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HomeMy WebLinkAboutPE 2.7.12; ST. PATRICK'S CHURCH; Engineering ApplicationApplication for Grading Per CITY OF CARLSBAD PUBLIC WORKS & BUILDING DEPARTMENT 1200 Elm Avenue 729-1181 7 /2 PERMIT NO.________ (letter code + number, L= lot S=subd ivis ion C=City contract FOR APPLICANT 'TO Fill IN Site Address Surety Bond Bond No. N/A Legal Description Map No. Surety Company portion of Tract 236 1681 Subdivision Name Surety Address Thum Owner Phone 729-2866 San Diego Diaceye Roman Catholic Church Date Filed Rec'd by Owner's Address Cash deposit Rec'd by Date filed 3096 Hard ing Carlsbad CA $ Plans by Civil Engineer R.C.E. St. Denis & Assoc. The following documents are required and shal become a part of the grading permit when they are zip proved. i—Fing plans Specifications report Vicinity map inage structures Retaining walls Compaction report _Other Address Phone 2442 State St., San Diego 234 -7334 Soil Engineer R.C.E. Phone C.H. Christian 280_Lf321 Grading Contractor Phone N/A Address Check if supervised SPECIAL CONDITIONS WHICH ARE MADE N/A grading A PART OF THIS PERMIT Party responsible for overall supervision N/A I. Authorized hours of operation: 7:00 AM to roposed use of grade site 5:00 PM, Monday-Friday. Building site Haul routes are to be approved by City Jumber of cubic yards Engineer. Cut Fill Import Waste Adequate provisions shall be made for erosion and siltation control. 42.350 1+680 I All slopes shall be planted per direction of Parks & Recreation Director. Total +1 ,030 Compacted fi I Is (yes or no) Yes Proposed Schedule of Start Finish Operations (dates) 10/10/75 6/10/76 I hereby acknowledge that I have read the applica- tion and state that the information I have providec is correct and agree to comply with all City INSPECTION DATE INSPECTOR'S SIGNATURE Ground preparation ordinances and State laws regulating excavating anc grading, and the provisions and conditions of any permit issued pursuant to this application. Rough grading Compaction report rec'd. Signature of Permittee Planting & drainage Owner or authorized agent_______________ Final certification rec'd. Grading permit fee $90.00 (Paid 9/10/75) Work completed I Surety bond released Permit V Id tion by Date 77 Permit Expiration Date 22 4PR' 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