eros I on and s I I tat I on control. , 4. All slooes shall be olanted oer direction " --, of Parks & Recreation Director. , otal r Compacted fills (yes or no) " ..... , Pro~osed Schedule of Ope rat ions (dates) ,/' Start ,t, ,I Z-V7 Flni~h'7j '1-"''/-k- " I h~r:~ acknow I edge that I have read the app I I ca- • t i on, state t~ the I n format I on I have p rov I dec INSPECTION DATE INSPECTOR'S , is cOt;~t and a .• to comply with all City SIGNATURE ; ord i na-rkoes and SfliJe teJIIS regu I at I ng excavat i ng am Ground preparation " gradit'fg; and the Pt:0vl 5 ions and conditions of any Rough grad I ng : per~it issued pursaant to this application. ~,. Compaction report rec'd. Signature of Permittee If' Planting & drain,age , !Owner or author Iled agent. '/ ' ... ·t~·/{-"'i~·-'/i"~ ( "J/I,--Final certification rec'd. " . "_.,--._--_ .. -.. , ' 495 Cf.) • Work completed Grading permit fee $ . ,- Surety bond released Permi~,val I~."!ti0:i Date ;/z;/7? by : • 1<-( ~, l l1'AIL,/ , , Permit Expiration Date' 2//'Z!Zb THIS FORM WHEN PROPERL¥VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED , , THIS P~BMIT IS VALID FOR A SIX (6) MONTH PERIOD