HomeMy WebLinkAboutPD 82; HOME FEDERAL SAVINGS & LOAN; Engineering ApplicationPERMH NO • • Application for Grading Permit. ----( I etter co-de + number)
CITY OF CARLSBAD -L=lot
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
S=subdivision
C=City contract
FOR APPLICANT TO FILL IN -,
Site Address Surety Bond Bond No.
· 2580 El Car+tlnQ Real, Co.rlabad. Califor.nia
Legal Description Map No. Surety Company
Por11 ;t,ot 4,. Fractional S.:iction 32. TllS. R4W •'::JI
Subdivis[on Name Surety Address
bwner Phone Date Fi J-ed Rec'd by
bwner 1·s Address Cash deposi-t Rec'd by, Date filed
See attached o\vnora sheet $_
Plans by Civi I Engineer R.C.E. The fo I !'owing documents are required and sha I
r\na-cal Enqinee:d.nt1 Co. become a part of the grading permit when they
Address P. o: Bo:~ 36t>8 Phone 774 ... 1763 are ~~-roved.
2.22 E" Lincoln Ave,, Anah.ob:n11 Co.,. 92803 /,.,,, riding·plans _Specif)cations
Soi I Engineer _ R.C.E. Phone ,?S-~report Vicinity map
Robert Prater A.aoocia.tes 118121 453-5605 ..(;0 alnage structures Retaining wal Is
Grading Contractor Phone ~eompaction report Other C
Don Iiu.bbard Ct:,nt_ractin~ Co. 753-1137
~ddress . Check if supervised SPECIAL CONDITIONS WHICH ARE MADE
46 Ent1inita.s Blvde) Enci~!.tasr.ad i no X ' A PART OF THIS PERMIT
bartt. respo_ns i b I e f9r o'tt'e"',-a P'f'"stt~erv is i on 1 _ 6 x llt Sr.ru.th,., Sm1th Co:nstrucfton Co. 53 .. _279 I. Authorized hours of operation: 7:00 AM to
broposed use of grade site 5:00 PM, Monday-Friday.
s~vin~s and Loan and &nkinfl 2. Haul routes are to be aooroved bv Citv
Number of cubic yards Borrow oite Engineer.
3. Adequate· provisions shal I be made for Cut Fi 11 Import _Waste erosion and s i I tat ion contro-1 • I ~u~J -cu. I 4. Al I slopes shal I be planted _Per direction 0 13,000 vdr .13. 000 vds. 0 of Parks & Recreation Director. Total
13. 000 cubic vards
Compacted f i I Is (yes or no)
'Ve:u:1
Proposed Schedule of Start Finish
Ooerations (elates) h:nmedinte hr
J hereby ~cknowledge that I have read the app Ii ca-
tion and state that the information I have providec INSPECTION DATE I NSPECTOFr' S
is correct and agree to comply with all City , SIGNATURE
ordinances and State laws regulating excavating anc Ground preparation
grading, and the provisions and conditions of any Rough grading permit issued pursuant to this application.
Mome Federal So.vingiytt~oan o! S~ieg~ / Compaction report rec'd.
~ignature of Permittee c;/41,<~l: .?/'f/A 2-,,,,,.,c./l Planting & drainage
Owner qr a~thorized agent _ Final certification rec'd.
Grading permit fee $159.00{.,q;n, 4 ;//, !/2~) Work completed
Surety bond released ~ Permit Valldation
l(/J~A Date {,,,:; ""i 1;p::r
_,,.·. --'/ <"'J .,, /_, / ,, by ?, .,.. , J ' "':<!?'d?J &-~·.,... ,, -·, ,,. ... " ,,.._ ,, c:;.., . . Perm It Exp I rat I on Date ~ E, 2 ,Z /5)?5
TH IS FORM WHEN ,PROPERLY VALlDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCR I-BED
TH IS PERMIT IS VALi D FOR A SIX (·6) MONTH PER I OD
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. ·""'"i .·
.App I i cation for. Grading Perm i t4t . · ·'
CITY.OF CARLSBAD
PERMIT NO. --,----( I et t er code+ number)
L=lot
PUBLIC WORKS & BUI LOI-NG DEPARTMENT
1200 Elm Avenue
729-1181
S=subdivision
C=City contrac~
. ~yP~sz.
FOR APPLICANT TO FILL. IN
Site Address El Camino Surety Bond Bond No.
420' Nox-th of r.ta:-cron Rdo on
Legal Description Map No. Surety Company
Po:ct:.:i.on. :r~ot:8 4 fr 5 Fr.act. .. SG:O. 32T11SR4!•1.
Subdivision Name Surety Address
n/'A.
Owner Phone Date-Fi led Rec'd ,bY
't!\~.11 w/1:n,..l::mllt=irl'f.T. ... ...,f!.-:: ·-!:-.n-1•.•t:1 /f":::irl.i.;l'h~r1· C!itv
Owner's Address -Cash d_eposi't -Rec'd by Date fJled
£:~,-:, 'I'f f:la She~t-: Grad-i,..cr Pl:w, $
Plans by Civi I Engineer R.C.E. The· fol lowing documents are required and shal
tHr!1:t 'Rnr.d1"1A~"f"i.na (}JI, 1 e. become a part of the grading permit when they
f'\adress ,~ ., Phone are approved.
1()f.U'.t i?in 'Pi t"!n R111iJ _ 729-4987 _Grading plans _Specifications
Soi I Engineer R.C.E. Phone _Soi I report _Vicinity map
Rnb PrR.{~nr J a1;n 453-5605 __ Drainage structures _._Retaining wal Is
Grading Contractor Phone _Compaction report __ Other
Address Check if·. supervised SPECIAL CONDITIONS WHICH ARE MADE
orad i no X A PART OF THIS PERMIT
0arty responsible for overal_l supervision
flAVl t:::nfl.r,,h;: >;,~,:r,:-:.'r"-T·TnmA 'FG!dArA 1 A_ r, T,. I • Authorized hours of operation: 7:00 AM to
Proposed use of-grade site 5:00 PM, Monday-Fri day.
r;tr-\ntt·in r .t) ~,, i1nnlt 2 .• Haul routes are to be approved bv Citv
Number of cubic yards Engineer.
Cut Fi 11 Import Waste 3. Adeauate,orovisions shall be made for
erosi.on and siltation contrO:I.
,220 I 4300 . I 4300 I .4. Al I slopes sha 11 be planted per direction
of Parks & Recreatlon Director. Total
Compacted f i 11 s (yes or no) ·. Yes
Proposed Schedule of Start Fi'nish
Operations (dates) 8:30
I hereby acknowledge that I have read the app Ii ca-.
tion 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 and Ground preparation
grading, and the provisions and conditions of any Rough grading perm i t I 55 ued p u r5ua nt to th i 5. a pp I i cat I 011. ,
Signature of Permltte~,-:1,~/J~. rt....5ye.l
Compaction report rec'd.
Planting & drainage /4J_, ;;U :A: p Owner or author·i zed agenf~. Yr ;J:z_,p--t,,~, ,r,/lA~_.L. Final certification rec'd.
Grading permit fee$ 9tJ .§SJ_ W0rk completed
PA/Z:::, Syrety bond released
Per~al i~at{Jn~LJJIL
Date B/'&)/74 r
by 71 M 1. fJ fA .a v~ ---... .
Permit Expiration Date · ----------------TH IS FORM WHEN PROPERLY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX C-6) MONTH PERIOD J-4'11,.::t~