HomeMy WebLinkAbout1150 HARBOR VIEW LN; ; 62-5150; PermitAPPLICATION FOR BUf°iDIIG PERMIT 5150
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Ext. 36
Owner Name .... W.e.,s ./-(Q~··1······/~/.mng Address ;'L.7,2.D ..... ~.1::/ l-.. '. .. '. .. :.:.:····J-···~·~
{Pleose Print} (Lest) {First) (Middle) Number ~-·;/::!e~ City Phone
Contractor lb.Ii f.s.tUv .. i3.t.tM. .. "J'A.£<1..&~ ..... /,¥.{..., ..... Mamng Address ...... a.:.:/"~------------( Please Prinf') Number / Street City Phone
To Construct ~,.,To Add D To Alter D To Repair D To Convert D To Move From --~--------
Type of Co"'t.~,1.~ind of Foundation ..... ~ .. , ... No. of Stories ....... / .... To Be Used for ..... ~
( Fro me, Masonry, Etc.) {One Fomily Dwelling, Store, Etc.}
Floor Space of Proposed Construction (sq. feet) .. /,S.~ 1/..() Const. Valuation $ .. • fr·i· 7 ··-;;:;·f;};·()~
H.<.-.::,-attached lu--"" ')
Floor Space of Garage {sq. feet) .... ---~-... ... detached OConst. Valuation $. ---.... ·······~··· -~-------~---
LEGAL DESCRIPTION . ---.El ____________ d~ .. &n . . .".Ak.t.v. .... B.z .... ~ .::zt; ............ .
lot Block Sub ivision
:~c~~:~· ~~ ::~:;~=t! ..... 21~.k .. 7.!L.:.=:::~:::::~~:ar ···········ZlJ~C,n.=sh:..ip;:..c==----R-a-n-g-••==========
Assigned House Number
LAND AREA..... ----·· NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ........ ~ .... !! ... "f. •....... .'?.. (INDICATE
SIZE, USE AND LOCATION ON _;;:91 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.
SIG~~~~~:r:t ..... :d.fh .. 4 .. ······ . If o check is tendered for i:-oyment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked,
Front Yard Set Back 1.iJ\~~------
Side Yard Set Back ........ qt,,f:;_ ________ _
Rear Yard Set Back .~-----------
Distance Between Bldg, ..
I Off Street Parking Spaces -----------
Sewage Disposal System ~-------
Zone -Residential ( / ) -----------
Zone -Commercial
Variance
Eng. Check By ---------------
Driveway Permit Required Vos { No( I Fee
Grading Permit Required Yes { ) No ( ) _________ _
,c;c--.e2--Sewer Disposal Plant Capital Cont, Fee ....... !!::#. •..• CJ.. ________ _
Sewer Pumping Station Capital Cont. Fee ____________ _
Sewer Main Line Cost ·····••-·········----------------
Sewer Lateral Connection Charge ---------------
Water Stocked Lands Charge -----------------
Water Main Pipe Line Fee .................. _____________ _
Water House Service Charge ________________ _
Water Meter Charge _____ ij__,'J~.E:=----::--------
Sub Total ___ _,9ct--_"_0 ______ _
Plans Approve~·~····~·~--------'Plan Check Fee ..... .
'"-.. Approved b~>~;··__:
6
~ Bulldiog PermH Fee .. ~:l/.. .... ~_'° ___ _
Dato .............. Total Charges /'/1--f--~-o ________ _