HomeMy WebLinkAbout1780 BUENA VISTA WAY; ; 65-5032; Permit.... .- - ..... -*- *_--, 1 1 I h
-. - APPLICATION FOR. B u 2 D IN 6 PERMIT r -- N! 5032
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArkway 9-1 181 - Ext. 36
Owner Name ........ (Please Print) (Middle)
Contractor -Mailing Address
.......... ...................- Mailing Address .............. / 78dA5Lrn.. City Street
..................................................................... Street City Phone
To Repair 0 To Convert 0 To Move From
Type of Const.
Floor Space of Proposed Construction ($4. feet) . .......... const. Valuation s ......... .................................. ...........
... Kind of Foundation no. of Stories ...... l..... To Be Used for .............................................................. (One Family Dwelling. Store, Etc.)
..........-.... #
c attachod E7 OCL Roor Space of Garage (sq. feet) detached & Valuation $ ............L.l a..-...........................-.................-..-
LEGAL DESCRIPTION ....................................................................................... ...._........................................... ................................................................................. ......-.-
Lot Block Subdivision
.............................. ............................ or ................................................................................................................................ Se~ion To ship Rsngr ............-.....-.......
Located at ........... / 78o-...z .... &.-.&A.&.Street, Near ...&e&+/ ... ........-......... ....................... ..-..-.....-_ J/ Assigned House Number
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SIT .................................................... (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.
1f.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. PERMITTEE $ ..... SIGNATURE OF
I Front Yard Set Back __________ 2-0 ___. :- ___. - r/ Side Yard Set Back ................................................................... I Rear Yard Set Back - ..................................................................... .-
Distance Between Bldg. ................................................................ /Dr
Off Street Parking Spacer .......... Ir. ............................ ..I ................
sewage ~isposa~ System ......... - .................. - Zone - Residential ( ] ............................................................ I
Zone . Commercial ( ) ...............I ...............
Variance
I Eng. Check By ............. ............. ................-.. .................... .......... ...
Sub Total ...................................................................................... 1%
Plans ApproveF ra ........................................................... Plan Check Fee ................................................................................ ___._________,
BO Approved by ......... t..-.. ...... ._-.-. ................ -- ....... ....... Building Permit Fee .......... 9 .................................................................................
Date ..................... 9 -~-! ~.... 6 ........-..-.-............................... Total Charger ......... 9- ..............................................................................