HomeMy WebLinkAbout1758 YOURELL AVE; ; 62-4219; PermitAPPLICATION FOR 8u __ 01 NG PERMIT
4219
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 . Ext. 36 .$3.3 -£, I 7 @M ~ 0/,,.u~ f"3/'-
?,;:::. ~;::1~ .. ~•·····iiiCJ:p,p ., •••••• iMiddi;;··········M•ili,g
Contractor ..................•.. ~•····················································Malling
Address ·············&·········································································· Number Street City Phone
( Please Print)
Address ·············c::S:'~ .................................... .
Number Street City Phone
To Construct ~o Add O To Alter O To Repair O To Convert O To Move From ............................................................. .
Type of Const.~ .. Kind of Foundation .... ~ ...... No. of Stories .... /. ........ To Be Used for ...... ~!. .......................... .
( Frame. Masonry. Etc.) I One Family Dwelling. Store. Etc.)
"··· ,, .... , ,,., ... , c., .. .,,.,., I,,. , ... I~•~ • .</./..;;_;;~;-·~ V ''""'" '·······f /~··sr;ig O o" ••••••••••••......•................
Floor Space of Garage (sq. feet) ...................................... ? ...... detached OConst. Valuation ~· ......................................................................................... .
LEGAL DESCRIPTION ................. d...9.-........................................................................................................ {}.~·····~~ ........................................... .
Lot Block Subdivision
or .................................................................................................................................. Section .................................... Township............................ Range .......................... .
Located at ..... ../. .. 7~=11. ......... ~~·······················Street, Near ... ¢ .. ~ ................................................ . Assigned House-~er •••• A ••• v
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .... ~ .... (INDICATE
SIZE, USE AND LOCATl~T 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 Fayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE ............................................................................................... .
--.., /J I ~ Front Yard Set Back .. 12":7 ............................................................ . Driveway Permit Required Yes ( No ( ) Fee ..................................... .
Side Yard Set Back .......... 2 .. ~ ....... ~ ......... . Grading Permit Required Yes ( ) No ( ) ....................................................... .
I' I t ~ Rear Yard Set Back ...... /.7 ........................................................ . -!!!-!2-Sewer Disposal Plant Capital Cont. Fee ............. ~ .. O.. ....................................... .
j ~ t <---"'" Distance Between Bldg. ... . ....................................................... .
co
Sewer Pumping Station Capital Cont. Fee ...... /<J ... Q ....... ~ ........................ .
Off Street Parking Spaces ...... ./ ................................................. . Sewer Main Line Cost ....................................................................................................... .
Sewage Disposal System ··········~···································
Zone • Residential ( / ) ........................................................... .
Sewer Lateral Connection Charge ................................................................................. .
Water Stoded Lands Charge ......................................................................................... .
Zone . Commercial ) ················•·•••····································· Water Main Pipe Line Fee ........................................................................................... .
Variance Water House Service Charge ......................................................................................... .
Eng. Check By ............................................................................... . ~~-• o /Lt) ~ Water Meter Charge .................................. 7..0. ........................ r.. ........................... .
Sub Total .............. / .. ?..!$?. ... ~ .. ~ ........................................ .