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HomeMy WebLinkAboutPE 2.7.9; EL CAMINO REAL HOME FEDERAL; Engineering Application*Application for Grading Permits CITY OF CARLSBAD PUBLIC WORKS & BUILDING DEPARTMENT 1200 Elm Avenue 729-1181 PERMIT NO.I2T1Ct (letter code + number) LIot S=subdivis ion C=City contract FOR APPLICANT TO FILL IN Site Address 2580 El Camino Real, Carlsbad, California Surety Bond Bond No. Legal Description MaD No. Por. Lot 4, Fractional Section Z, TllS, R4W Surety Company Subdivision Name Surety Address Owner Phone Date Filed Rec'd by Owner's Address See attached owners sheet Cash deposit Rec'd by Date filed $ P lans by Civil Engineer R.C.E. Anacal Engineering Co. The following documents are required and shal become a part of the grading permit when they are pçroved. iading plans Specifications _jj.—report Vicinity map inage structures Retaining walls .-C6npaction report Other Address P. 0. Box 3668 Phone 774-1763 222 E. Lincoln Ave. Anaheim, Ca. 92803 Soil Engineer R.C.E. Phone Robert Prater Associates 118121 453-5605 ;rading Contractor Phone Don _Hubbard _Contracting _Co. 753-1137 Address Check if supervised 46 Encinitas Blvd., ncin9i-ading X t.,a SPECIAL CONDITIONS WHICH ARE MADE A PART OF THIS PERMIT artv responsible veaJ' supervision Mi for o ll Smith - Smith Construction Co. 753-2796 I. Authorized hours of operation: 7:00 AM to Proposed use of grade site Savings and Loan and Banking 5:00 PM, Monday-Friday. Haul routes are to be approved by City lumber of cubic yards Borrow site Cut Fill Import Waste Engineer. Adequate provisions shall be made for erosion and siltation control. All slopes shall be planted per direction 0 cu 113,000 yd. 13,000 yd CU . 1 0 of Parks & Recreation Director. Total 13,000 cubic yards Compacted fills (yes or no) Yes Proposed Schedule of Start Finish, Operations (dates) Immediately 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. Home Federal Savings,AfLoan of S 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. Work completed Grading permit fee $159. 00(X40 4'!!' -) Surety bond released Permit Validati n by Da te%G 2 4,41 44 Permit Expiration Date E' 7 /97w THIS FORM WHEN PROPERLY VA<DATED BY SIGNATURE IS A PERMIT TO DO THE WORK DESCRIBED THIS PERMIT IS VALID FOR A SIX (6) MONTH PERIOD