HomeMy WebLinkAboutPE 2.7.8; RANCHO DEL PONDEROSA UNIT 1; Engineering ApplicationPERMIT NO.l%it
(letter code + number)
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S,PjJd ivis ion
JUL -2-75
Application for Grading PerS \
CITY OF CARLSBAD
PUBLIC WORKS & BUILDING DEPARTMENT
1200 Elm Avenue
729-1181
FOR APPLICANT TO FILL IN
Site Address /V'L-) O/7Z/V/V'/M/,Igd. Surety Bond Bond No. '2f1Lfr-' -
Legal Description Map No. Surety Company
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Subdivision Name
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Surety Address
C773 -/ (,4o ) tiiJi 7L'7
Owner Phone Date Filed Rec'd by
7/1)633 2/BC
Owne'r's Address Cash deposit Rec'd by Date filed 02 &i//Is cf7 L2, //7 /00 CA- '21 $
lans by Civil Engineer R.C.. The following documents are required and shal
LtZE fl /8/7(1 become a part of the grading permit when they
are approved. ddress Phone
5'2O AWARS /_i'727 _Grading plans ?cSpecifi cat ions'
<Soil report _X-Vicinity map oil n i .0 .E. Phone R SW-Wv
I/
1_6L11 ZZF~16 /1/f? Z'4 -.29"/ brainage structures Retaining wall
Compaction report XOther rading Contractor Phone
/o deic (714) 833 -2/8°
ddress Check if supervised SPECIAL CONDITIONS WHICH ARE MADE
'ijZ A PART OF THIS PERMIT
arty responsible for overall supervision'
I. Authorized hours of operation: 7:00 AM to
roposed use of grade site 5:00 PM, Monday-Friday.
/,VG-L /4,t///_, $"/ t2E/VT/14L Haul routes are to be approved by-City
lumber of cubic yards - Engineer.
Cut Fill Import Waste Adequate provisions shall be made for
erosion and siltation control.
£a j~2co7 I All slopes shall be planted per direction
of Parks & Recreation Director. Total
Compacted fills 6eor no)
Proposed Schedule of Start Finish
Operations (dates).0 1
I hereby acknowledge that I have read the applica-
- INSPECTION DATE INSPECTOR'S tion and state that the information I have provide
is correct and agree to comply with all City SIGNATURE
Ground preparation ordinances and State laws regulating excavating and
grading, and the provisions and conditions of any Rough grading permit issued pursuant to this application.
Compaction report rec'd. 4
Signature of Permittee Planting & drainage
Owner or authorized agt/z -
Final certification rec'd.
Grading permit fee
Permit Validation
by/li,uij
Permit Expiration Date
THIS FORM WHEN
11 - I Work completed
4 Surety bond released
Date //z
LY VALIDATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED
THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD