HomeMy WebLinkAbout2820 WILSON ST; ; 61-4067; PermitAPPLICATION FOR Bl. -DING PERMIT 4067
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36 ,
Owner Name .... 3.../.M. . .S. ..................... Vi .......................... S...,. .......... Mailing
(Please Prin t) (Last) (First) (Middle) Address ....................................................................................................... .
c ..... o1., ..• 1'1, .. $., .... i/:£~P·~······· .... ,,,.,
Number Street City Phone
Address ········i~i~··9'?', ..... stfo··~···············Ph~~~
To Con$truct V To Add O To Alter O To Repair O To Convert O To Move From ............................................................. .
,,,. •• c .. ,i,£~""' •• ,.,., • ., ...... ~'.:······"•· •• ""''"····J .... r. •• ""' 1{0;;···9;~;9i ii;;;i Et:T····
Fl .. , Spm ., ,,.,.,., c .... ,.olio, I ,q. '"·: •• •• ..1<2<:;:;:;··:••. v ., •• .,.. 1 ••• --5~.-:i···;,,-~ ·.l-· oo····· ..... ·······•·•·•••••••····••••····••··
Floor Space of Garage (sq. feet) ··········,G;·t·········2.·············detached OConst. Valuation $ .... £::?.. ...... /. .......................................................................... .
LEGAL DESCRI PT,oN J°l.~· .. 6.Q. .. '.d..1:M .. ::t°w!Jv. .. 11.1,..1..J: rk .. .sk.+:.) .............. w.~ ... J..✓.LA.. .. <,.,,.+ .............................. . ... 7 Le# / Blocf' Subdivision
~~ ':l JIPq a,.~-~. £),
:~c·~~~~··~~··:::::::ii:i.;;:::::::::Lu.~:::::::::::::::::::::::::::::::::::::::~·~~~~··:::::::b .:·.~.~{;;::: .. ~.~.~~~::::::::::::::::::::::::.:::
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 above fe e and the check is
not honored when presented for payment, your Building Permit will be SIGNATURE 0
immediately revoked. PERMITTEE ................................ .
Front Yard Set Back .......... if..Q .. ~./11 .. ! .. M. .............. 0./.<. .......... . ,
Side Yard Set Back ............... k ..... /.!f..1.n. ................ 0./.C ......... .
Rear Yard Set Back ............. ../2., .... .ll.1.t.Cl. ........... C!ft: ............ .
Distance Between Bldg ................................................................ .
Off Street Parking Spaces ........................................................... .
Sewage Disposal System ............................................................... .
Zone -Residential (
Zone -Commercial
Variance
) ······················································•·····
) ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
Eng. Check By ............................................................................... .
Driveway Permit Required Yes (v(' No ( ) Fee ..... ~.~················
No (/i ....................................................... .
I ~ ..... ,~I
Sewer Disposal Plant Capital Cont. Fee .......... ~OiOD. ........ ~/.l~j,l, ..
Grading Permit Required Yes ( J
Sewer Pumping Station Capital Cont. Fee ....... ../.tJ. ... /21.s.tr.u:,.f.. ......................... .
Sewer Main line Cost ........ A./),_ ... ~..!.<J5..q·········IJ$..f.<!'.f~ .......... .3.6. ............. . ,. n«. "ff',
Sewer Lateral Connection Charge ................................. ./.~ .. ~!..5.:'.0 .......... i1'1 '/
Water Stocked Lands Charge ........................................................................................ ,
Water Main Pipe Line Fee .......................................................................................... .
Water House Service Charge ........................................................................................ .
Water Meter Charge ....................................................................................................... .
Sub Total ..................................................................................... .
:::sr:::r::ed .. ?JZ.J; .•. rtk~.·.·························································:.:~ai~di~:e;:r~;te F~~··:·.······:·.:·.::&.;.:·.:i:i:::::·.·.·.:::::::::::::::::::·.:::::::·.·.·.·.·.·.:::·.·.:·.· ............ .
Date .............. 9...~./(/. .. =: .. t .?-,.................................................................... Total Charges ...... 2../.9.. ... .?..: ................................................................ .