HomeMy WebLinkAbout2510 WILSON ST; ; 62-5044; PermitAPPLICATION FOR BL ..... DING PERMIT
5044
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
To Construct O To Add O To Alter O To Ropair O To Convert O To Move From ............................................................. .
Typo of Const .. ~.7~ ...... &..~f Kind of Foundation .................................... No. of Stories ....... ~o Be Used for ~ .... .
(Frame, Masonry, Etc.) ~ ~ (One Family Dwelling, Store, Etc.)
i' Sp f P puuecl Construction (-,r: feet) ......... /.0..0 ................... Const. Valuation $ ........ /2d. .. ~ .................................................................. ..
attached 0
Floor Space of Garage (sq. feet) ................... -.. ................ detached OConst. Valuation $ .................................................................................................... ..
LEGAL DESCRIPTION
Lot Block Subdivision
or .................................................................................................................................. Section .................................... Township ............................ Range ........................... .
Located at .rf?.. . .;;[j() ..... t.1J.l~./$. .. ~ .. ¥.. ................................................... 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 for i:·ayment of the a bove fee and the check is F ,t.,..e: ...I .
i":::e~i~~:i; r::i kneJ.'esented for payment, your Building Permit will be SIG~t:~~fT:t .:>!.. ........ /.. . .Y{ft._.~~ ..................... .
Front Yard Set Back ................................................................... . Driveway Permit Required Yes ( No ( ) Fee ................................... .
Side Yard Set Back ..................................................................... . Grading Permit Required Yes ( ) No ( ) ..................................................... .
Rear Yard Set Bad ...................................................................... . 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 .................................................................................... .
Plans Appro~\·····ff)·····~·············Plan Check Fee ···········;~·························································· .......... .
Approved b~ ... ,.;>. ..... l>.4?.'. .... : .............................................................. Building Permit Fee .. ~· ........................................................................................ .
Date ....... G.-... /~ .. ~=··~···~············································· Total Charges ....... ~ ... ~ ............................................................ .
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