HomeMy WebLinkAbout1125 CHINQUAPIN AVE; ; 62-5040; PermitAPPLICATION FOR BUl.1DING PERMIT 5040
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner Name ... aJ._/4JZ.~~ ... ~Mailing Addres~~~~?~~ ..... ~.~
(Please Print} (Last} {First) (Middle} Numbert Street City Phone
Coat,,do, ~,;:~J!tc<~ .. ,lk.r.m,, ,.,,,.... .... Nf;t;~·······51;;;;················c;;; ·--···,.;;;
To Construct ~ Add O To Alter O To Repair O To Convert O To Move From ........ °nid~~·~~~ ....................... ..
Type of Const.~ ...... Kind of Foundation ... ~./ ....... No. of Stories ... /. ........ To Be Used for ...... ~: ....................... .
(Freme, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet} ...... /~2~~~·~·~··-:;;-t, Valuation $ ...... -:11;."1"•··"1/F·o·~······ .. ········ ... ··············· .................. .
Floor Space of Garage (sq. feet) ............... ~~O. ................. detaehed OConst. Valuation $...-(;< ...... / .............................................................................. ..
................................................................... H~M .. .&~ ............................... ..
~lo. Subdivision
,, ... , .. 1 4f!.:7,l~~ ~~ ...... S :::: ""' 22£~ ···::
LAND AREA ...................................... NUMBER OF EXISTING D E ON PROPOSED BUILDING SITE ....... ~. (INDICATE
•u.•..-nl:IQ 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
If a check is tendered for 1=·ayment of the above fee and the check is /? WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. J,
P~::Ji:~:i; r::k:resented for payment, your Building Permit will be SIG~~:~~iTit ....................... vh.J~ ... ~ ... 1!'. .. ~ ... ""'··~i,(,'J!.&-~"""---~
' /' Front Yard Set Baek ....... ~.◊-.......... ~.
0 ~-I ---Side Yard Set Baek ......... 0., ........................................................ .
Rear Yard Set Baek ......... /. .. 7 ... ~ .................... ~ ............. ..
c.oN<:. ut/Uli!!,c, ,~ ~ o ., ,r~ /S cavcS e-.
SuDP IWSIO>,/ OF,CS-17'~ ll-fP£.oL<~ 1-'7" llv~Pec-r1•V /:E •
Drivew&y Permit Required Yes ( No (A Fee ..... .NO.::;.~ ......... ..
Grading Permit Required Yes ( ✓-o ( J ~~ZZ..4..£ ...... .
Sewer Disposal Plant Capital Cont. Fee ... fl. ... 5(;}_ .. , ... 0.0. ........................... ..
Disi-anee Between Bldg ..... ./..0. .... ~ .................. ~ ............. .
Off Street Parking Spaces ....... / ................................................ ..
Sewage Disposal System ............. &~ ........................... .
Sewer Pumping Station ~tal(Jc;t. 2~;:,I·;•1{.f-%~oVIiiTlfc.
Sewer Main Line Cost ... <J./i:, ..... IJ..r.. ...... S~l!.P...Y..l..{?.ff.~ .................................. ..
<::.ov&~E.C ~ OP.,.,f'/rl! 0
Sewer Lateral Connection Cha rge .I..M.P./!:...'!..1(...€.!!'!.~T. ....... f!..q,_.'::!,, .... ..
Zone -Residential ( / ) ........................................................... .
Zone -Commercial~ ..................................................... . :::::: .... , w~L
Water Stocked Lands Charge ......................................................................................... .
Water Main Pipe Line Fee .......... s;~ ................. 7/-fi.v._q .................................. .
Water House Service Charge .. (-. .... f...~!.~ ........................................................... .
Water Meter Charge .
Sub Total ................................ ~~ .. ~ .......................... .
:::::::r::e~ .. ~ ... r.i.?.:~ZQ:::~:::::::::::::~~:i:he::r:i:e F~~···:::~=;;:::~:~:::::::::::::::::.: ........................................... .
Date ................... 6...-~::: ... ~ ...... ~ .. ~................................................. Total Charges ................. /4. .. ~ .. ~.~·························· .. ····· .............. .
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