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HomeMy WebLinkAboutPE 2.11.66; LA COSTA VALLEY UNIT 4 LOT 180; Engineering ApplicationPERMIT NO. 2-fl. Apptication for Grading Permii (letter code + number) CITY OF CARLSBAD Llot PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision 1200 Elm Avenue /30/511-y contqj00 MC' 729-1181 0dO13529 1/30/el 11600 TL FOR APPI IflANT TO Fill IN StSdCLessden L Surety Bond Bond No. ega,4 DescrrrF ia Map No. 5781 Surety Company Subdivision Name Surety Address )wner Cecil Ha1J1U Phone 942-2cI-7- Date Filed Rec'd by )wnr' Address 26,9 .irineoe Way Apt. 131 Car1bad, ca • Cash deposit Rec'd by Date filed $ Plans b y Ci'iljneer R.C.E. Ca1I.Lor*.La i..riig Corp. 24168 The following documents are required and shal become a part of the grading permit when they are approved. Grading plans Specifications Soil report Vicinity map Drainage structures Retaining walls Compaction report Other Address 8.080%,,LaN #206 na 92O41 ° 461-2700 Soil En neer R.C.E. 21719 P.t1 ee8o8 John 4raoi & Assoc. G ding Co ractor Phone 72759 I 8031 '~941ycafjjt Ave.. Check if supervised as grading SPECIAL CONDITIONS WHICHARE MADE A PART OF THIS PERMIT _________ overall supervision I. Authorized hours of operation: 7:00 AM to 5:00 PM, Monday-Friday. Haul routes are to be approved by City Number of cubic yards Cut Fill Import Waste Engineer. Adequate provisions shall be made for erosion and siltation control. 4.AII slopes shall be planted per direction I.'C-rI 22.o7c!_2fift zlatI of Parks & Recreation Director. ______________________________ Total - '22eo LL.. Compacted fi I Is (yes or no) -rLs Proposed Schedule of 0Stjt 1980 o fliF*shbi. l98 Operations (dates) I hereby acknowledge that I have read the applica- tion and state that the information I have provided is correct and agree to comply with all City ordinances and State laws regulating excavating and grading, and the provisions and conditions of any permit issued pursuant to this application. Signature of Permittee Owner or authorized agent________________________ - INSPECTION DATE INSPECTOR'S SIGNATURE Ground preparation Rough grading Compaction report rec'd. Planting & drainage Final certification rec'd. Grading permit fee $ Work completed Surety bond released A') ç ) Perm 9iati(( A ()) by j/JL1VV\J/-&_--eke 50 '1 Permit Eraion Date__________________________ 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