HomeMy WebLinkAbout1788 Guevara; ; 63-5453; PermitAPPLICATION FOR BUhrDIIG PERMIT 5453
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
~1::;. ~~;~:) ./2. ... W.%tf~/:c~ .. v;;;(j,;;~-le_) __ Mamng Address /J..-:9.f.. ~ ~ ....... .
Number Street City Phone
Address ....... G,~~:::::1."7::t::'.'.t._,~ _ _::._ _____ _
Number Street City Phone
To Construct O To Add A To Alter D To Repair D To Convert D To Move From _____ _
Type of Const.~--~ind of Foundation ........ ~--c_ .. J.fo. of Stories ........ / ... To Be Used for ·······~------~---····
( Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) .......... ,J.,..t?.. .. .i.. .......... Co;;,t_ Valuation $ ..... Q., _____ (?_ __ (_Q ___ (~J:5 ___________ _
attached D
Floor Space of Garage (sq. feet) ······--------detached •Const. Valuation$ .......... -~~--------------
LEGAL DESCRIPTION --fcf-: fa ... ~ ... ~~1:.1:-/4.£A&J!~~··#···t. lot Block Subdivision
or ···········-----···························,-----------..aection. ______ Township, _____ Rang,~----
Located &I /.'/iC..~ .. B...-=:::. ___ _,5treol, Near
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 CONSTRUC~TON
If a check is tendered for p·ayment of the above fee ond the check is ~
not honored when presented for payment, your Building Permit will be SIGNATURE 0
immediately revoked. PERMITTEE ·:.....-. . .................... Ck~~~"'],~~
Front Yard Set Back···················----,/------
Side Yard Set Back _____ _,_ ______ _
Rear Yard Set Back ............ .
Distance Between Bldg ......... .
Off Street Parking Spaces -----,f------
Sewage Disposal System ______ ,_ _____ _
Zone -Residential (
Zone -Commercial
Variance
Eng. Check By ··-------~~cc_ ___ _
Driveway Permit Required Yes ( No ( ) Fee .................... ,. __ _
Grading Permit Required Yes ( ) No I )
Sewer Disposal Plant Capifal Cont. Fee ------....\-------
Sewer Pumping Station Capital Cont. Fee -------\------
Sewer Main line Cost --------------+-----
Sewer Lateral Connection Charge ----------/------
Sub Total ----------------