HomeMy WebLinkAbout1674 CHESTNUT AVE; ; 63-5494; PermitAPPLICATION FOR PERMIT
"N? 5494
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArltway 9-1181 - Ext. 36
Owner Name .
(Please Print)
Contractor
(Last)First)
. ............. Mailing Address
(Middle)
)..J£+.&.. ................................... Mailing Address .
(Please Print)
Number
'£.
Number
Street City
To Construct Q To Add Q
Type of Const.
(Frame, Masonry, Etc.)
To Alter Q
of Foundation
To Repair Q
/ Street
*To Convert d To Move From .&,
o. of Stories '. To Be Used for
Phone
i
Phone
Address
U^< .
(One Family Dwelling, Store, Etc.)^ •? %?<^* j-j A £ja,Floor Space of Proposed Construction (sq. feet) ~jf.../..*4.t. .Const. Valuation $ J...e...(t?~...L). ~.'!T.
t S~ X9 attached [H
Floor Space of Garage (sq. feet) 'z¥.Cr^2&#Sis^-~—..detached QOonst. Valuation $
LEGAL DESCRIPTION jf^.-*..^...Tj£.i SJ^Z. .ZZ2t«.M <L.&X.a.. £l.G.f?../&dJ..
Lot Block Subdivision
or _____ Section Township Range
}/ *?// (fA^erAf^f '^~~Located at l.^..J..:j.....~^f..~-.^.'..f^..."...... Street, Near
Assigned House 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 AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING. BUILDING, CONSTRUCTION.
If a check is tendered for payment of tho above fee and the check is -^ ^ _ _
not honored when presented for payment, your Building Permit will be SIGNATURE OF / j f i [}C\ ( 0 0 a
immediately revoked. • PERMITTEE 5^^°...yU/rJ££^.....S^^
- • -
Front Yard Set Back -<?:..?. /?^fefefo-f^?s3 Driveway Permit Required Yes ( ) No ( «S7 Fee
^ /• £ /
Side Yard Set Back .<C". Grading Permit Required Yes ( ) No ( "]
Rear Yard Set Back f...^T.. Sewer Disposal Plant Capital Cent. Fee y....i.yi.
Distance Between Bldg. ...t-ff. .^k^Sf^^^. Sewer Pumping Station Capital Cont. Fee ..\^\ ).
/ . \*Off Street Parking Spaces .....:. Sower Main Line Cost .V
Sewage Disposal System .U^-.&^f. Sewer Lateral Connection Charge yj).
/
Zone - Residential (/ ) - Water Stocked Lands Charge ./. .JJ-
Zone - Commercial ( ) Water Main Pipe Line Fee ..
Variance Water House Service Charge
Eng. Check By Water Meter Charge .&.M.£.l£:.U!l...Q.
Sub Total
Plans Approved by. .„......_. ..^^,... Plan Check Fee
Approved by ^^....^...^..(^^.^^^^^r.. Building Permit Fee
Date /.^:.~.../...Q...^...^^:?.. Total Charges 4/^2