HomeMy WebLinkAbout1798 GUEVARA RD; ; 62-5007; PermitAPPLICATION FOR BI.Ci DING PERMIT 5007
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
Owner Nam~~NE ~.~~&B~Erl.
36
............. Mamng Addrass.Ifc?3-:.f;.J..J~.tb._k_~/···ru
(Pleose P.;nt) (Lost) (First) / (Middle) Number Street City Phone
Controc.tor .... ~ ...................... ·--------mailing Address ........ ~-~------=-c-----:-;--
(Pleose Print) Number Street City Phone
To Construct~ To Add D To Alter D To Repair O To Convert D To Move From ····················· . ..,---------
Type of Const~----· kind of Foundati('>n ~--·········No. of Stories... / ... To Be Used for __ i)_~~------------
{Frome, Mosonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed ConstrucHon {sq, le~/ -_:-
2
£/./~ac~~~ .~Const, Valuation $. ~·_9~9;;2••if"~•······ •··
Floor Space of Garage {sq. feet} .............. ":t .. '".. ........ detached OConst. Valuation $ .. L._ ________________ _
LEGAL DESCRIPTION -~'-I-9.. ..... ~ ....... £.:?~ .,,/;t..-'Z--........ ··--
Lot Block Subdivision
::c·~~~~· a~ ·.::···/·Z!~~·~ ::~:::~Near ~~R_a_n_
9
_____ _
LAND AREA ·········---············· NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .~...__o ............. (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 o check is tendered for r::tiyment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE ··············-------·------
r ~
Front Y•rd Set Back~.Q. ...... ~ .......... . Driveway Permit Required Yes ( No ( ) Fee ·············----
Z .-I .__--
Side Yard Set Back ....... ~-~-----·-----Grading Permit Required Yes ( ) No ( ) ·······················------
Rear Yard Set Back ...... /.J~ ... -~······----------Sewer Disposal Plant Capital Cont. Fee ----~.S--~~~-'"'-= ____ _
/
,'I (
Distance Between Bldg. V Sewer Pumping Station Capital Cont. Fee ............... ./.. .. f?. ... l?. ___ e_.,. ____ _
Off Street Parking Spaces ....... / ___ . ______ _ Sewer Main Line Cost .. ____ .,.····················------
Sew•g• Disposal System ........... ~•···-----
Zone • Residential ( /) ··················--------
Sewer Lateral Connection Charge ··················-t----------
Water Stoeked Lands Charge ·····································f ------·----
Zone -Commercial / Water Main Pipe Line Fee .............. ··················I-----·-------'
Variance Water House Service Charge ···-----------------
Eng. Check By _________________ _ ~
Water Meter Charge ... ______ ___,l./._()"--------------
Sub Total ........ Jl:. ..... / .. 'l_lP__"_°' ____ _
Pl••• Appr~····f"';·····~··~ Plan Check Fee .....
Approved ~y ..... 4:C .. c) ... , .................... ~~---------B"ilding Permit Fee .... e::S;I..!. .. '!. ..
Date ·············· ... o/.".~ ... ~ c> -b ~ Total Charges ·······················.:;;?.,[/~_4 __ " _____ _