HomeMy WebLinkAbout1768 YOURELL AVE; ; 62-4220; PermitAPPLICATION FOR Bl ,DING PERMIT
4220
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
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Contractor .......... ~ ...•.•........................•....••••..•..•..........••.....•.• Mailing Address ........... ~.~·············································
( Please Prin+I Number Street City Phone
To Construct ~ Add O To Alter O To Repair O To Convert D To Move From ............................................................. .
Type of Const .. ~Kind of Foundation .... ~ ....... No. of Stories ... ) ....... • .. To Be Used for ...... ~ .............................. .
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ••••• ../. ~/~;~·~~~·~··~Const. Valuation $. ··[·/j/;-· ci:.::fi···oc5······· ... · ........................... ··
:::~~•:::::,:'.::• ·l·~···~·~o •••••.•••••••••••••• ~~~ ••••. :••••'•' ~-c'"':. v,1,,,1~ ~ ~ i:... _
Lot Block Subdivision
::.:::::: 1;2,q:/,;;/fj;::;:ld_ :::::~::. ~~: -.··:·
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .. ~ ......... (INDICATE
SIZE, USE AND LOCATlv-'LOT 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 ~·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 ............................................................................................... .
-->6 I~ Front Yard Set Back ....... ~ ....................................................... . Driveway Permit Required Yes { ) No ( ~ Fee ..................................... .
Side Yard Set Back ......... b., .... _</: ... ~ ............... ~ .............. . Grading Permit Required Yes ( ) No ( ~ ................................................... .
I --Re a r Yard Set Baek ........ J.2 .. , .... 'i?:. .......................................... . Sewer Disposal Plant Capital Cont. Fee ........... ;:r.-.O. .. ~ .. '?!.:. .......................... ..
Distance Between Bldg ....... //?.. .... ~ ................. ~ ............ .
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Sewer Pumping Station Capital Cont. Fee .... /f?...~ .. ~ ............................. .
Off Street Parking Spaces ......... ( .............................................. .
::::·_· :.::::::.:,;··; ;········~································
Sewer Main Line Cost ....................................................................................................... .
Sewer Lateral Connection Charge ................................................................................. .
Water Stocked Lands Charge ............................ _. ............................................................ .
Zone • Commercial ) ......................................................... . Water Main Pipe Line Fee ............................................................................................ .
Variance Water House Service Charge ........................................................................................ .
Eng. Check By ............................................................................... . Water Meter Charge ........................ ~ ........ ~.9-. ......................... .
Sub Total ......... _/. .. '!l.~ .. ~ .. ~ ........................................... .
Plans Approve~······s ········"(f);;··~··········Pl~n .Check F~e ••• ·········:::,,,=········-;;;--a,·····························································
Approved by ':: ..... ../5 .... , .......................................................................................... Build,ng Perm,t Fee ................ / ........................................................................... .
Date ................ '/"::. .... ~.P ... := ... ~ ... ~................................................ Total Charges ............ ;?. .. $.(~t .. ~ .. ~~/.. .. ~.~············