HomeMy WebLinkAbout167 MAPLE AVE; ; 63-5239; PermitAPPLICATION FOR 8uQ O116 PERMIT 5239
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PH;NE ~-1181. E><!. 36
Owner Name .... C,4?£2 /'?.... G? \;c../ ____ Mamng Address /~7?., .. d..-"JP/4?.. ........ {3y,tea_l,!2:d
(Please Pdot) (Lost) (First) /' (Middle) Number · ~reel City Phone
Contractor .. __ . D...... ..... . . .. ..... ailing Address .. £ ~o......... ._
(Please Print) Number Street City Phone
To Construct ✓ To Add D To Alter D To Repair D To Convert D To Move From ·················--------
Type of Const.t~---Kind of Foundation ... ~.l .....•• No. of Stories ..... /
( Frame, Masonry, Etc.)
To Be Used for ...... a::::e..._•---~-
{One Fomily Dwelling, Store, Etc.)
Floor Space of Proposed Construction {sq, feet) /.32Q ___ .Const, Valuation $ ............. ~J.S~.f=-"')C)._IZ_0 _____ _
attached D
Floor Space of Garage (sq. feet)
LEGAL DESCRIPTION
........... dela•.v □Const. Valuation $u······7.7-;-
···~·j_·'Z_·····•··--~'----·········--... ~~.e_.e,~i:;..!£<..:.::2::;> _____ _ lot Block Subdivision
Range ..... ----
or -----·-------------_-_ -_ -_ -_ -_ -_ -_-_ -_ -~.-... ...,,, .. Setr•eleiot,· Near .... ~..... ..r~.-·.-·. TI oo.iw···n···'' .. ~~ .. i.pp .. h···.··~----7}···· ........... .
Looated at ./.t..fi~.~~"·""'-/fZ~-----------
~ LAND AREA .......•... "'=:::: ............... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE =~;;_:-=-----{INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES ... L NO·---
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
If a check is tendered for payment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
'•
' ~ c.x1,;.r1N G. Front Yard Set Back ..... &./) ~ Driveway Permit Required Yes ( ) No ( 1,.-f" Foo
._s-I .....---Side Yard Set Back ............ Grading Permit Required Yes ( ) No (t,('.: fvotVc
Rear Yard Set Baol ...... /.Q I ...--t/o(YE ············· Sewer Disposal Plant Capital Cont. Fee
Distance Between Bldg. JD .. ' ........... t..--Sewer Pumping Station Capital Cont, Fee /,lolVE ·····•·• ...........
Off Street Parking Spaces ..... /. ... Sewer Main Line Cost,;,=,:,~!Y.~a /0 ',m~P
Sewage Disposal System ....... e.::; Sewer Lateral Connection Charge ............... /-•... ~---····················2.5. ......... g_!:., ___ ,,
Zone -Residential ~31 Water Stocked Lands Charge
Zone -Commercial I ) Water Main Pipe Line Fee .......................
Variance Water House Service Charge IU-•-~-, *l\'>U-'t... ,,,~ 1/tJ
.,. -
Eng. Check By Water Meter Charge ----
Sub Total ........ g__.$ (. ( :, -14 ~~ k ;,A -:;,1 7 z-
Plans Approv~·-·r····il)~,---------------'Plan Check Fee
Approved by' ..... f\<,.~., .. ~~.~>-=-,, B""ding Permit Fee .......... l/.iif... .. ,.0
~···········----------
Dale ···············r···.3.·····t··..l, .. 9. .. '2.,,2 Total Charge~ .... .;z.t.,_/~, S,::_____:__D ____ r~l