HomeMy WebLinkAbout1044 CARLSBAD VILLAGE DR; ; 62-5199; PermitAPPLICATION FOR BUILDING PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-II8I - Ext 36
N? 5199
Owner Name
(Please Print)
Contractor
To Construct
Typo of Cons
(Last)(First)(Middle Number Street
(Please Print)
To Add Q To Alter Q
Kind of Foundation
(Frame, Masonry, Etc)
Floor Space of Proposed Construction (sq feet)
Floor Space of Garage (sq feet)
LEGAL DESCRIPTION
or
Located at ^f~^*fc~J
Mailing Address
Number Street
To Repair G To Convert D To Move From
No of Sfones / To Bo Used
Const Valuation $
attached G
detached QConst Valuation $
^
Block
City
/^,
City
Address
Phone
£_Phone
(One Family Dwelhnq, Store, Etc )
^a/ £±.«"** iT *
Section
Street, Near/ fl f
Subdivision
Township Range
Assigned House Number
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
l-f a check is tendered for payment of the above fee and the check is
nof honored when presented f,or payment, your Building Permit will be SIGNATURE
immediately revoked "§<~k?ve~<~-t *o AppRoetftf <j -f~ Cfcrfj PERMIT1
OF
PERMITTEE
Front Yard Set Back
Side Yard Set Back
Rear Yard Set Back
Distance Between Bldg
Off Street Parking Spaces
Sewage Disposal System
Zone - Residential ( )
Zone - Commercial (
Variance
Eng Check By
!•! NoDriveway Permit Required Yes (
Grading Permit Required Yes ( (/f No
Sewer Disposal Plant Capital Cont Fee
Sewer Pumping Station Capital Cont Fee
Server Main Line Cost
Sewer Lateral Connection Charge
Water Stocked Lands Charge
Water Mam Pipe Line Fee
Water House Service Charge
Water Meter Charge
Fee
\
*Plans Approved b
Approved by
Date /$ ~~ £>
Plan Check Fee
Building Permit Fee
Total Charges