HomeMy WebLinkAboutCT 76-06; ROYAL HOMES UNIT 7; Engineering Application.iAPP 1 i cat i on for Grad i n9 Perm i tli '~
CITY OF CARLSBAD , '
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L=Jot .' -PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
S=subd i v j·s ion
C::;City 90ntraci"
,
"
729-1181
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Site Address 11' If I /..$urety Bond . 'Bond No... .. ".; ~ JCl. fJD t~ t-t. w'(.li ~ A-P I'Y'\.) . I~ P. W 80· t:7Oc:/ <::/b .'
Lega J Des~ti~~' . rl' Map No; Suf"ety Company' .' :} t::::---:~--:--,-..' T.J..:::;t!-=~~.J-=..::...i,---,-,," / 1.;;",-" -'"''':b=,.., _________ -+-~~---'':-:-:-__________ : _______ ...,., .. ~'' "'1
Subd'ivisi~ame ' Surety 'Address . : .. ,
.. . (,i:!.~'4 lit-I-iotH'eS!::. r£ /)7 ..
~ddress Check if supervised ~radin~ ~
'I='roposed us.e; of grade site_
LT .... , -...c ~c· r ';.T7,.1{ C' ~ i I <: .. ~;:'"
~umber of cubic yards
. Cut Fi II . Import
,Tqtal
[Compacted 'fi lis (yes or no).
Waste
Date F i led ' Rec' d by ,
Cash deposit Rec'cf by Date fi led. ' J
~he fo II ow ing documents are requi red and sh~ ,'I' II
become a part of the.grading permit·, when th~y
are approved. . . -
vBrading plans .. '~SpecHicat'ions, ': . .:. :
750 i 1 report : Vic Ln i ty ·map· ' .\
Drainage structures· Retaining' walls." "
_Compact i on report _Other.',
SPEC I AL COND I TI ONS WH 1 CHARE' MADE
A PART OF THIS PERMIT .
I. Author i zed hours of op.eratlon:,· 7: 00 Atvf to:
5:·00 PM1 Monday-Friday. u.
2. Hau I routes are to be app'roved by City .
Engineer. ..
3; AdeQuate·provisions.shall be made Jor
erosion and si I,tation control •.
4. All slopes shall.be planted per direct'ion
of Parks & RecreaTion ·Director.
" ; ,. -,1
~------~----~--~----------~~'----~~-'\ t=---'---:--::--:----:--:-:--::----::-:--:------=:---:--:----t '.: ..; Prop'osE;!d Schedu·le of Start Finish :;
, O~erat ions (dates) 1-------------.......... ----------.------: FL~~~~~~~------------------------~
thereby acknowledge that I have read the applica-,.
tion 'and state that the information I have prOVide(J----IN-S-P-E~C-T-IO-N------'-----..,..'---=-:I.N...,,·S~P;-::E~C=T~OR'::'"'=-=s'·il
is correct and agree to comply with all City -DATE. 'SIG~IJ'rURl3-: "~
" .:
ordinances and State laws regulating excavating anc Ground preparation "'''" .:',
grading, and the provisions and conditions of any ~-Ro-u-g-h--g-r-ad-i-n-g------~~~~~~-~·-------~.'~···
permit issued pursuant to~ t, is_~. ,
, . '. ~ :~:~~/ Compaction report rec'd.
, Signature ;f Perm j ttee 4 wt2<./L ~~ ~ .. ~::-:-~-:----::--::-~-"-----:i--~------"--'''~--:''''
, r' Planting & drainage "
o.wner or authorLzed agent • Final certification rec'd. .,'
~----~------------------------------------~~------~~~----~-----~-----~~---. Work comp I eted' Grading permit fee $ /S9,oC?
Surety bond re I e'ased ":
I' ;
Per~it Val idation . , r--------~---~-----~~~---~~~~ .. --
I 01 .,:::!;~ eVt-#L Date 4--:/0-80
, Permi.t Exp~ation Date /0-16'-80
. THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK D58CRJB,P;D:
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD' .. ' .• __ t.,