HomeMy WebLinkAbout1761 ANDREA AVE; ; 62-4185; PermitAPPLICATION FOR B 1 i ,, D IN G PERMIT
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArhay 9-1181 - Ed. 36
Owner Name ....... .k%fl.&..C.~..~ ............................................... Mailing Address p6!..&. .... 7/ ...... E (Please Print) (Last) (First) (Middle) Street City Phone
Contractor Mailing Address (Pleare Print) Number Strset City Phone
To Construct To Add 0 To Alter 0 ..............................................................
............... .....................................................
,~~ ~
To Repair 0 To Convert 0 To Mow From
Type of Const, 7+. end of Foundation ..... h ........ Ne. of Stories .............. 1 To Be Used fer
.... "i
-@em-Maronry, Etc.) (One Family Dwelling, Stare, Etc.)
Floor Space of Proporad Construction [rq. feet) la*..* .................. Const. Valuation $ .........................................
LEGAL DESCRIPTION ..................... /c.. .................................... ...............................................
4aa attached ~ Floor Space of Garage (rq. feet) ................................................. detached OConst. Valuation
Lot Subdivision
or .................................................................................................................................. Sedion.~ .................................. Township ............................ Range ...........................
.......... ........................................................ Losated .,t ..... /.?.6./ .... ~A&&&-.R ......... Aa..le.str..t, NOO, .d&.//ey Assigned House Number
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ~.fi..&..& ................. (INDICATE
SIZE, USE AND LOCATION 0 LOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES .... f/ NO .................
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUlLDiNG COYST
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE T ABOVE IS CORRECT AN
If a check is tendered for payment of the above fee and the ch
not honored when presented for payment, your Building Permit immediately revoked. ..................
/
Front Yard Set Bask .~..s..o /? f./& =it Required Yes [ ) No (4 Fee
r 6
............... ............. ......................................
I
Side Yard Set Bask ....... /P ....................................................... Grading Permit Required Yes [ ) No [H...........................
Rear Yard Set Bask ... z..a ....................................................... Serer Disposal Plant Capite1 Cont. Feo ......................................................................
J .............................
c rl
. ............................................ .................................................................... I Distance Between Bldg. /G...~~~ Sewer Pumping Station Capital Cont. Fee
I w
Off Street Parking Spacer ........................................................ .......................................................................................................
Sewage Disposal System .......................................................... Serer Lateral Conneetion Charge .................................................................................. + Sever Main Line Cost
Zona ~ Residential [ / ) ............................................................ Water Stocked Lands Charge ........................................................................................
Zone ~ Commercial ( ) .......................................................... Water Main Pipe Line Fer ...........................................................................................
Variance Water Hour. S8rviCe Charge .........................................................................................
Eng. Check By ................................................................................ Water Meter Charge ...... ~~..% ............................ 4..0 ...........................................
Sub Tdsl .............................................................................
Plans Appr.r.d~~~~~~~~~~~~~~~~..~ ..........
Plan Check Fee ........................................................................................................
Approved by .~. - ................................................................... Building Permit Fee .............. ................................................................ gP
Date ........ ~~..a~.-a ...... cTG..X ................................................ Totat Charger ................................. 88 .................................................. &L