HomeMy WebLinkAbout1580 JEANNE PL; ; 62-5179; PermitAPPLICATIO~ FOR. B IQ DING PERMIT 5179
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PA,kway 9-1181 -Ext. 36
Owner Name )('a..:1.-P..#.~~(!.c._,1..~---L ... Mailing
(Please Pdnt) (Lost) (First) (Middle)
Add, ... ,l?t., q~ / .. '?. .. ~I -_~_tlu__.~~.
Num~-Street City Phone
Contrac:for ···········-------------------Mailing Address .... Phone I Pleose Print) Number Street City
To Construct ft To Add D To Alter D To Repair D To Convert D To Move From __________ _
Type of Const:-#.~ind of Foundation. ---~---C... ... No. of Stories ..... /. ..... To Be Used for --~~-----~· ___ _
(Freme, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floo, Space of P,opo,ed Consfruction (sq. feet) .... /~~. / ....... Const. Valuation $ .... /.s;. ... tJ./ P !!;!'j··/.(, fJ/ C, t;:!
Floo, Space of Gmge (sq. feet) ............ f.r.£o. ... da~=~~=~ ~onst. Valuation $ ...... /-,. ,,.,..,, ¢_ . _ ,/
LEGAL DESCRIPTION ---i··& Block ~S~~.~~-----
o, .. ..5..90 ......... d S••lfon... Township ..... Range
Located at ~/C;-!'N~~ -St••et. 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? YES ..... "1-,. ..... NO __ _
Front Ya,d Set Back ...... ,"'7 (, ,I '""'"~-/~------
Side Yard Set Back ......... 1.-. .. r. _________ _ ,
Rear Yard Set Back ......... /£ ______ _
Distance Between Bldg. -
Off Street Parking Spaces ___ !:.. ________ _
Sewage Disposal System ............... ~
Zone -Residential I l )
Zone -Commercial
Variance
Eng. Check By ----------------
$.-... d -~ .£ ..-v-r--, $~
Driveway Permit Required Yes ( ) No 1)11 Faa ................................. '. ... .
Grading Permit Required Yes ( ) No (_)()
~
Sewer Disposal Plant Capital Cont. Fee ············S.cL ..... '> .. ,._ _____ _
Sewer Pumping Station Capital Cont, Fee ____________ _
Sewer Main Line Cost -------------------
Sewer Lateral Connection Charge ______________ _
Weter Stocked Lends Charge ------------------------------
Wafer Main Pipe Line Fee···············------·---------
Water House Service Charge --------,--,,.~-------
Waler Motor Charge 1,,.£.'f',,___ ____ _
Sub Total .................. ?..£ _ _,__ ______ _
____ pfan Check Fee ··········-----------------
-e,,(:...£4_~:::.-,:G,ct:;,,::'.".~==------.Building Permit Fee ... ~f-~~-----,-----
Tot,I Charges ........ /.-.-f..Y.:. .... ':f"'<-,---------