HomeMy WebLinkAbout1240 BUENA VISTA WAY; ; 62-5129; PermitAPPLICATION FOR B u 1 ,, D 1 N G PERMIT
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 - M. 36
-.- . __ N? 5129
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Owner Name .... S~.~.AL!Q.+ ..... R,v7No..N/ ............... Mailing Address .../.Z!~.Cl___.__ ..OA.&+.@!.dfbd City Phone (Please Print) [Last) (First) ( iddle) Num er Street
....................................................... Mailing Address ......... ?c? .................................... (Please Print) Number Street City Phone
To Construct To Add 0 To Alter 0 To Repair 0 To Convert 0 To Move From ..............................................................
Type of Const. .. .A.-nd of Foundation ...... e.@%&.! ....... No, of Stories ....... !! ..... To Be Used for ............................................................ mf 7 (One Family Dwelling, Store, Etc.) (Frame, Masonry, Etc.)
Floor Space of Proposed Construction (sq. feet) ........ 2.2..7..7 ........... Const. Valuation $ .............. ,63..a ..........................................................
attached e
Floor Space of Garage (sq. feet) ________~~. ..q..o ....................... detached OConst. Valuation f.. ............................................................................................
LEGAL DESCRIPTION ............................................................................. ............................................................................... ................................................................ Lot Block Subdivision
....................... ............................ or .............................................................................................................................. Section Range
.. ..................__....................-..... Located at .... /!.q& ..... &.a ..... && ................. Street, Near ........
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 ..... J 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.
If a check is tendered for payment of the above fee and the check is not honored when presented for payment, your Building Permit will be
immediately revoked. PERMITTEE ................................................................................................ SIGNATURE OF
Front Yard Set Back ....... ~. ! ................... J Side Yard Set Back ...... -1.. .........................................................
Rear Yard Set Back .... L.. .....................................................
Distance Between Bldg. ..............................................................
w.
c-c,
9 8'
.I
f
'/ Off Street Parking Spaces ............................................................
Sewage Disposal System ........................................................... c%
Zone - Residential ( / ) ............................................................
Zone - Commercial ( ) ..........................................................
Variance
Eng. Check By ................................................................................
Driveway Permit Required Yes ( ] No ( ) Fee ......................................
Grading Permit Required Yes ( ) No [ ) ........................................................
Sewer Disposal Plant Capital Cont. Fee ......................................................................
Sewer Pumping Station Capital Cont. Fee ....................................................................
Sewer Main Line Cost ........................................................................................................
Sewer Lateral Connection Charge .......... ! ... ?........................................................ '4'
f Ij4 Water House Service Charge .... c .... .*& ......................................................................
Water Stocked Lands Charge ..........................................................................................
Water Main Pipe Line Fee ..............................................................................................
$1 Water Meter Charge ........................................................................................................
Sub Total ......................................................................................
................................................................ Plan Check Fee ........................................................................................................
..... Building Permit Fee
00 Total Charges ..............7.-..............................................-. .
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