HomeMy WebLinkAbout2618 WILSON ST; ; 62-5158; PermitAPPLICATION FOR BL I u DING PERMIT 5158
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
?Pi:::a ~;i~;) s.:o. .. Pl;+~r-1.~•··'t(.P .. ~ .... ~dd·i~i--·········Mailing Address .2. .. ~-:r.cr-..... ?.(.~t~····:::·····~
Contractor •...••.•••. ..S..4:1(,~·~~;j" ....................................................... Mailing Address •.••••••• N::f:,b-!-·/.J1.··~;:·················ci"+~··--··············iih~~;
To Construct b To Add~ To Alter O To Repair O To Convert O To Move From ............................................................. .
Type of Const .. ~~.~ind of Foundation ...... ~ .. ~ .. ~No. of Stories ....... /. ..... To Bo Used for .... .£~ ............................. .
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
A!'
Floor Space of Proposed Construction (sq. feet) ....... 'f...,f.. ......................... Const. Valuation $ .. ..,?£!> .... -..................................................................... .
attached 0
Floor Space of Garage (sq. feet) ................................................. dotached OConst. Valuation $ ..................................................................................................... .
LEGAL DESCRIPTION
Lot Block Subdivision
or .................................................................................................................................. Section .................................... Township ............................ Range ........................... .
Located at .................................................................................................................. Street, Near ............................................................................................................... .
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 REGULATING BUILDING CONSTRUCTION.
If a check is tendered fo r p·ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERM ITTEE ............................................................................................... .
Front Yard Set Back .................................................................. .
Side Yard Set Back ..................................................................... .
Rear Yard Set Back ................................•... ·································-
Distance Between Bldg ............................................................... .
Off Street Parking Spaces .......................................................... .
Sewage Disposal System ............................................................. .
Zone -Residential (
Zone . Commercial
Variance
Eng. Check By ............................................................................. .
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No ( ) Fee ..................................... .
Sewer Disposal Plant Capital Cont. Fee ................................................................... .
Sewer Pumping Station Capital Cont. Fee ................................................................. .
Sewer Main Line Cost ..................................................................................................... .
Sewer Lateral Connection Charge ................................................................................ .
Water Stocked Lands Charge ....................................................................................... .
Water Main Pipe Line Fee ........................................................................................... .
Water House Service Charge ....................................................................................... .
Water Meter Charge
Sub Total ................................................................................... .
(