HomeMy WebLinkAbout150 WALNUT AVE; ; 62-4123; PermitAPPLICATION FOR Bu I IJ DING PERMIT 4123
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArlcway 9-1181 • Ext. 36
Owner Name .$..A..IY).:e.Lv. ... &.ld..I···W..11.l.f .e R.._ .. Mailing Address
(Pleose Print ) {Last) (First) / (Middle)
.... /,S~ ....... W. .. ~ .. ./11..~ .. l.. .......... f ... t. .............. .
Number Street City Phone
Contractor .. $.!i1 .. /Y. .... ~~.;.'1-·~········R ·g······~············l 1.Jt..C..,, .. Mailing Address
{ Please Print) Number Street City Phone
To Construe♦✓-Add O To Alter O To Repair O To Convert O To Move From ............................................................. .
/ ~~
Type of Const.(1_~.N~r.-.£ .......... Kind of Foundation .................................... No. of Stories ..... ~ .... To Be Used fos.4.!..1../.M ....... r.1:>..d. ... l. ............ .
{Frame, Masonry, Etc.) -1-(One Fomily Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq, feet) ....... 6 .. /6. ....................... Const. Valuation $ ..... .';2..'/6 .{/....°...I:,_·································································
----attached O ----· Floor Space of Garage ~eet) ···:=:,::.::.:································· detach•~ OCon~ Valuation $ ..................................................................................................... .
LEGAL DEscR1PT10N .... -f.t> .. R.. .......... 1.R.± ....... 2. ... o. .. :z._ .......... L ..... H ... /.'::1. .......... h ... B .. Al.d.s ............ Cb. ... R. .. fe .. k~.
Lot Block Subdivision
or .................................................................................................................................. Section .................................... Township ............................ Range .......................... .
Located at .. /~ .. l'-..... W. .. S. .. ./...N ."«. ... +.: ............................................. Street, Near .. '7/r..R..6 :.~ .... i/ ............................................................ .
Assigned House Number
LAND AREA ... ./1--/.d..0 .. ~ ........ NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ................................................ (INDICATE
SIZE, USE AND LOtATION 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 AN~AGRE COMPLY
WITH ALL Cli:Y ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
If a check is tendered for ,:ayment of the above fee and the check is f'
~;::di:~~jj r::;k::.resented for payment, your Bui lding Permit will be SIG~ti~~fT~F '( ...... '722 ..... E. .............. ~
Front Yard Set Baelc ............... ~ ................................................ . Driveway Permit Required Yes ( No ( t,("' Fee ..................................... .
Side Yard Set Baclc ....................... b.: .. ~ .. /!::?..~~-:.:. ........... . Grading Permit Required Yes ( ) No !V.. ................................................... .
Rear Yard Set Baelc ....................................................................... . Sewer Disposal Plant Capital Cont. Fee .................................................................... .
I '
Distance Between Bldg ..... /.0. ....... r.:1.I.~[ ...................... . 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 ..................................................................................... .
Date ....... ./..-:=-: ... 8,'.-=: .. 6 ... ~ ................................................................... .