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Home My WebLink About1790 ANDREA AVE; ; 63-5260; Permit. APPLICATION FOR B u, ,, D IN PERMIT "" NO 5260 CITY OF CARLSBAD - BUILDING INSPECTION DIVISION PHONE PArkwav 9-1181 . M. 36 Owner Name ........ f-&.".kf..t ........ hh~.~!~~ ........ br ............ Mailing Address ................ n fd ......... (Please Print) . (Last) (First) (Middle) Number Contractor ................. 0 & Mailing Address .................. s \ ................................................ (Pleare Print) Number Street City Phone To Construct 0 To Add /To Alter 0 To Repair 0 To Convert 0 To Move From .............................................................. Typo of Const.% ...... Kind of Foundation .... &??%Y ........... No. of Stories ................ To BO Used for Floor Space of Propored Construction (rq. feet) ...... J,?cf ............... Conrt. Valuation I ........... /!.%?3 .................................................................. Floor Space of Garage (sq. feet) ............ ................... detached UConrt. Valuation S ...................................................................................................... LEGAL DESCRIPTION ................................................................................................................................................................................................................................... (Frame, Masonry, Etc.) sa (One Family Dwelling, Store. Etc.) - sttachod 0 .~ .. Lot Block Subdivision or .................................................................................................................................. Section ............................... Township ............................ Range ............................ ........................ Located at /..2...c! ...... &..A ...... L...k .................. Street, Nsar Assigned House Number 0- 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 .... < WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY A If a check is tendered for payment of the above fee and the check is immediately revoked. not honored when prsrented for payment, your Building Permit will be SIGNATURE OF PERMITTEE d..... Front Yard bt Bad Side Yard Set Back ........................ 6.3' ................ - ...................................................................... Rear Yard Set Back ............................ Didance Between Bldg. .............................................................. Off Street Parking Spacer .......................................................... Sewage Disposal System ............................................................... Zone . Residential ( ] .......................................................... Zone . Commercial ( ] ......................................................... Variance 1 Eng. Check By ................................................................................ Driveway Permit Required Yes [ ) No ( 1 Fee Grading Permit Required Yes I ) No [ ) Sewer Disposal Plant Capital Cont. Fne Sewer Pumping Station Capital Cont. he Sewer Main Line Cost Sewer Lateral Connection Charge Water Stocked Lands Charge Water Main Pipe Line Fee Water House Service Charge Water Metor Chargn Sub Total Plans ApproWaL .............................................................. Plan Check Foe ........................................................................................................ Date ................ ............... g2 ........................................................ Total Charger .......... 6.2 ................................................................ Apprwed by ................. *. . ................................................ Building Permit Fee .................................................................................................. LC-" " c9-