HomeMy WebLinkAbout1800 VALLEY PL; ; 61-4068; PermitAPPLICATION FOR BE. L DING PERMIT 4068
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner Name .... U.a .. u .a ... h. ..... N. .. :·-J--···{.J·R.·./e.Af. ... ~ailing I Please Print) (Last)/ ( F~tl (Middle)
Address ... .t.3..0..e>. ..... lia ... ll-e.y ............ QL ................ ..
Number Street City Phone
Contractor ........ £ ........ ~.ffi.4 .. .lt#.i .. N ..... tdJJ/11.J.t.. ........... Mailing Address ·················~--Z:-:-................................................................ .
Number ··~7·· Street City Phone ( Please Print)
To Construct D To Add v' To Alter D To Repair D To Convert D To Move From ............................................................. .
T,eo of C••1;;;;;;i·;,;;;;;y;-Et;/'"" of Fo .. dotfo, •••••••••••••••••••••••••••••••••••• No. of Sto,1 ...... ../ ...• ,.,,. Bo u.,; f{Q;~;{i/i{~Et;·_;--··
Floor Spaco of Proposed Construction (sq. feet) ........ .3-.. P../ .................... Const. Valuation $ ....... ~8..~71-. .. ~ .............................................................. .
___-attached D
Floor Space of Garage (sq. feet) ................................................. detached OConst. Valuation $ ..................................................................................................... .
LEGAL DESCRIPTION • Lot Block Subdivisi~n ••• •••• •••• •••• ••••••••••••••••••••••••••••••••••••••••••••
or .................................................................................................................................. Section .................................... Township............................ Range .......................... .
Located at .. ./.8..°:,99·~·~-J•f:i-:!~-'d;bt····?._/A.C..e. .................. Street, Near .......... 0 .8-: .. /.J.e .. y ................................................................... ..
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ................................................... {INDICATE
:~~,IT~~~;ND l~~;~'.~N PL:~.~~~:~.: .. ~ILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
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 REGULATING BUILDING CONSTRUCTION.
If a check is tendered for i::·ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
im mediately revoked.
SIGNATURE OF
PERMITTEE ............................................................................................... .
Front Yard Set Back .................................................................... . Driveway Permit Required Yes { No ( ) Fee ..... , ............................. .
Side Yard Set Back ..................................................................... . Grading Permit Required Yes ( ) No ( ) ..................................................... .
Rear Yard Sot Back ..................................................................... . Sewer Disposal Plant Capital Cont. Fee ................................................................... .
Distance Between Bldg ............................................................... . Sewer Pumping Station Capital Cont. Fee ................................................................. .
Off Street Parking Spaces ......................................................... . Sewer Main line Cost ..................................................................................................... .
Sewage Disposal System .............................................................. . Sewer Lateral Connection Charge ............................................................................... .
Zone -Residential ( ) ························ ................................. .. Water Stocked lands Charge ...................................................................................... .
Zone -Commercial ) ....................................................... . Water Main Pipe line Fee .......................................................................................... .
Variance Water House Service Charge ....................................................................................... .
Eng, Check By ............................................................................. . Water Meter Charge ..................................................................................................... .
Sub Total .................................................................................. ..