HomeMy WebLinkAbout1520 JEANNE PL; ; 62-5174; PermitAPPLICATION FOR BUQDING PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
-
5174
Owner Name K-~.~~,. .. .JC,,,.. . .(.,. ... Mamng
{Please Print) {last} (First) {Middle)
AddreH /?..d...!.4¥ ... 7 / -~.J-JJ. ····
Number Street C~~
Contractor ---------------------Mailing Address .. Phone I Please Print) Number Street City
To Construct ·llil_ To Add D To Alter D To Repair D To Convert D To Move From ·····················------r Address
Type of Cons+4:-:..~~---: ... Kind of Foundation ...... ~ ,l .. 1:L.-~ •• No. of Stories ..... /. ..... To Be Used for ..... ~ ...... ~----
(Fro me, Mosonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Constroction (sq. feet) ... /£..{)_,!/_·················Const. Valuation $ .... J . .S:-, .... 0.U J!!:!' 1 . ./t~ .. J£?-, .... ~.
Floor Space of Garage (sq, feet) -------~~-'--~--;~::~:~ ~Const. Valuation $ ....... /.~ .... l. .. k ... !/: ... ~
LEGAL DESCRIPTION ··················f;i/_....... Block ·····~~bdl~··----
or ····················l·5~>!:·';}· ~--:::;;---------------->ection ....... --~·--········· Township, _____ Range, ____ _
Located at ~~e~d~.~~;;.~·/!'.~. • Sheet. Near.~£,.&;!..,_ _____ _
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? VES .... -j.._..... NO __ _
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ~· 4 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE .. TO COMk
If o check is tendered for p,oyment of the obove fee ond the check is £,;
not honored when presented for poyment, your Building Permit will be SIGNATURE
immediately revoked. PERMITTEE
Front Yard Set Back .......... k...f!.. .... ' ____ _
/
Side Verd Set Back ---4----------
/
Rear Yard Set Back ........... / .. 4-.,=-----------
Distance Between Bldg ........................ ____ _
Off Streat Parking Spaces ........ ,2..._.__ ______ _
Sewage Disposal System ......... .
Zono -Rosidential ( / )
Zone -Commercial
Variance
Eng. Check By ---------------
Driveway Permit Required Yes ( No l,X.l
Grading Permit Required Yes ( ) No ~) .................. ______ _
Sewer Disposal Plant Capital Cont. Fee .......... 5-.0..~------
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 ........... ____ 4c:;=,.... ····•·······'----------
Sub Total ............ 1.. ... ~.~~------
------------------·······Plan Check Fee
...,,,?&.~.A&~d;,,=::::::::,__ ______ ..88,vilding Permit Fee .... ,,5:4. ~
Total Charges ....... / .. ,,,(..£ .... :::.~::, ... ,_ _________ _