HomeMy WebLinkAbout1801 GUEVARA RD; ; 62-5015; PermitAPPLICATION FOR Bu QB ING PERMIT 5015
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owoer Name~ ... b..?:f.Ct:I_~ . .12. · .......... Mamog
(Please P,iot) (Last) (Fiest) , (Middle)
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Number Street City Phone
Contractor .. ..s~ k':':'.',.:'.\,r:~',,,'!".'.', ____________ --Mailing Address .....
Phone ( Please Print} Number Street
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I Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. loot) ............ ./ .. <;,,'~~~~··~ Valuation $ .......... {;3 -;9 -;i·-!'-~·········
Floor Space of Garage (sq. feet) .......................... q$._/. ........ detached OConst. Valuation $.......... __________ _
LEGAL DESCRIPTION -~S.:..2 _____ _ --G_ (3~.#-.k ___ _
Lot Block Subdivision
or :•••ioo Township Rang•----
Located at ......... /0.?2../ ... ~ .. ~ -tree+. Near .. /9-?.;£..~"~···~~~,/2:::::._ ____ _
Assigned House Number r.:. .. 7•
LAND AREA... . ........ NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .... ~ .... (INDICATE
SIZE, USE AND LOCATIO/.T 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·ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE ·················--------------
,~
Front Yard Set Back ... ~ .. CJ........... . ................. . Driveway Permit Required Yes ( ) No(~ ···········-----
-J --Side Yard Set Back ............. 2-.~---------Grading Permit Required Yes ( ) No(✓------
Rear Yard Set Back ...... /£._I ___ <!..--______ _ .:--:n .e_g__ Sewer Disposal Plent Capital Cont. Fee ---""""'---''-',c.. ______ _
Distance Between Bldg •. /0 .... ' ............. ~ ................. . ~
Sewer Pumping Station Capital Cont. Fee .... L~O~O~--------
OIi Street Parking Spaces ..... ~
Sewage Disposal System ......... ~------
Zone • Residential { / } -----------
Zone • Commercial { )
Sewer Main Line Cost ···········•····•··········----t-r ___________ _
Sewer Lateral Connection Charge .................... ~~----------
Water Stc:11:.ked Lends Charge------+-\ _________ _
/
Variance
Eng. Check By .. ---------------
Water Main Pipe Line Fee ....................... /
Weter House Service Charge _____ _
¥c/·"".i9-
water Meter Charge ----------·---------
Sub Total _______________ _
Plans Approved ~·("'·····7'J'r}····~"---.-----P1lan Check Fee ....
Approved by ........... A.~ .... ~1 ...... ~ B•1ilding Permit Fee··---~-'-····/~ ......... ______ _
Dale ·····················~·":::. ... .;:;_..,o:::._-__,~,:::___--z--________ Total Charges --~=7-~,_V __ "_" ______ _