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HomeMy WebLinkAboutCT 74-14A; TEMPLIN HEIGHTS UNIT 1; Engineering Application~pPlicat~on for Grading permit~ CITY OF CARLSBAD PERMIT NO. ( letter co-:'d-e-+:--n-u-mb:"""er) L=lot PUBLIC WORKS & BUILDING DEPARTMENT 1200 Elm Avenue 729-I 181 ,',. ~) ,. -' S=$ubdivision C:;:City contract FOR APPLICANT TO FILL IN Site Address Legal Description Map No. -/"'-, / ; I. j / l .. r '"-"7·-~', t ,~J.1 7// -It{ Subdivision Name ~wner Phone , i L /:! 7.'f:: .~(r'!C "/ -;/ '7 -t·///7 ~wner' s. ,Addres.s " ,..; '1'/. /,1"il C,/'i ({ILlt:: Plans by Civil Engineer R.C.E. . -.-/ -:," ,"?'j l' I ' I ~ ~ 1 .I I i it." .~-J ..:'/..'..: ..I-/ h:' ..- ~ddress Phone './ ~ /'. 7-7 .~, "= "i '~I • J ,,' I ,J ' 60i I Engineer, R.C.E. Phone /1. /t::"'i~ Ii" )~)//' /".:: 'I' It"-O:'Jlll'l Grading Contractor Phone Address Check If supervl~ed grad i ng t."'· Party responslbl,e for overall supervision i.,/.. ,,' ilL:,' Proposed use of grade site _ • y'-,/ ~: ,::. ;~: I~). I II-.. " :,.;)£ t /" Number of cubic yard5 Cut FII I Import Waste Total • j ;I '.', ,I ~3' ~ompacted fi I Is/tyes;or no) '---" Proposed Schedule of Start Operations (dates) .. :::-;'"., 77 Finish =7!~ {J 77 , ','I . .. *~c;,~-I.-:·:t~: -:,~~/'-I/ ,I j'~' Surety Bond Bond No. Surety Company Surety Address Date Fi led Rec'd by Cash deposit $ Rec'd by Date fi led The fol lowing documents are required and shall become a part of the grading permit when they are !Jpproved. 0Grading plans _'_. So i I report Drainage structures .~'-tompaction report ___ Specifications _Vicinity map _Retaining walls _Other SPECIAL CONDITIONS WHICH ARE MADE A PART OF THIS PERMIT I. Authorized hours of operation: 7:00 AM to 5:00 PM, Monday-Friday. 2. Haul routes are to be approved bJL City Engineer. 3. Adequate prOVisions shal I be made for erosion and siltation control. 4. All slopes shall be p·lanted per direction of Parks & Recreation Director. 7" • " '0 f 1 I hereby acknowledge that I have read the appllca-~ _____________________________ ~ ____ ~~ tlon and state that the information I have providec INSPECTION DATE INSPECTOR'S Is correct and agree to comply with all City SIGNATURE ordinances and State laws regulating excavating anc Ground preparation gradl ng, and the provis Ions and conditions of any ~-Ro-u-9-h--g-r-a-d-:-In-g----'-' ...------------------ permit issued pursuant to this application. ,,-... .' \ Compact Ion report rec' d. S i gnatu re of Perm j ttee ,f.,' . ~ .-,~, /~ ./. ~':'~.>!. /, (, P I ant I ng & d ra i nage .,.' 1 Owner or author i zed age nt_I_'~-:':-'_' _._,-;0-_ .. +,' ,-,-,,,-, ;.,.... -..... ~.,...----~'.---'----F-i n-a-I-c-e-r-t-j -f -j c-a-t-j-o-n-re-c.,-':-d-.--------'-- Grading permit fee Work completed surety bond released Permit Val idation .-' by ___________ --.!,-"'-J _____ -...;Date ' ," .... -: Permit EXpiration Date 1.1 ',; .. ', '7. / .-.. 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