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Home My WebLink AboutPE 2.8.17; LA COSTA VALLEY UNIT 4 LOT 163; Engineering ApplicationPERMIT NO.IS7 (letter code + number) LIot S=subd iv is ion C=City contract *Application for Grading Permits CITY OF CARLSBAD PUBLIC WORKS & BUILDING DEPARTMENT 1200 Elm Avenue 729-1181 EP 13-77 - 5P AID FOR APPLICANT TO FILl IN Site Address Surety Bond Bond No. Legal Description Surety Company N Subs ion ___ Name Surety Address Owner Phone a&,/' Y3 I Date Filed Rec'd by ________________________ Owner's AdAr ss /1&- Cash deposit Rec'd by Date filed $ P lans by Civik7Engine R.C.E. /14j-yj2 ____A.'/éS" 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 ddress Phone _ Soil Engineer R.C.E. Phone c2.1-4_tI-.72.-3'iZi Grading Contractor Phone Address Check if supervised grading SPECIAL CONDITIONS WHICH ARE MADE APARTOFTHISPERMIT arty re sonjoroverallsupervision I. Authorized hours of operation: 7:00AMto roposed use ojrade sit 5:00 PM, Monday-Friday. Haul routes are to be approved by City Jur 'f __ cubic yards Cut Fill Import Waste - Engineer. Adequate provisions shall be made for erosion and siltation control. 4.Allslopesshallbeplantedperdirection I_I_I of Parks & Recreation Director. Total Compacted fills (yes or no) Proposed Schedule of Start Finish Operations(dates) 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 ordinances and State laws regulating excavating anc grading, and the provisions and conditions of any permit issued pursuant to this application. Signature of Permittee___________________________ Owner or authorized agent 1 Final - INSPECTION DATE INSPECTOR'S SIGNATURE Ground preparation Rough grading Compaction report rec'd. Planting & drainage certification rec'd. Grading permit fee -1*0 -- Work completed Su Permit Validation by __Date________ Permit Expiration Date 78 __________________________ THIS FORM WHEN PROPERLY VALIDATED BY SIGNATURE y bond released IS A PERMIT TO DO THE WORK DESCRIBED THISPERMITISVALIDFORASIX(6)MONTHPERIOD OApplication for Grading Permi CITY OF CARLSBAD PUBLIC WORKS & BUILDING DEPARTMENT 1200 Elm Avenue 729-1181 PERMIT NO. %'31 fl (letter code + number) Llot S=subd ivis ion C=City contract FILL IN Site Address 4/,4dev, I-cie Legal Description Map No. 4e 4- /43 LeA Subdivision Name , ai_ ,•1 i l ner Phone 4l/ 1?tparI Af-1357 wner's Address Ec PJi'zt-. 3t,1T;h A & lans by Civil Engineer R.C.E. F-r—own& 4 Vd I- ZZ '(-O~? ddress Phone () vi4 77_-07- oil Engineer R.C.E. Phone 4lp4a 7Z&-9/ rading Contractor Phone ddress Check if supervised grading arty responsible for overall spervision .-T,'vi — i I (4zgh roposed use of grade site $/9k iiu/y umber-'of cubic yarfis Cut Fill Import Waste I I zoo o I otal Compacted fills (yes or no) Proposed Schedule of Start Finish Operations (dates) Surety Bond Bond No. Surety Company Surety Address Date Filed Rec'd by Cash deposit Rec'd by Date filed $ The following documents are required and shall 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 SPECIAL CONDITIONS WHICH ARE MADE A PART OF THIS PERMIT Authorized hours of operation: 7:00 AM t 5:00 PM, Monday-Friday. Haul routes are to be approved by City Engineer. Adequate provisions shall be made for erosion and siltation control. All slopes shall be Dianted Der direction of Parks & Recreation Director. - INSPECTION DATE SIGNATURE Ground preparation Rough grading Compaction report rec'd. Planting & drainage Final certification rec'd. Work completed bond released Permit Valid on Wi& Date Permit Expiration Date _9.41,4Q 77 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 I hereby acknowledge that I have read the applica- tion and state that the information I have provide is correct and agree to comply with all City ordinances and State laws regulating excavating an grading, and the provisions and conditions of any permit issued pursuant to this application. Si gnature of Permit-t-eeX Owner or authorized agent_____________________ Grading permit fee $84.0'6 (paid)