HomeMy WebLinkAbout1005 Hoover St; ; 63-5269; PermitAPPLICATION FOR B~DING PERMIT
5269
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkwoy 9-1181 -Ext, 36 ~,./ _ •
?pr:::. ~~i~:1D.~~.~~"c:i11ng Addres, ~;~~! f.{ fft-····~··o.·~
Controctor ......... " v ............. ·.~·············~ LJ ..... · ......... / ..... ~----~ _,. --,.,, --------k:£.~ ~---~-Mailing Address ...... ..?. .. ~~£ .• '-,..~--
(Please Print) Number Street City Phone
To Construct}(! To Add D To Alter D To Repair O To Convert D To Move From···········--~-------
Type of Const, .$,~ ....... Kind of Foundation ~ ~o. of Stories .... / ....... To Be Used for --~-~::~
I Frame, Masonry, Etc.) {Ono Family Dwelling, Store, Etc.) -Floor Space of Proposed Construction (sq, feet) /%. ~"----•Const. Valuation $ .... 4:.,._....,~'-'--'----
attached D
Floor Space of Garage (sq. feet) ---------------detached OConst. Valuatio
LEGAL DESCRIPTION&__, ... ,;' _______ J) ................ .
Lot Block Subdivision
or -------------------------~action _______ Township ..... ________ Range, ____ _
Located ol ... /. OA~g5--~.,:;;.,,:/ S•reet, Neor ./lL~----·-------
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.':f:·····
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.
SIGNATURE OF
If a check is tendered for p·ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked. PERMITTEE ···················-------------
Front Yard Set Bae~ . ·······~---·················
Side Yord Set Bock ---~( ... CJ _______ _
Reor Vord Set Bock ---~.,2.~_{) _______ _
Distance Between Bldg, ......... /'&> ·----
Off Street Parking Spaces ---~/ _______ _
Sewoge D;sposol System ........... C,,z:r=------
Zone -Residential ( / } ------------
Zone ~ Commerdal
Variance
Eng. Check By··--------------
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No() Fee
No I I ··•············"-<· ,--------
Sewer Disposal Plant Capital Cont. Fee --------.------
Sewer Pumping Station Capital Cont. Fee ____ _
Sewer Main Line Cost . __ _
Sewer Lateral Connection Charge ·········-----~.--------
Water Stocked Lands Charge
Water Main Pipe Line Fee ---·---------f---------
Wafer House Service Charge --------+---------
Weter Meter Charge -----------1----------
Sub Totol ----------------
Plans Approved by ------.----:--------Plan Check Fee ···············------,-------------
• Approved ~~······· ···:::::. L_ uilding Permit Fee ./~ .s
Dote ....... ~ ..... 1-, ....... .t{_.3 Toiol Charges .. /..-'---------------
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