HomeMy WebLinkAbout1788 Guevara; ; 62-5006; PermitAPPLICATION FOR B ~DING PERMIT 5006
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
~ PHONE PArkway 9-1181 -E,t, 36
=~:2::0~ ,,~~ """'' aiUng AddreH ;,..J.J.:£._-/7 tJ t!H."'-.~ .. J @JJ,
Number Street City I Phone
(Please Print)
ailing Address -----~ ...... _________ _
Number Street City Phone
To Construct~ To Add D To Alter O To Repair D To Convert D To Move From ______ _
Type of Const.~~··· Kind of Foundation .... ~•·'······No. of Stories .... / .... To Be Used for ...... ~ ........................... .
(Freme, Masonry, Etc.) {Ono Family Dwellinq, Store, Etc.)
Floor Spoce of Proposed Con,truction {,q. feel~j·S{/:~:~;~·~Con,t, V,luation $ F:·9;;:£8",e, ...... ·······
Floor Space of Garage (sq. feet) ................................... Z ......... detached •Const. Valuation $ ................... --------·-------
LEGAL DESCRIPTION ·············· ..... l/ ?-------------.. ~ f3 ~ ... d L
Lot Block Subdivision
---.,,,.---------------"S,0 ction ............ .
:~coted ,t .. /786.':~..------"·treet, Near
Rang•-----
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.
1f a check is tendered for p-ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediotely revoked.
SIGNATURE OF
PERMITTEE .
;;2' Front Yard Set Back ........... C> .......... ~ ...... .
Side Yard Set Back ........ .2 .. ~.: .. ~········------_,
Rear Yard Set Back ........ /~·······-----.._...----
Distance Between Bldg •.. /()_ ... :. ...
Off Street Parking Spaces ........ /.. .. ________ _
Sewage Di,po,el Syslem ........... &.,.?;Y------
Zone • ResidenHal ( / )
Zone • Commercial
Variance
Eng. Check By ····-----·---------
Driveway Permit Required Yes ( No i,1' Foe ..... .
Grading Permit Required Yes ( ) No ~····················------
-cc, Sewer Disposal Plant Capital Cont. Fee ---"'~O .... ___ _
Sewer Pumping Station Capital Cont, Fee ........... .L.J!! .. Q. ..
Sewer Main Line Cost ...... .
Sewer Lateral Connection Chorge
Water Stocked Lands Charge
Water Main Pipe Line Fee ............. .
C ...
y----
············f···· ............. __
Water House Service Charge ........... ···························-----
Water Meter Charge .......... '71.,1/;;!_ __ '.::e'.°:::::==------
Sub Totol ................. /.9 tf"'-_0
_
0
______ _
Plans Approved by ....... ___________ Plan Check Fee .
Approved by .. ~.s... CJ, ~ B•~ilding Permit Fee ..... .SL t!J O
Date .........?(-... .,3 O -b Z.-..-Tot,I Chorge, ......... e!.: .. ~/'--t!J--_a.. ________ _