HomeMy WebLinkAbout1590 JEANNE PL; ; 62-5180; PermitAPPLICATION FOR Bu RD ING PERMIT
5180
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArlwoy 9-1181 -Ext. 36
~,::;. ~~;~;1.f.'~ ... ~.Co~~··LM•iling Addross/?~.t~ .... 7-/-~.~
Number Street City Phone
Contractor ··········------------------....JMailing Address --------------·----------------! Pleose Print) Number Street City Phone
To Construct~ To Add D To Alter D To Repair D To Convert D To Move From ................ A~id~;;~---------
Type of Cons+ . ..J-~ Kind of Foundation ..... ~.C?......t .. No. of Stories ........ ). .. To Be Used for .. £~ ..... ~----
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. foot} .. /5:..f?..!J. ................. Const, Valuation $ ... /s;. .. .[?~/ '!!f!' 1 .... ./ .. t; .. ~9.ft.., ~
Floor Space of Gor,go (sq. feet) ........................ st,(J ......... d~==~:~ Mconst. Voluation $ ..... /.7 ... .,¢1, ... 9 ...... ~ ..
LEGAL DESCRIPTION ................. -3,;~ Block ~~~,s\~~ .... 4. -----
or ---.J.§~-',t),._ __________________ ..,ection .. ______ Township .......... ___ Range ____ _
Locoted at ';2.b..f,.,,a ..... ae..4~.e .. e.."°' .. ~ -St•••I, Near~ .. /.~------
Assigne~se Number
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 A~REE TO C?J'PLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT).P)'· _ 6 fk.c.
not honored when presented for payment, your Building Permit will be SIGNATURE OF 1 Gt}' If a check is tendered for p-ayment of the above fee and the check is /((i 1J;
immediately revoked. PERMITTEE _ _ _ _ . . ... ··'7"····· ............. .
Front Yard Sot Bock ...... ,,£,./!... ... \ .... _______ _
Side Yard Set Back .......... 1...~.s.:.. ..... --------
/
Rear Yard Set Back ....... /..,;£':.-----------
Distance Between Bldg ............. --...... .
Off Street Parking Spaces ........... ~'-------
Sewage Disposal System ............... ~
Zone -Residential { l ) ------------
Zone -Commercial
Variance
Eng. Check By .. _____________ _
.;t,,.,..._~---Driveway Permit Required
s:..J.. . .:,0-~..9-e<_
Yes ( ) No (XJ Fee ..... ____ _
Grading Permit Required Yes ( ) No !)(l --------
Sewer Disposal Plant Capital Cont, Fee ............. S...<?.. .... ~,._, _____ _
Sewer Pumping Station Capital Cont, Fee ____________ _
Sewer Main Line Cost ··················----------------
Sewer Lateral Connection Charge ···••-•·--------------
Water Stocked Lands Charge _________________ _
Water Main Pipe Ltne Fee ........ ________________ _
Water House Service Charge ........... ______________ _
Water Meter Charge _______ 4=.S.:. ___ ,.,_ ______ _ ,,...,
Sub Total ___ ...,9£ ... ,\ -------