HomeMy WebLinkAbout1260 YOURELL AVE; ; 62-4238; PermitAPPLICATION FOR Bl. -1 DING PERMIT 4238
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
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Contractor ............. O..~ ...................................................... Mailing Address .......... ~~···························
{ Please Print) Number Street City Phone
To Construct O To Add ~ To Alter O To Repair O To Convert O To Move From ............................................................. .
Type of Const. ~ind of Foundation .................................... No. of Stories ....... / ..... To Be Used fo~~t.!.~ .................. .
( Frame, Masonry, Etc.) ( One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ...............•..................•.•.•..... Const. Valuation $ ...... ~················~························································
Floor Space of Garage (sq. feet) .......................................•......... da;:~~=~ 8const. Valuation $ ..... (...~.~··············································································
LEGAL DESCRIPTION Lot Block Subdivi~i~n ...•••.•••••••••••••••.•..••...••.•..•..•.•.•..•..•.•••.•.•••.•.
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 F=ayment of the above fee and the check is (} / CJ {); ,, ~
;:~,'..:::,: .:t:/,J'.""""d fo, poym,.t, '°" B,;ld;,g Po,m;t wlli b, SIG~~:~~t~• ~../.'..~
Front Yard Set Baek .................................................................... . Driveway Permit Required Yes (
Side Yard Set Baek ..................................................................... . Grading Permit Required Yes ( ) No ( ) ...................................................... .
Rear Yard Set Baek ..................................................................... . 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 I .....•..•.•. •·•·•·•·•·•••·•·•···•••·•·•····••••••······• Water Main Pipe Line Fee .......................................................................................... .
Water House Service Charge ....................................................................................... .
Eng. Cheek By ............................................................................. . Water Meter Charge ..................................................................................................... .
Sub Total ................................................................................... .
Plans Approve~···r ···~··-/1··············································Plan Cheek Fee ....................................................................................................... .
Approved by ........ ic::. ..... ~ .... , .. ~.-Building Permit Fee .... :z.. ... ~.< ............................................................ .
Date .............. f:. ... -::.~~~····~···~············································ Total Charges .. ;;;?.~ .......................................................................... .