HomeMy WebLinkAbout145 CHERRY AVE; ; 62-4239; PermitAPPLICATION FOR PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-1 181 - Ext. 36
NS 4239
.. A-^./i.Q &..&L.J ......... /*. ../.
'
./Ty.Owner Name ... -^.. ...J ......... *. ../. ...................... .Ty. ............... Mailing Address
(Please Print) (Last) ' (First) (Middle)
Contractor ........... .4ZV*: ............................. . ......................................... Mailing Address
(Please Print)
To Construct D To Add & " To Alter D To Repair D To Convert
No. of Stories...?"*'. To Be Used for
Number Street
Number Street
H To Move From
City
City
Phona
Phone
Type of Const. rif^UZ-r^t^t—. Kind of
(Frame, Masonry, Etc.)
Floor Space of Proposed Construction (sq. feet) ...^™e^...S?.v/*T -Const. Valuation $
/ £ i 1 attached L~3
Floor Space of Garage (sq. feet) ..../^sS./O^. detached QConst. Valuation
/,..
Lot
(One Family Dwelling, Store, Etc.
LEGAL DESCRIPTION ...
Block
or
Located at
Subdivision
Section .^f3... Township....
Assigned House Numbef
&....L.'.. Street. Neai
Range..
LAND AREA NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE '.. (INDICATE
SIZE, USE AND LOCATION ON£LOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES /^^i 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.
SIGNATURE OF
PERMITTEE
Front Yard Set Back
Side Yard Set Back
Rear Yard Set Back ../i
Distance Between Bldg.
Off Street Parking Spaces
Sewage Disposal System ..
Zone - Residential ( ^ ]
Zone - Commercial ( 1
Variance
Eng. Check By ....
Fee
&4 :
Driveway Permit Required Yes ( ) No (y)
Grading Permit Required Yes ( ) No ( \f\ ,
Sewer Disposal Plant Capital Cont. Fee AJ.O.W.£.
Sewer Pumping Station Capital Cont. Fee
Sewer Main Line Cost ,
Sewer Lateral Connection Charge KI1.W6 .(fiVA.^...^^.^.^^
Water Stocked Lands Charge
Water Main Pipe Line Fee
Water House Service Charge^
Water Meter Charge fij^e^,..-^.^.^^..../...
Sub Total '.
Plans Approved by Plan Check Fee
Approved by i\' *" ' -^" r~~f-^\ -*\- "> ~ 11 Building Permit Fee
Date «=3» "^.....l....^...K?...^Zsss!^.. Total Charges