HomeMy WebLinkAbout1291 Las Flores Dr; ; 63-5362; PermitAPPLICATION FOR B IC DING PERMIT
5362
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkwoy 9-1181 • Ext. 36
Owner Nome ~~e/\/,. ... ~/'?~.&.'.£ .. £..L .. MoHing Address ./~ '/ / .~ 9~ .. Ldt ...... 1.£.t> ·
(Please Pein+) ,1y (Last) / (F;7+J. (M;ddle) Number Street City Phon,7'
Contractor .... -~~----------Mailing Address --~s~:..'~~2~~=0~---------1 Please Print) Number Street City Phone
To Construct D To Add ~ To Alter D To Repair D To Convert D To Move From----················-----
Type of Const,~--Kind of Foundation ....... e~! ...... No. of Stories ....... / .... To Be Used for .... D:::l!..~ ____ <1.d& ...... .
(Frame, Masonry, Etc.) {One Family Dwelling, Store, Etc,)
Floor Space of Proposed Construction (sq. feet) ............. ~ .. 8:..0. ........... Const. Valuation $ Y. ,8:__t!_Q~:::"'::::c,=::....--.------
Floor Space of Garage (sq. feet} ...... . -attached D
... detached □Const. Valuation $1--:::=======-------------
LEGAL DESCRIPTION ............... :".: ... ::. ===.:_------,,,-.,-------·---c-c--
lot Block Subdivision
or···········-------......... $action........... . ..... Township _________ Range, ____ _
Located at ... / . .;;)9/:"2%:,_ .. :7~ ...... t2t., ....... Street, Near ...... ~. 2£..:Q:.___ ____ _
Assigned House Number
LAND AREA ............... ____ NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ---·--'----(INDICATE
INSTALLATION, ALTERATION, OR SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING ....-------·· 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 CONSTRUCTIO~
If a check is tendered for pttiyment of the above fee ond the check is • ~~;di:~:i; r;t:teJ'.'esented for payment, your Bu;ld;ng Perm;+ wrn be SIG~::~~fTE~F ... . .~~
Front Y ud Set Back _____________ / Driveway Permit Required Yes ( ) No 1¼. -----........
Side Yard Set Back .............. Grading Permit Required Yes ( ) No (4-:'.'.'..
Rear Yard Set Beck ........ ·················-----Sewer Disposal Plant Capital Cont. Fee / 1('
Distance Between Bldg. ••·•······ ...... ··········-··········· Sewer Pumping Station Capital Cont, Fee
Off Street Parking Spaces ' Sewer Main line Cost ..................
Sewage Disposal System I Sewer Lateral Connection Charge __________
Zono • Rosidontial ( ) I Water Stocked Lands Charge ......................
Zone -Commercial ( ) I Water Main Pipe Line Fee .................. J
Variance I Water House Service Charge ........... /... .. / Eng. Chee, By ---· Water Meter Charljle
Sub Total ......... /
I
Plans Approve Plan Check Fee I ----·--·-·--... ---······---.............. ····--······-
Approved by ~~!:: ... zC.2; .. ~ ....... BuHd;ng Pe,mH Fee ... /..s-~ ..... ______ _
Date ............. 6-.:::: .. ~ .... 1/.,.=: ...... 6. ... ,3'-------Total Charges ...... /£._"_a1 _______ _
~ erri::::'.: "
" ----~-_,,,,, ...... ________________ ___ /CITY Of CARll8AD
/ BUILDING DEPARTMENT
r 615~ PllNIING
PERMIT. APPLICATION
OWNIR e.,,_ '/-.N. e. IC._/) I;. • N"L j,. ~EV
MAIL y-i ~ . :::R<~ ~~:; ~=~ yq _ -':) _/~
l'plMBI!_! #,Lo/i4'D ~ '=.1 ~ BUIL01NG / ,,:2 ,P/ ~ ,.., ADDRESS
NEAREST -., -_ ,._ · .. ~ A\:!0RI!!! CROSS ST.
CIJ:l'. C4. .e L,:S tl!l.11,, D TSL, NO Gf'tOUP I ZONE STATI!'.' CA~L$BAD ■U81N18S Inspection Record LICEN~Ut NO. L,IC 'tllS~ NO,
NO . ITJ!:M PlE • ... J TOIL&T 0 $1.U • ,.r,.-
~ . . .
IIATH TUS • , ..• , SHOW&;R • 1.u > .. ,,,.-. . FEB ?o.i;u ~•~~~11nn**** --4 WA.SM BASIN • , ... , _,,< . ' KITCHIN SINK • 1.211
DISHWASMll[ft • 1.aa
UUNOR:"f TUB oi, TRAY • 1.21
AUTOMATIC WASH•0 • , ...
WATEJ!I Hl!:ATER ,S YEfiT • uo
CJAa iV,i;,1 J;M I TO 1115
,9 t:A, ADD, • ISO
FLOOR DRAIN OR Sl"i!K • l,H
• .&lllN SPRJNKLEft • 2.00
MISC. WATER PIPINQ • 1.150
GARS~GE DISRO&AL • t.QO • -V~du'UM. •1tUKIE" OR BAOK FLOW t>iv10es I -1$ 0 a.oo
A~ROV~L.$ DATE INSPECTOPil'8 SIONATURll
)
UNDER FLOO" WORK -. ·/~ . .
ROUGH PL.UMBING -.
GRAO!NG PUtN PE!RMIT • 2 00 GAS PIPING
YEJ □ tlO,.__ TOTAL. FE!£ • -~ 7.j-GAS VENTS
PLUMBING P'IJ;CTURES I ACKNOWL!i!:DGE TJ-IAT I HAVE Rl!AD-Tf,fl,9 Al'PLIC,\TION
AND STATE Tt-lAT THE AIJOVrt, IS CORRECT AND AGFUtl TO MISQ. COMPL.V WITH. ALL CfTY Oft INANCIES AND ST,\TE LAWS f1:EGUL,.,A.TING PLIJM81NG,
I CERTIFY THAT I PROPERLY RllOIST,IRED AND 1,.1-
c:;:ENSED AS PIEQl) Y THa e1TY OF CARL.SBA~ .\ND GAS TESl'
STATE OF CAL,eO NI . THAT I rt •E~r·WNER OF THE ABOVE _/ CR B:Q RESIDENT OP ... R • UTILITY CO. NOTIFIED
SIGNATURE /;_ ~ ~ .t ~ _ ~ .,,,, FINAL, OF PERM ITTEE , 1 • •
VALIDATION
This Is • Pluinbin9 Ptrmll W11on Properly Filled Out, Signed end Velidetod,
Permit vaicf If w0rk ts not aommenced within 60 dtys of date of i"uance.
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