HomeMy WebLinkAbout1759 YOURELL AVE; ; 62-4213; Permit/
APPLICATION FOR Bu I~ JI ING PERMIT 4213
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
Address ,.;P..J.:.?._ .. ./.7.~ .. C!~~ ... ~/·a. .~,:
Number Street City ~-
Contractor ................. ...... ... ..... . ...................................................................... Mailing Address ......... s~ ................................................ .
( Please Print) Number Street City Phone
To Construct ~o Add O To Alter O To Repair O To Convert O To Move From ............................................................. .
Type of Const. 2 ~nd of Foundation ... 4.?..~.~··········No. of Stories ..... / ...... To Be Used for ......... ~ ...................... .
( Frame, Masonry, Etc.) ( One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction {sq. feet) ....... / .. l/./.K.. ................ Const. Valuation $ ...... ~~····················································································
Floo, Spm of G"••• (,q. f•••I :f:.;1Z :::::t:i Be.,., V•I~ 1 2_0 ~~?~~ ~ ~
LEGAL DESCRIPTION .............. o'l.t/ .................................................................................................. ~a....-1/2. .... ;#-.z .................................................. .
Lot Block Subdivision
::.:::: ::··••• /~¾3~~?J~•••• :::::::::: A•• '. ': .·"•··••••••··•••······.•·········.•••·······•••••••••••••••••••: :
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .... ~ ......... (INDICATE
:1::•IT~~:tND L~~;~'.~L~~.~~~~~.: .. ~ILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
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 ............................................................................................... .
r •
Front Yard Set Baek ... c9.-..0 .... ~ ................. . Driveway Permit Required Yes ( ) No(/-(' Fee ..................................... .
Side Yard Set Baek ...... b~:;;:. ... ~ ............. ~ ................... . Grading Permit Required Yes ( ) No(~ .................................................. .
/.3' <---Rear Yard Set Baek ..... . ............................................................. .
,,,.. .oa>
Sewer Disposal Plant Capital Cont. Fee ......... ~ .. O. ............................................... .
Distance Between Bldg. /0. ... f .................. ~~····················
'p ~ Sewer Pumping Station Capital Cont. Fee ... ~ .... fl.. ................................................ .
Off Street Parking Spaces ........................................................... .
Sewage Disposal System ..... ~ ....................................... .
Sewer Main Line Cost ....................................................................................................... .
Sewer Lateral Connection Charge ................................................................................. .
Zone . Residential ( / ) ........................................................... . Water Stocked Lands Charge ......................................................................................... .
Zone • Commercial ) ············•••••••••••••••••••••••••••••••••••••••••••••• Water Main Pipe Line Fee ........................................................................................... .
Vari a nee
Eng. Cheek By ............................................................................... .
Water House Service Charge ············••······L/t:J···-lfO.··············································
Water Meter Charge .............................. f/.Q .. f!it. .. Y..G:f:~ .. ~~·························
/4&:f ~o
Sub Total ...................... ./~ ......... ~ ............................... .
Plans Approved ~··r ·········"77'1···~··~················Pl~n .Cheek F~e ··············~;_····;;i·············•···············································
Approved by ... ~ ....... 6...!'c: ......... c ........ ~ ..................................................... Bu,ld,ng Perm,+ Fee ................. /. .......................................................................... .
Date ............. Y. .. '.':':: .... 3.. .. Q .... =:.P.. ... L. .................................................. .
-, ~--o bO
Total Charges ...................... tuCZiE...:: .................... c'Q..t,1/~
CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
Moil Address
Contr. Address _ _J..d._~~~=::'.~===~------
T o Const. ~dd D To Alter 0 Convert D
o Move From __________________ _
Type of Const. __,{::../J-=--..,,o-o--£2'--'"--=----'--------------:7 ;:;;:• etc.
To Be Used For ___ 1£...::'-~=-:..._-------'=---------
K~dotio,~------No. of Storie,._ ____ _
~cc Sp11ce (Sq. Ft.) --~~--~Y---------
Garage Floor Space (Sq. Ft.)
Attoched _______ _
Detached ________ _
Legal Description
Lot Block
Subdivision ___________________ or
Section Township Range
No. of Existing Building __ _,_ ___________ _
Will this construction in~d~y plumbing insto!lotion or alter-
otion? Yes O No ~
Signature of Applicant
I ACKNOW LEDGE THAT I H AVE READ THIS APPLICATION AND STATE T HAT THE ABOVE IS CORRECT AND AG REE TO
COMPLY W ITH ALL C ITY AN D STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY O F CARLSB AD AND STATE OF CA LIFORNIA O THAT I AM THE LEGAL.c OWNER
OF TH E ABOVE DES RI RESI p~L PROPERTY.
S IGNATURE ( ~ OF PERM ITTEE ~;J-!,U::.2:1!!~~...l,._~~U,:.~!L,!!2!~~~:_
Application for BUILDING Permit
Building Permit Fee
Set Bock
Front P.L.
Side P.L. Garo e
Rear P.L. Other
Group Approved
Contractor City Bus. Lie. No. ____________ _
Water Meter Sewage Disposal System
Inspection Record
Utility Compa ny Notified -Dote ______ By ____ _
Final
If o check is tendered for payment for the above fee and the
check is not honored when presented for payment, your
building permit will be immediately revoked.
City of Ca rlsbad Building Dept.
Permit void if work is not commenced within 60 deys of bsvenc:e,