HomeMy WebLinkAbout1810 FOREST AVE; ; 63-5311; Permit-I ~
APPLl~ATION FOR BINLDIIG PERMIT
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5311
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Erl. 36
Owner Name .L.19-A t /j4/J,1. ... AA.w..£./ZN.(£. ..... MaiUng Address .itf'lo ..... 9.~·7· .... W.!!.R.lf..!J. .. B .. d
(Please Prin~ (Lost} / {First) (Middle) Number Street City Phone
Contractor ... L:?.R.f::"l.l±.~ /){?...JY..i ...... /..1'1..C ... , ............ Ma;ling Address 72Xs-:..AlvA£A.d...o ..... W.. .. L!:!1 ... IY~d,{,
{Please Print) Number Street City Phone
To Construct ~To Add D To Alter D To Repair D To Convert D To Move From ............................................................. .
Type of Const, /l./t.(_./'c"J..,.. ......... K;nd of FoundaHon ..... ~~ .. l... ..... No. of Sto,;es .... /. To Be Used for .M.Jf~~'..~~: .............................. ..
{Frame, Masonry, Etc.) (One Feimily Dwelling, Store, Etc.)
Floor Space of Proposed Const,uct;on (sq, feet) ....... /~ ............... Const, ValuaHon $ ...... -:!:J!J'y.~ ............................. ., ............................. .
ettached D
Floor Space of Garage (sq, feet) ............................................ '. .... detached OConst. Valuation $ ..................................................................................................... .
LEGAL DESCRIPTION .................................................................................................................................................................................................................................. .
Lot Block Subdivision
or .............................................................. • .................................................................. Section .................................... Township ............................ Range ........................... .
Located at ./J.'<~i~~{·;,;b~i ........................................ Street, Near ... ~Ua....¢.. .................... , ............................. .
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .................................................... (INDICATE
SIZE, USE AND LOCATION ON PLOT P7· 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, /} ·/ .,i 'Z: • .c'...---
.l/.e?1,,t.t.(..t:.1..~" / C 1,,1,,{ ' If o check is tendered for ptiyment of the obove fee end the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
V '\ .
SIGNATURE OF .· . , . "/ ----------PERMITTEE Jd.~-.-.:-... ~;;;t:. t-~/i...1,.~."f. •••.•...........•.•••..
Front Yard Set Back ................................................................... . Driveway Permit Required Yes ( No ( ~ Fee ..................................... .
Side Yard Set Back ..................................................................... . Grading Permit Required Yes ( ) No (v(" ...................................................... .
Rear Yard Set Back .................................................... ·················-Sewer Disposal Plant Capital Cont. Fee ................................................................... .
Distance Between Bldg .. Sewer Pumping Station Capital Cont. Fee .................................................................. .
Off Street Parking Spaces ......................................................... . Sewer Main Line Cost ......... .
Sewage Disposal System ............................................................. . Sewer Lateral Connection Charge .............................................................................. ..
Zone -Residential ( ) ..................................................... . Water Stocked Lands Charge .................................... . .................................................. .
Zone -Commercial ) ................................................... . Water Main Pipe Line Fee ........................................................................................... .
Variance Water House Service Charge ....................................................................................... .
Eng. Check By .......................... , ................................................... .. Water Meter Charge ..................................................................................................... .
Sub Total .................................................................................... ..
::::o::;r:~.s::ca:~:::::::::::::::::::::::::::::~~:;:he::r:;:e F~~·:j:~::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
Date ...... ?./.J.<r/..C:..~......................................................................... Total Charges ..... ...3.. .. ~ ... °. ..................................................................... ..