Loading...
HomeMy WebLinkAbout1814 GUEVARA RD; ; 62-5011; Permit--·-APPLICATION FOR B UC DING PERMIT 5011 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkway 9-118 I -Erl. 36 Owner Name ~ .. L6 ····~f----Mailing Address~J.:C.. .. ./.Z~.&.r!. .. i .. /b.Jtk,q_-j-··Cit./ (Please Print) ~ (First) (Middle) Number Street City Phone Contractor ......... Mailing Address .... ~=~=:_e:===c.....----------Phone (Pleose Print) Number Street City To Construct~ Add D To Alter D To Repair O To Convert D To Move From ·····················-------- Type of Const. ~~Kind of Foundation. ~ • No. of Stories ..... / To Be Used for -~--- (Frame, Masonry, Etc.). (One Family Dwelling, Store, Etc.) Floor Space of Proposed Construction (sq. leet);;,~·,Y/.:ched 0 const, Valuation $ ....... :J;-_:;;;9':.;;;·g;--.,o······--········ Floor Space of Garage (sq. feet) ..................................... 2 ....... detached •Const. Valuation $ ... ~ LEGAL DESCRIPTION ··---·~"',____,3,,=__ _______ _ ~ {3_ ~ .. -d---z....~--- Lot Block Subdivision or :--•ion .. .. . . Township .................... Range Located at.... /.t-;.~~~------>-·lreet, Near.~·~-------- 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 r::·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 . .;:;2..0 ... ~ ..... ~ Driveway Permit Required Yes ( I No ( ~-,., -1 -<-Side Yard Set Back ....... ~.l.~ L----' Grading Permit Required Yes ( ) No ( Rear Yard Set Back ....... 1...L , L----··········· ~'"?, t!)~ Sewer Disposal Plant Capital Cont. Fee /() I L-- Sewer Pumping Station Capital Cont. Fee ....... /..~ .. <J ... <&0 Distance Between Bldg. .........••.. ... Off Street Parking Spaces I Sewer Main Line Cost ....... ( Sewage Disposal System ............. ~3/ Sewer Lateral Connection Charge \ Zone -Residential ( /1 Waler Stocked Lands Charge ...................... (-. Zone -Commercial ( ) Water Ma.in Pipe Line Fee ·············· .... I Variance Water House Service Charge ..... (./ 0 ~ Eng, Check By .. Water Meter Charge .......................... 19..P .o..2-.. Sub Total .. ::::o:::r:;l?.S.c ...... ?Q.-.~-... -... -... -.. -._.-.. -... -.---_-_-_-_-_-_-_,,:,:::i:he::r:i:• F~~ . ~~L ~ Date ............ :1/.:.:::: .. ..3. .. (). .. c.: .. G.. .. Z=:--------Total Charges --~~ .. !/J,___-_4 _ 0 _~------ APPLICATION FOR Bu RD ING PERMIT CITY OF CARLSBAD -BUILDING INSPECTION DIVISION ,_ ~--}· ~"". ~-" ..... ~~::::c:::nt)···i/ ... i.~S. .... !./.~ {M~~) .......... MoHing ( Please Print) . _,; 5090 To Construct~ To Add • To Alter 0 To Repair D To Convert D To Move From ___________ _ Type of Const. 0..~--~-~---,[)_ ______ Kind of Foundation.-~==::=:=.--N,o. of Stories .... {Frame,~tc.) To Be Used for ... k .. (One Family Dwelling, Store, Etc.) Floo, Space of Proposed Construction {sq, feet) ................ w...~_/J;;,t. VoluaHon $ .••..•. 9..J/:__~_o _____________ _ attached D Floor Space of Garage (sq, feet) ... ---·----detached OConst. Valuation $ .. --------------------- LEGAL DESCRIPTION··-----------------Lot Block Subdivision or ~ :•••ion................... Town7ir~/'? Range ..... . Located at .... /r:f" f~~~------->-treet, Near ...... ~.~ ________ _ 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 a check is tendered for p,oyment of the above fee and the check is not honored when presented for payment, your Building Permit will be immediately revoked. SIG~~~~~ir~F .. #ill~-'----- Front Yard Set Back ........... . Driveway Permit Required Yes { ) No ( ) Fee ······ Side Yard Set Back I Grading Permit Required Yes { ) No { ) ............. ) 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 { ) J Water Stocked Lands Charge ........... 7 -7 Zone -Commercial { ) Water Main Pipe Line Fee ...... / 7 Variance Water House Service Charge I Eng. Check By Water Meter Charge { Sub Total ::::o:::•:~ .. :r.~:r:::::rtJ~."'···:::··"'···~· --·al!·:!!'~:.:i~ghe;:r:i:• F~~ . ~ d O . . ···············------ Dale .......... 8...= ... /..6 .... =···b._····f=---Total Charges ---==-=---? __ ~e::0:====----------