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HomeMy WebLinkAboutPE 2.9.11; CANON PARK - UNITS 1, 2 AND 3; Engineering Application*Application for Grading Permit* CITY OF CARLSBAD PUBLIC WORKS & BUILDING DEPARTMENT 1200 Elm Avenue 729-1181 PERMIT NO.c..9.If (letter code + n-umber) LIot S=subd iv is ion C=City contract 77 nil FOR _APPLICANT _TO_ FILL _IN Site Address North of La Costa Ave. Surety Bond Bond No. West _of_Quinta_Street Legal Description Map No. Surety Company LiOtS DIZOD II ubdivision Name Unit #3 Surety Address lowner Phone Date Filed Rec'd by ILa Costa Land Company 438-9111 Owner's Address Cash deposit Rec'd by Date filed ans by Civil Engineer R.C.E. ddress Phone i.i.i.# i i.'ffi YL1!U 'Fff'L3 Engineer R.C.E. Phone ing Contractor Phone The following documents are required and shall become a part of the grading permit when they are approved. _Grading plans 7Specifications ,SoiI report $Vicinity map _Drainage structures _Retaining walls ompact ion report Other ddress Check if supervised SPECIAL CONDITIONS WHICH ARE MADE I grading A PART OF THIS PERMIT party responsible for overall supervision Authorized hours of operation: 7:00 AM to roposed use of grade site mber of cubic yards Cut Fill 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 Dlanted Der direction ota of Parks & Recreation Director. ompacted fills (yes or no (1 I1.I) £jfI1() INSPECTION DATE INSPECTOR'S SIGNATURE Ground preparation Rough grading Compaction report rec'd. Planting & drainage Final certification rec'd. Work completed Surety bond released Perm;it ~Validpflon Note: see separate permit for models. Permit Expiration Date 1U7V ///977 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 Proposed Schedule of Start Finish Operations (dates) 5/16/77 11/16/77 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. Signature of Permittee sç Co Owner or authorized agent_____________________ Grading permit fee $ p - PERMIT NO.tCI.i plical-ion for cading Permits (letter code + number) CITY O4ARLSBAD LIot .. 9.1I PUBLIC WORKS & BUILDING DEPARTMENT S=subdivision 1200 Elm Avenue C City contract 729-1181 1 c - 7,4 9001~b7- FOR APPLICANT TO FILL IN ite Address West of Cadencia St. Between Retiro Street and La Costa Avenue egal Description Lots 251-253 Map No. and a portion of Lot 254 7779 ubdivision Name Surety Bond urety Company Surety Address I-7IO e/"-/77 Bond No. wner Phone La Costa Land Co. 438- wner's Address Costa Del Mar Road Carlsbad, California 92008 Ians by Civil Engineer R.C.E. Rick Engr. by Norm Arn1F ddress Phone -NIT" Jl t'l() 'TCO 1VG.. uprLsnpa IL4iöI oil Engineer R.C.E. Phone Bnton 1nginring 10332 55-l955 rading Contractor Phone La Coti T.n1 Co- 41A-9111 ddress Costa Del Mar RoadTheck if supervised Carlsbad, California ) grading X arty responsible for overall supervision Benton Engr. and T-a Cosf T.n1 Co- roposed use of grade site P.UD. - umber of cubic yards Cut Fill Import Waste 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 7~7Soil report Vicinity map Drainage structures Retaining walls Compact ion report _Other SPECIAL CONDITIONS WHICH ARE MADE A PART OF THIS PERMIT I. Authorized hours of operation: 7:00 AM to 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 planted Der direction ota I of Parks & Recreation Director. Compacted fiIIs(yes or no) YES Proposed Schedule of Start Finish Operations (dates) 2/21/77 8/20/77 9-2- A )T I hereby acknowledge that I have read the applica- tion and state that the information I have provide - INSPECTION DATE INSPECTOR'S is correct and agree to comply with all City SIGNATURE ordinances and State laws regulating excavating and Ground preparation grading, and the provisions and conditions of any - Rough grading permit issued pursuant to t app ica io Compaction report rec'd. Owner or authorized agen d j Final certification rec'd. Signature of Permittee___________________________ Planting & drainage Grading permit fee $ Work completed J2.C)() Per it Va by r Q .ALfJ0 4,V 4 /J ate'2/"1/ Surety bond released Permit Expiration 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