HomeMy WebLinkAbout1789 GUEVARA RD; ; 62-5017; PermitAPPLICATION FOR Bu QB ING PERMIT 5017
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
Owne, N•~C~.~ .. :~:.&i~u-. _36
_----JMamng Add,e,,.$,$,3-£ / z~&h r2J<u~1 ... <l.J.,,
~~::::.:::•ti····~ (First) (Middle) amng Add,ess . .;~---C-it_y ____ P_h_o•_•
( Please Print) Number Street City Phone
To Construct ~Add D To Alter D To Repair D To Convert D To Move From .................. ~-------
Type of Const.~ Kind of Foundation .... ~ .. !.. .... No. of Stories ... /. ______ To Be Used for -----~-----
(Frame, Masonry, Etc.) {One Family Dwelling, Store, Etc.)
Floo, Sp••• of P,oposed Consfr"ction (sq. lee:;--j-·«-<~~~··~Const. V•lu•tion $. ·0z;;,·ZJ-;iJ?··~··········
Floor Space of Garage (sq, feet) ...... ~···········2----·detached OConst. Valuation $ ..... (~
LEGAL DESCRIPTION .... ___ .:.r-1:~-----,-,-,----~ (3 ClAA.., J;l,_ .. t.~-----·---
Lot Block Subdivision
:~••led •I ......... / / 8 :/ ... ~-----'::~:::~·~~~~
Range ________ _
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,
If a check is tendered for p·11yment of the 11bove fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE
,.
F,ont Ya,d Set Back ... .::2,.0 .. ~ ..... ~
Z _,, ~
Side Yard Set Back ........... '-·~······--------
Rear Yard Set Back ........... /.~.}~--'---------
/ t) I Distance Between Bldg .......................... .
Off 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 ----~·=0 ~
/0 0 '!!..SL Sewer Pumping Station Capital Cont. Fee ----'----'---------
Sewer Main Line Cost ··········---................... (------------
Sewer Lateral Connection Charge -----f----------
Water Main Pipe Lina Fee ..... .
Water House Service Charge -----------------
LLtJeE__ Water Meter Charge _______ ,,_ __________ _
/GA c,p Sub Tot•I ___ _L~7u_,V~===:_ _____ _
Plans Approved ~······· ···s.·· ,·······-//ft·······"t--··/' '-----:-----Plan Check Fee .....
liLd ~ "= •••• ' •••••••••••••• Bu',ld',ng Pe,m',t Fee ........... ~-/ ..f!E_._ Approved by ................ "-... ................. -L
D•t• ··············---''f••·=·.3.·()._····=··b..·.Z=:------Tot.; Chugos .... ~,._/_o_e> _________ _