HomeMy WebLinkAbout2835 WILSON ST; ; 62-5088; PermitAPPLICATION FOR Bu DING PERMIT
5088
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Ext. 36
Owner N"me ....
( Pleose Print)
............................ C.., ................ ~< .............. Mailing
(Lost) (First) (Middle}
Address ::2 !.:l.:: t-f:;&4-:;;y ~:}
Contractor ..... . ..
( Pleose Print)
.................................................... M.,iling Address ....... c:S.2 .......... ··········· ............... ······························
Number Street City Phone
To Construct ~ Add O To Alter O To Repair O To Convert O To Move From ............................................................. .
Type of Const .. 9.~ind of Foundation ..... ~1 •••• No. of Stories ...... / ...... To Be Used forS..b.~~~····8...··~
( Fr.,me, Masonry, Etc.) ( One Family ~~ilinq, Store, Etc.)
F~~::f Propos1'~on (sq. feet} •••••••.•. ./. • .2,,~~~~~·~··~Const. Valuation $ .....•.. JR. .. y.. .. ~ ...................................................... .
i-liir lji J;;;:,o I •~feet} ·················································detached ~ v .. luation $ ..................................................................................................... .
LEGAL DESCRIPTION
Lot Block Subdivision
:~c·~~~~··~~·&e..:i.":?...:::::w~::::::::::::::::::::::::::::::::::~:~·:~~~··::·.·.::~·.·.·.:·.w~z:_:::::::::::::::::::::::::::
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 , chock ;, tood,rod lo, ,-ymoot of th, • 1,o,,, f., ood th, chock ;, -• A/] fl
;i::ehdi:~:i; r:t:ke:.resented for payment, your Building Permit will be SIG~t~~~frE~F {{YU:..~ ........ ···················································-······
~
Front Y "rd Set B"ck ..................................................................... . Driveway Permit Required Yes ( No ( ) Fee ................................... . I' •
Side Yard Set Back ........... b ................ ~. Grading Permit Required Yes ( ) No ( ) ...................................................... .
Rear Y "rd Set Back ..... ./d. .... ~ ........................ ~ ........... .. Sewer Dispos"I Plant Capital Cont. Fee ................................................................... .
/' ~
Distance Between Bldg .... /.0.. ........... ~ .... . 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 ................................................................................... .
Pl,,ns Approve~····r.,-····-/?j···~··················Pl"n Check Foe ··········;;,··;··~································································
Approved by ..... A-~·····J. .. :~· ... {J.4 .................................................................. Building Permit Fee . ....ii?. .. ~ ......................................................................... .
Date ............. .8:..::: ..... / ... ':/. .. -::. .... {;. .... ~ .............................................. . Total Charges .~ ....................................................................... .