HomeMy WebLinkAbout2735 WILSON ST; ; 63-5379; PermitAPPLICATION FOR Bu J. IJ DI I G PERMIT
5379
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Ext. 36
Owner Name .l.:f.J/..£. .. /..4 .. l✓. .. fl. .. 7 .... ~ ................... Mailing
(Please Print) (Last) (First) (M iddle)
Address ~.7~~ ... 7/~ ............................. .
Number Street City Phone
Contractor •••••••••••••••••••• ~.~tj""·····················································Mailing Address ···~····--·········································· Number Street City Phono
To Construct D To Add 9'-To Alter D To Repair D To Convert O To Move From ............................................................. .
Typo of Const . ..Z~~···· Kind of Foundation ..... ~ ... c..-.:No. of Stories ...... /. ..... To Be Used for .. C...~~~ .. ~~~.,,_-. -
(Frame, Masonry, Etc.) (One Family Dwellinq, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ....... 7..d..S. .................... Const. Valuation $ ... $....,, .. ¢. . .:£-%... ..... ~ ................................................. .
attached 0
Floor Space of Garage (sq. feet) ................................................. detached OConst. Valuation $ ................................................................................................ ·--·
LEGAL DESCRIPTION ••••••••••••••••••••••••••••••••••••••••••••••••••••••••·• .. ••••••••••••••••••••••••••••••••-•••••••••••••••••••••••••••••u••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
Lot Block Subdivision
LANO AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .................................................... (INDICATE
SIZE, USE ANO LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES................ NO •.• T ····•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY
WITH ALL CITY ORDINANCES ANO STATE LAWS REGULATING BUILDING CONSTRUCTION.
If a check is tendered for i:ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked. SIGNATURE OF
PERMITTEE ............................................................................................... .
Front Yard Set Back ................................................................... . Driveway Permit Required Yes ( No ( ) Fee ................................... .
Side Yard Set Back ..................................................................... . Grading Permit Required Yes ( ) No ( ) ...................................................... .
Rear Yard Set Back •...........•••.•••••.• ·············································-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 Lino Foe ........................................................................................... .
Variance Water House Service Charge ....................................................................................... .
Eng. Check By .................................... . ....................................... . Water Meter Charge .................................................................................................. .
Sub Total ..................................................................................... .