HomeMy WebLinkAbout1145 CHINQUAPIN AVE; ; 63-5492; PermitAPPLICATION FOR Bu aj DI I G PERMIT 5492
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Ext. 36
Owner Namo &Ri&.11.l.../4..u.€.s.!:M.et.>t.f.. ..... O.al(.P..1. .... Mailing Address ell.~.P~i. ......... f.M...k..&!IJ
(Please Print) (Last) (First) (Middle( Number Streat / City Phone
co,t."t" fk~~f~J~~L ... M,m,, Add"" ~f!t;; !?~I..C;~df1e/
To Construct l!!f~dd D To Alter D To Repair D To Convert D To Mova From ............................................................. .
Typo of Const .. 9...~ ...... Kind of Foundation ... ~•·······No. of Stories ..... ~. To Be Used for ....... a:::R,~.~······························
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
" 0
Floor Spaco of Proposed Construction (sq. fee:~~.~.2./.:~:~~~~··~ Valuation $ ........ , ..... ~7 f~~ •-· •
Floor Space of Garage (sq. feet) ............ ~ ........................... detached OConst. Valuation $ ...................•.....................................................................•......•...
LEGAL DESCRIPTION ..................... -................................ ~~······ ... ~ ........................................................... .
Block Subdivision
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 CONSTRUCTIONj
If a check is tendered for p-oyment of the above fee and the check is . _
::;~;;;;:;:;: .::::l,J'."""''d !o, poymoot, yo"' B,nd;,g Po,m;t wHI S. SIG~::::"ii'r~' ........ ~ff~.~
( "
Front Yard Set Back ........ ~.Q. ......... ~•····· Driveway Permit Required Yes (~No ( ) Fee .......... ,-1 ..... ~.llf. ..
Side Yard Set Back ........... i .. $... .. ~ ........... ~ ................... . Grading Permit Required Yes ( ) No ( ) ....................................................... .
Rear Yard Set Back ......... ./..7 .... ~··················~·················-Sower Disposal Plant Capital Cont. Fee ..................................................................... .
Distanco Between Bldg ... J.t>. ... :. .................. ~•············ Sewer Pumping Station Capital Cont, Fee ........... ~tJ. .... :..~ .......... /..::.:::/g.
Off Street Parking Spaces ........ (.. ..................................... : ......... .
Sewage Disposal System ....... ~~·······································
Sewer Main Line Cost ....................................................................................................... .
' 1 / •
Sewer Lateral Connection Charge .... &.}f_tS.l..r.1.l/.'-j'-············································
Zone • Residential ( / ) .......................................................... .. Water Stocked Lands Charge ......................................................................................... .
Zone • Commercial I ················································· ........ .
Variance
Eng. Check By ............................................................................... .
::::o:::,::e~k.£:~::~::~:::::::::::::::::::::::::::::~l:i:he;:r:i:e F~·~··::~;~:~:::~:~:::=. ................................................. .
Total Charges ~6·····································-···
If f. --
Date ....... /~.-:::. .. / .. ~ .. :::-.. £:»__3-.......................................................... .
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