HomeMy WebLinkAbout1769 YOURELL AVE; ; 62-4212; PermitAPPLICATION FOR BL I IJ DING PERMIT 4212
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Ext. 36
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Contractor ................. ~•··················································Mailing ( Please Print)
Number Street City Phone
Address .............. ~ ....................................... .
Number Street City Phone
To Construct ~ Add O To Alter D To Repair D To Convert O To Move From ............................................................. .
Type of Const. 7~ Kind of Foundation ... ~l'. ...•..• No. of Storie: ....... / ..... To Bo Used for ....... ~ ......................... .
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ....•.. ./. .• Y.../..fJ:.. ............. Const, Valuation $ ............ £·····························~····································
Floor Spaco of Garage (sq. feet) .......................... 3/.'~.Z ..... dae~=~~=~ ~ Valuation $ ....... .C. ... ~~ .. ~:.~ ................................................. .
LEGAL DESCRIPTION ............... ~•····························································-···························~···~·····~~ ................................................ . Lot Block Subdivision
or .................................................................................................................................. Section .................................... Township ........................... , Range .......................... .
l oootod ot ••••••• J1;,~i~;;-[Jl~···························""''• Noo, .~~·························································
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 s:,aymenl of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE ............................................................................................... .
I I'
Front Yard Set Back ........ B... .. O. ........... ~
/' ~ / --Side Yard Set Back ........... ...r'1 .. ~ ................................................... .
Is' L--Rear Yard Set Back ....................................................................... .
Distance Between Bldg. /.4 .... ~ ................ ~ .................. .
Off Street Parking Spaces •••••• /.. •• c;:..··:·····································
Sewage Disposal System •········~·7···········•·······•·················
Zone • Residential ( / ) ........................................................... .
Zone . Commercial ) ·················•········································
Variance
Eng. Check By ............................................................................... .
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No ( ,f' Fee ..................................... .
No 1X ····································· ... · .............. .
Sewer Disposal Plant Capital Cont. Fee .......... :~~QL~.'?::~ ............................... .
Sewer Pumping Station Capital Cont. Fee ....... /t?. .. /)_.f. ... '!..~ ................................. .
Sewer Main Line Cost ....................................................................................................... .
Sewer Lateral Connection Charge ................................................................................. .
Water Stocked Lands Charge ......................................................................................... .
Waler Main Pipe Line Fee ....................... , ................................................................... .
Water House Service Charge ·····;;··~··t1-.lJ~¥~·;:. ... ;,.;;._··········· .. ··
Water Meter Charge ........... , ............. ~ ................................................. .
Sub Total ................. .#.!~.~·•·······7...~~ ..