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HomeMy WebLinkAboutPE 2.9.7; CHINQUAPIN AT ADAMS 74 UNIT APARTMENT; Engineering ApplicationppI ication for Grading Permit CITY OF CARLSBAD PUBLIC WORKS & BUILDING DEPARTMENT 1200 Elm Avenue I I Q I I I 1¼) I FOR APPLICANT TO FILL IN PERMIT NO. (letter code + number) L=lot S=subd ivis ion C=City contract Site Address h 1,4,4 -, Surety Bond Bond No. Legal Description Map No. parcel'Zof Minor Sub 270 Surety Company Subdivision Name Minor Subdivision No. 270 Surety Address Owner Phone Oakley Parker 729-20S0 Date Filed Rec'd by Owner's Address ÔD Avenida Encinas, Carlsbad Cash deposit Rec'd by Date filed $ P lans by Civil Engineer R.C.E. . /.'/7 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 IX—Compaction report _Other Address Phone 06 5-6 70-1-978/ Soil Engineer R.C.E. Phone Alpha Lab 726-S1D Grading Contractor Phone Owner Address Check if supervised grading L- SPECIAL CONDITIONS WHICH ARE MADE A PART OF THIS PERMIT arty responsible for overall supervision Owner I. Authorized hours of operation: 7:00 AM to 'roposed use of grade site Apartment Site 5:00 PM, Monday-Friday. Haul routes are to be approved by City Number of cubic yards Cut Fill Import Waste Engineer. Adequate provisions shall be made for erosion and siltation control. All slopes shall be planted per direction 0!574-9 .onn- I ,S5 I -oe i of Parks & Recreation Director. Total Compacted fi I Is (yes or no) Yes Proposed Schedule of Start Finish Operations (dates) April 1 April 20 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 conditi9nsf any permit issued pursuant Signature of -: @wner or authorize jz_— INSPECTION DATE INSPECTOR'S SIGNATURE Ground preparation - Rough grading Compaction report rec'd. Planting & drainage Final certification rec'd. &ading permit fee $ C70 C90 Work completed Surety bond released Permit Validation by . Date 107 -7 Permit Expiration Date ___,'/_71 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