HomeMy WebLinkAboutPD 46; ARROYO VILLAS; Engineering Application',' ,-.,
-Application for Grading Per.
CITY OF CARLSBAD
ENGINEERING & BUILDING DEPARTMENT
1200 .ELM AVENUE
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729-1181 ~-.... -·
FOR APPLICANT TO FILL IN
Site Address
R.C.E.
Grading Contractor
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Address
Party responsible for overall supervision
Proposed .use of grade site
CoAJb o~ -4-C
Number of cubic yards On Site
Cut Import Total
Compacted fills
Proposed ~hedule o
Operations (Dates)
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R.C.E.
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Phone 1~-qs-()
Phone
Phone
Check if
supervised grading
Fill Waste
Surety B' Bond No.
Surety Company
Surety Address
Date filed
Rec'd by
The following documents are re.quired and shall becorrle a
part~ of ~rading permit when they ar~ _ap~r~ved.
~<;ti.Ilg plans ___$pec1f1cat1ons ~ report ___ Vicinity map .
__.Drainage Structures, etc. __:_Retaining walls
__compaction report __Qther'
I hereby acknowledge that I have read the application and state that the INSPECTION DATE INSPECTOR'S.
information I have provided is correct and agree to comply with all City ..._--------+------+~~-'--=S.!..;IG=-=Nc.=,Ac..:T_,_·=-U.:...:Rc.:.E'--'
ordinances and State laws regulating excavating and grading, and the pro-
visions and conditions of any permit issued pursuant to this application.
,/"7. ' sf~
Signature of Per~ittee (/..1-;~!~~:='W,fUL
Owner or authorized agent /~~-
Deposit for structure insp. $
Estimated cost of work $
Ground preparation
Rough grading
Compaction report e_ce,ved
ma certification Receive
Work cumpleted
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THIS FORM WHEN PROPERLY VALIDATED BY ~f IS A ~MIT TD DD THE WORK DESC~