HomeMy WebLinkAbout1581 Jeanne Pl; ; 63-5346; PermitAPPLICATION FOR Bu~ 011 c PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
......
5346
Owner Name .C,..Q./;l_,/? .,. ..... ELJ.J!!.J.A/ ___ t-,te;/ing Address;££/ .0.: ... '.. . · .:. . ~ ·
(Please Print) !Last) / jFirst) (Middle) Number-~ Phone
Number Street City Phone
To Convert D To Move From ____________ _ To Construct ti' To Add D To Alter D To Repair D T. Address
Type of Const.-~--~ of Foundation .. ·····-----"O· of Stories ..... To Be Used for ~12..,_... ... ~ .......
(Frame, Masonry, Etc.) ~Lf__ (On:=,;~y Dwelling, Store, Etc.)
Floor Space of Proposed Construction (~) ............ //£ ............... Const. Valuation $ .. ~x ~--------------
attached D
Floor Space of Garage {sq. feet) ······----·----detached □Const. Valuation$ ___________________ _
LEGAL DESCRIPTION ···························--------~--Block Subdivision Lot
or ··········------------------------~ection ... ----z::? ..... ~wnship .. .,-..... Rang
Located at ./ .. ££1.. .... 9.J ~ .-.--.-0 ~" Street, Near .~x~
Assigned-~~
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,___ 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 i:-ayment of the above fee ond the ched is ~ ~~ not honored when presented for payment, your Building Permit will be SIGNATURE OF " <..,/
immediately revoked. PERMITTEE .... ..... . ... .v.14,. ........•...................
Front Yard Set Back -----
Side Yard Set Back -----~--------
Rear Yard Set Back····························\---------
Distance Between Bldg ...... .
Off Street Parking Spaces -----+-------
Sewage Disposal System -----+--------
Zone -Residential (
Zone -Commercial
Variance
Eng. Check By ---------------
Driveway Permit Required Yes ( No ( ) Fae ................ 7 .. / __ _
Grading Permit Required Yes ( No ( )
Sewer Disposal Plant Capital Cont, Fee ------------',,___ ____ _
Sewer Pumping Station Capital Con¼. Fee ---------\·----
Sewer Main line Cost
Sewer Lateral Connection Charge
Water Main Pipe line Fee ............ .
Water Meter Charge
Sub Total ----------------