HomeMy WebLinkAbout1696 BASSWOOD AVE; ; 62-5047; PermitAPPLICATION FoR BU ... n DING PERMIT 5047
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181. Ext. 36
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(Pi::;a ~;i~:) ••• !¼Li;j·R ··············~t·M.·"-.lTMid·;jj;j'········ .. Mailing Address •• ~.~·?~tZ···G./i?.f1f-+;:~Y~··€··~-(/·····~
Contractor ••• q...te.e ... t$..{.Pi;;1Pttf-8 ............................................. Mailing Address ••••••••• Nq.,~f .Y.·····st;~~.·················ci·t~·--···············iih~~~
To Construct ✓r: Add O To Alter O To Repair O To Convert O To Move From ............................................................. .
Type of Const~.~··· Kind of Foundation ..... e.~.L ... No. of Stories ........ ./. ... To Be Used for ........ ~ ... ': .................. .
( Frame, Mason ry, Etc.) ( One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) •..•...... /~.'?£ .......... Const. Valuation $ ...... ~:················;,;.;g·~·····················································
Floo, Sp0<0 of G,,.,. (,q. foot) ................... .s:::;> . .?. ........ d.:!::t:i L. Vol,olioo '····\·/~J/.: ........................................................ -... .
LEGAL D ESCR I PTI ON ...................... Y.1..13.1..: ... T.,g,,f... .. .L.4.3. ....... r:f n..1.;dG..b.A:.d.l,..11.u .d.s..~.&p.l~.~L .................................................. .
Lot Block Subdivision -~-~---:::.:: .: ::~=~= : ~ : : ::::::::::: B.~oo·:=:::::.= Assigned House Number
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ....... ~ .... (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN ). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES ..... ✓-NO ................ .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REG ULATING BUILDING CONSTRUCTION.
If a check is tendered for p·ayment of the above fee ond the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE ............................................................................................... .
r . '5ut:JECT to INSP£C Tlo/ /3t;~oee /v?n( IS Poi,,e£r.;)
Front Yard Set Back ........ ~ ... O .......... ~.... Driveway Permit Required Yes ( VJ No ( ) Fe!/.~.2 5 ..................... .
Side Yard Set Back E~~·~·~···N .. :..~..J;/,s;Ji,rading Permit Required Yes ( ) No ( r{ .......... N..9.!././,;.. ........................... .
Rear Yard Set Back ........ :./...8. ... '. ....................... ~··········-Sewer Disposal Plant Capital Cont. Fee .. !!:.:s.o .. ~ ..... 9...9. ... : .............................. .
Distance Between Bldg ..... ./..12. ... ~ .......................... ~ .... .
Off Street Parking Spaces •.•.•.. / .•.•• ~·········································· &-7:;J Sewage Disposal System ..................... ~·7 ···································
Zone • Residential ( / ) ........................................................... .
Sewer J~:~~~ St~~n C~~~oi");Jee o#zfX-·9.Nf ···································
. · 9~.otY@4.oo = 396. 3c. Sower Ma,n L,ne Cost ··~·~·,··············································································
Sewer Lateral Connection Charge
0
••• '{c(;~., ... 0...0 .......... !7.~'. .. ~.:ht::L ....... .
Water Stocked Lands Charge ......................................................................................... .
Zone • Commercial ( I ......................................................... . Water Main Pipe Line Fee
2
··········;;.···,········;·/······;·······················································
Water House Service Chug f;..X . .L~J.t::. . .1..N. .. C, .......................................... .
Water Meter Charge ......... . ...................................................................................... .
-7 t>7 Sub Total ................ ~ ........ ~ .. !. ............................................... .
Plans Approved ~········:·················································································Plan Check Fee ......................................................................................... .
Approved by ........ ~ .... £.~ ... cQ. .... ~ ................... Building Porr,,it Fee .. ~=/. ... ~ ................................................................... .
Date .............. b..:::::.~ .. O ... '::: ..... t.? ... ~ .......................................... . Total Charges b._ ~~-.. o 7 ·-···-········· ........................................................................ __ _