HomeMy WebLinkAboutPD 62; SDGE UNIT #5; Engineering Application.pplication for Gradfng Permit.
.PERMIT NO. --------( I etter code + n·umber)
' ~·.
CITY .OF CARLSBAD L=lot
PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision
1200 Elm Avenue
729-1181
.,.., C=C i·ty contract F-~A 1D .f'r'C I ,tftl, I-2 "2.-
. 1.Jf' ·r.z I 2// 7/7 3 <(;:·c·er ·,-·:. 7cJ.>}>
FOR APPUCANT TO FI LL IN
Site Address .. Surety Bond Bond No.
4600 Ca.:r.1 sbe.d B1.vd.
Legal Descr i.pt ion Map No. Surety Company
Lot H" Rho Amla-Hedionda 823
Subdivision Name Surety Address
Owner Phone Date Fi led Rec'd by
!,:!nn O{ANO C!:::i~ ft Elnc-l~Y.':ta CoM ?.3?.-425?.
Owner's Address Cash deposit Rec'd by Date filed
p f L T!<n1-!" 1. f-1~1 -~;-i-n n{~crn. ~A. 9~112 $ ..
Plans by Civi I Engineer -R.C. E. The fol lowing documents are required and shal
Pioneer Servio0 & E:na-inoG.l.rinq Co. 20110 become a part of the grading permit whe~they
Addres·s Phone ar~ approve9.
~.·north R"t vcrside Plaza. ChiOUQ'O,, IllGOG06 __ Grading plans _Specifications
~oi I Engineer R.C.E. Phone _. _Soi I report _Vicinity map
P .. lt .. Bo!l'i~n11. 10332 5'65.-1950. _· _Ora i·nage structures Reta in i ng wa I I s
3rading Contractor P~one _Compaction report -Other
s~:1.f. .. : 729-4078
~ddress Che<i:k if supervised SPECIAL CONDIT10NS WHICH ARE MADE
qrad i hq .. ,. ""' A PART OF THIS PERM.IT·
0 arty responsible for overa 11 supervision
A . .:1:,. . Bax-nes -SDGlttE I. Author i z.ed hours of ooeration: 7.:00 AM. to
Proposed use of grade site 5:00 PM, Monday-Friday.
tlOuer nlant.,. :1)5 sinqle st.aoli 2. Haul routes are to be approved by Citv
Number of ·cubic yards Engineer.
Cut Fi 11 Import Waste 3. _Adequate provisions shal I be made for
erosion and siltation contro·I.
190-3Dtl 73 .. 500 I I 1.16,eoo 4. Al I slopes sha 11 be planted per dJrection
of Parks & Recreation Di rector. Total 5. ·Pavement damagec1 '1 :•:; .. ~~: T~>' 5_11, pu.blic r:tgh
or way snn.1.1 i:'.10 ::i~pa.:i..xact 'i:O 'i:ne su·c Compacted f i 11 s (yes no) . ' or isfa.ction of -c.::lC C:.Lcy lJngineer pr:lo Yas t:O oompJ..et:t.on Ol: -:·1or1:: .. Proposed Schedule of Start Finish 6. D'l..'l.St. control x~tS!-~ s .. J~ces shall be en-Operations (dates) S-41,-76 12-31-76 forced at all. 1;1.:r1~;j .:i.s requirect
I hereby ~cknowledge that I have read the appl ica-by City of Carl;J,:;iD.cl Ord. 3032 & .
tion and state that the information I have provi dee l·NSPECT I ON DATE INSPECTOR'S
·:is correct and agree to comply with all City SIGNATURE'
ordiMances and ~tate laws regulating excavating anc Ground preparation
grc:1ding, cmd the provisions and conditions of any Rough grading perm It issued pursuant to th 1; app ti cat~ onS)
Compaction report rec'd. · · o~i': Planting. & drainage SI gnatu re of Perm I tte· . ~ ,...,s<. "'c _ ,2 .
Owner or authorized agent Final certification rec'd.
Grading permit fee $52S.OO (paid)' Work completed
..
Surety bond released
Permit V~I id~tion · ,1.
Date 7 /z.; /7t;;, by, L~r~JL C ,f ~nL;J-ka -E.1 R,;. & 't.li. ·c~ l f2-t.J (!,. /: ~ JJov NT::, t,.'(;tU,# u. _.~.,. .I
Permit / / , G f_ ff . ,..,. IJ,. ~./.',..'L· .t Exp i"fat ion Date · A ,v VA ;e '1' "'l.../ 117 7 ,1.. a0t JO•-j ['d,,_-1. ' ~1.\ uc,. (,.1,.~t,:t.,;u:;'J dv~ .... L.:,,~·:r""
THIS FORM WHEN PROPERLY VALIDATED BY Sl~NATU~~011t,sl\1r'ERM-fr/Lr-o1~00 THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD
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