HomeMy WebLinkAbout1786 FOREST AVE; ; 61-4018; PermitAPPLICATION FOR B&LDING PERMIT 4018
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArlw•y 9-1181 • Ed. 36
Owner Name
( Please Print)
8.l/1'g le\-L . 72. .... & .. . ......... M.mng Addreu ... / 7 g> ~--.. 7~.
Lest) / (First) (Middle} Number Street City Phone
_ ... . .........................................• Mailing Address .. £~·-········ .. Contractor
(Pleose Print} Number Street City Phone
To Construct ~ Add D To Alter D To Repair D To Convert D To Move From ................... . ... .
Type of Const. q~---.. Kind of Foundation
(Frame, Masonry, Etc.)
.-..
Address
... No. of Stories ... ~. To Be Used for .. ¥~--4 (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet} ~: .... .... Const. V•lu•Hon $ ........ ~~.t> ... ~ .................................................... ..
attached D
Floor Space of Garage (sq. feet) -............ detached OConst, Valuation $.
LEGAL DESCRIPTION
Lot Block Subdivision
or .......................................... Section..... . ... ...... . . . T~wnshi .... .. Range
Loc.l.d .I I 7 f?G ~ --. -. / . . ... ·~····· ... ·.--.--;.· .............. ·.· ...... ·.·.·.·.·.·.A?. ·.·.····································· ................................. ·~-----·······················-Street, Near 7-····· ....................... .
Assigned House Number
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE . .. ............ (INDICATE
SIZE, USE AND LOCATION ON PLOT PL~~IIS 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 p-.,yment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked. SiG~~~~~fTE~~ ···~· ~, ...................... ..
Front Yard Set Beck .
Side Yard Set Back
Rear Yard Set Back
Distance Between Bldg ..
OH Street Parking Spaces
Sewage Disposal System .
Zone • Residential (
Zone • Commercial ) ...................................................... ..
Variance
Eng, Check By ......... .
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No ( )
No ( ) .....
Sewer Disposal Plant Capital Cont. Fee
Sewer Pumping Station Capital Cont. Fee .................... .
Sewer Main line Cost ....
Sewer lateral Connection Charge .............................................................................. .
Water Stocked Lands Charge ....
Water Main Pipe line Fee
Water House Service Charge .
Water Meter Charge ...
Sub Tot•I .....
Plans Approved~---········"//7·· .. /··········· .. ······--·····----· .................................. Plan Check Fee
Approved by .~ ... /r:..J .. ~~---··· ........................... Building Permit Fee
LS?__ .. .3.. .................... .
Date ... 2-::~L.-=.6/.. ............................................... . Total Charges .3 .:!,.9----.