HomeMy WebLinkAbout1740 ANDREA AVE; ; 63-5444; PermitN? 5444
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 - Ext. 36
Owner Name .... .... mailing Address ..d..T.+..!? ...... Ab.!%?...-...-
(Please Print] (Middle) Number Street City Phons
Cont,astor Mailing Address ........................................................................................................ s+¶" -a
Number Street City Phone
.............................................................. To Construct To Add 13 To Alter 0 To Repair To Convert To Move From
Type of Con&?- of Foundation ...... &..%=No. of Stories ...... b To Be Used for .... 2 "?-c-c ................................................. A
Floor Space of Proposed Const,kf?,,fg%j ....... f! .... Bb ...... ............ Conrt. Valuation $.db-@ .................................................................................
~l~~~ space of Garage ('4. feet) ................................................. detached OConrt. Valuation $
Address
(Frame. Maronty, Et 4"g?fl (One Family Dwellinq. Store, Etc.)
/ b9
attached 0
LEGAL DESCRIPTION ...................................................................................................................................................................................................................................
Lot Block Subdivision
.................................................................................................................................. Section ................................. Township ............................ Raqr ............................
Located at ..(..?&I? .... &..u ............................. Street. 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 ................ NO ..... )f. .......
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. PERMI ........ ....... lL ......
Assigned How Number 4-
Front Yard Set Back
Side Yard Set Back
Rear Yard Set Bask .........................
Dirtanse Between Bldg.
Off Stmet Parking Spas€.*
Sewage Disposal System
Zone . Residential [ ]
Zone . COmm.,Si.l [ ]
Varians*
Eng. Check By ................................................................................
Driveway Permit Required Yes [ ] No [ ] Fee ....................................
Grading Permit Required Yes [ ] No [ ] ......................................................
Sewer Disposal Plant Capital Cont. Fe. ....................................................................
Sewer Pumping Station Capital Cont. he ...................................................................
Sewer Main Line Cod ......................................................................................................
Sewer Lateral Connection Charge ................................................................................
Water Stocked Lands Charge .........................................................................................
Water Main Pipe Line Fee ............................................................................................
Water House Service Charge ........................................................................................
Water Meter Charge ................................................................................................... I;
Sub Total ......................................................................................
Plan Cheek Fee ..................... ........................................................
Approved by Building Permit Fee
................ Total Chargar ...