HomeMy WebLinkAbout1810 GUEVARA RD; ; 62-5009; PermitAPPLICATION FOR BUCDING PERMIT 5009
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
Owne, Nome9~:.~:~:~~ .. 9-:.
1
.~E~
3
_
6
_ ..... Moiling Add,es~.22:.t:. ... /Zt!. .. ~ .. ~tJ.;j··@.oi.:. ..
~~::::c:::n+) ..... ~(fost) ( iddle) amng Add,ess .. :;~ City Phone
I Please Print} Number Street City Phone
To Construct~ Add D To Alter D To Repair D To Convert D To Move From-~--~------
Type of Const. ~~---Kind of Foundation ~t' No. of Stories ..... / ..... To Be Used for ~------
{Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc,)
Fico, Spoce of P,oposed Consfruction (sq. feet) ~-:-
2
. ~~~~· ~Const. Voluation L G ~9";;:)"3•-C Q
Floor Space of Garage (sq. feet) ----~-............. detoched OConst. Voluotion $~·:;:----------------
LEGAL DESCRIPTION ---~~-; . ~ ~~~------
Lot Block Subdivision
or ~-----------•ection ...
Located at ..... /3/tJ.~------S"'reet, Near._._
Assigned House Number
Rang~-----
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
~DmON7 = ~~---
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,
SIGNATURE OF
If a check is tendered for payment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked. PERMITTEE ··············-------------
I' ,QO ,. ~ Driveway Permit Required Yes ( ) No ( 0 .. Front Yard Set Back ___________ ---···-···---··
/, ,
/_,/
Side Yard Set Back 3. Grading Permit Required Yes ( ) ( ,,,-:: No , ,,___..
Reo, Yud Set Beck .......... ./ .. ¼ .. 6. .,s-o aQ_
Sewer Disposal Plant Capital Cont. Fee
.. /t>
, <---/6 ~ Distance Between Bldg. ----------------------Sewer Pumping Station Capital Cont. Fee _________ • 0
Off Street Parking Spaces / Sewer Main Line Cost -·--·••-•···· I
Sewoge Disposol System ............... ~~ ·······-·····
Sewer Lateral Connection Charge
/ Zone -Residential ( /) Water Stocked Lands Charge -----------------------------
Zone -Commercial ( ) Water Main Pipe Line Fee ---·-·-·-----···--··--····-·--f
Variance Water House Service Charge { .
Eng, Check By Water Meter Charge ~tJ ~
Sub Total ................... /.9_,p .LS2-..
Plans App,oved~····· ······~· ......... [Z.. . .. ······-r---Pion Check Fee ................ .
~ Ru'1ld'1ng Pe,m',t Fee ..... .. -er--/ /J ~ Approved by _______ ----_J.. __________ .'7-..... -----'---='-==-='----"--J /.. __ _
Dete ··············· L/-.6 .. o~G.!--_____ _ :2 ,1; ~
Total Charges -----'~~-----------