HomeMy WebLinkAbout1799 GUEVARA RD; ; 62-5016; PermitAPPLICATION FOR Bu C1D ING PERMIT
5016
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
Owner Namec;;;cE PArkway
9~.,f':.L· _36
__ _Ju.1nng
:::r:c:::nt) .. ~ (First) /(Middle)
Addre~.?~.:4f. .. /J~fdwt ~'f /-·•·(!J__tz.:t
Number Street City Phone
(Pleose Print) Uailing AddreH-------~
Number Street City Phone
To Construct~ Add D To Alter D To Repair D To Convert D To Move From············---------
Type of Const, :;/~ind of Foundation ... ~' No. of Stories .... / ..... To Be Used for ~'-------
( Frome, Mosonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Propo,ed Con,truction (sq. feet) .. ~f/.~:i:~··~Const. Valuation $ ... -f-::s_;-8"Gz1 oO
Floor Space of Garage (sq. feet) ........................ ':/.. ................... detached •Const, Valuation $,_L _________________ _
LEGAL DESCRIPTION ___ ,,;f'8' ~ /3a.,,,vc_ pl, "L--, ___________ _
Lot Block Subdivision
:~cated at / zi~d~~~~ ::::::~Near. /r.2g~ ..... Range ..... .
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 o check is tendered for i;:-oyment 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 Yard Set Back ....... c:;._.lJ ............ ~
Side Yard Set Back ............. .Z..J:e.. __ , ____ -___ _
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No(~e
No (/i _____ _
_/, -I ....--Rear Yard Set Back ........... d=--~---Sewer Disposal Plant Capital Cont. Fee -----C~:, ... tJ._«_"' ____ _
Distance Between Bldg. j(J' ~ Sewer Pumping Station Capital Cont, Fee ---"/--'(!)=-.:-:0:_ ______ _
I Off Street Parking Spaces _ _;__ ________ _
Sewage Disposal System ............ ~.o/-----
Zone -Residenti11I ( /) __________ _
Zone -Commercial
Variance
n
Sewer Main Line Cost ··········---------'1----------
Sewer Lateral Connection Charge -------/----------
Water Stocked Lands Charge -------,// __________ _
I Water Main Pipe Line Fee········----+-----------
Water House Service Charge ____ ..,/c_ __________ _
Eng. Check By ---------------W11ter Meter Charge ___ _ ,,,Y,:?-..!"~P--
Sub Total --~/ .. ~Q _______ _
Plans Approved by ·<Z?s:.··az::;,.··• ---_--------Plan Check Fee ..... .
Approved by ·············~ uilding Permit Fee ..... ······:::2.L_"_c-c--,r---------
Date .......... 1/....:::..3 () ,..-dP... ... U._______ Total Charges --~=---0,...:...1/-_:....;:;..=----_tJ_o ________ _
-----~-----
APPLICATION FOR BU6rfiING PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE P~l 181 -Ext. 36
?Pi:::. ~~i~;} E~~f'y'/···r#¢.='~ile} Mailing Add,e" .t,?;%-······
Contmto, .... ~'----------Mailing Address ...
( Please Print) Number
5291
Street City
Street City Phone
• To Alte, 0 To Repair D To Convert D To Move From ··········----------
Kind of Foundation.~ ....... No, of Stories .... ~ .. To Be Used for~~.~~:.~ ......... ..
Et .) , ~ !One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction/,.,,('.;....+r-... 2.o. Q"---~Const, Valuation $ ............. ~.{)..0. ... ~1,:-:::=="'~--·------
attached D
Floor Space of Garage (sq. feet} ............... :'.'. ... :::.====----detached •Const. Valuation $ ... ----=========----------
LEGAL DESCRIPTION Lot Block Subdivision
:~c-•l_e_d_o_t_.-.. -... -/-.. -2-... -.. "f:.-.-... -9-.. -.~-.-.. -, ....... 1-.. -. -.. -.. -. -.. -. -.-. -. -.. -q,_-.:~~~~~~~~~~~:.:::::~~N-.-,-, -... -ft ____ _, •. ~i-· ~_. -e··
Assigned House Number /...~
Range ..... ____ _
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 __ _ N =~-
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·ayment of the above fee and the check is /4~~~ not honored when presented for payment, your Building Permit will be SIGNATURE OF c, ...
immediately ,evoked. PERMITTEE r.._ . ... .. ...... .. .. ......... ... .. . ~---
Front Yard Set Back ·············-------I----
Side Yard Set Back ---------+-----
Rear Yard Set Back ......................... .
Distance Between Bldg ..... .
Off Street Parking Spaces -----+-------
Sewage Disposal System ··········-----I·
Zone • Residential ( } ··----1-------
Zone -Commerci-,1 ) ............ ~-------
Variance
Eng. Check By
Driveway Permit Required Yes (
Grading Permit Required Yes ( ) No
Sewer Disposal Plant Capital Cont, Fee
Sewer Pumping Station Capital Cont. Fee
Sewer Main line Cost . ___________ ,_ _______ _
Sewer Lateral Connection Charge ------'----------
Water Stocked Lands Charge ______ ..,__ __ _
Wafer Main Pipe line Fee ................ .
/
Water House Service Charge ...... 7 ...... //
Water Meter Charge -----/-----------------(
Sub Tol•I ···············-------------
Plans App•o~y ~('·A· ~ Plan Check Fee .............. .
Approved by ....... /.<.~ .. ~~ .. Building Permit Fee ......... 3 C-0
D•le ......... 4-..... :.dL.6. .. :::: ...... ~ ... ~-------Total Chuges --=S:c.__,_0 __________ _