HomeMy WebLinkAbout1826 FOREST AVE; ; 63-5294; PermitAPPLICATION FOR Bu I DING PERMIT 5294
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
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Contractor ----------------------~1ff-(.----------·-------·--------------· .. ·· .. ··----Maili ng Address ··---~;;;b~·-···---~6t~·-·············· .. Ph~~;
To Constru~ To Add D To Alter D To Repair D To Convert D To Move From ·····--····--···--············-····················--·········
Type of Const.d-A .. -~d of Foundation ... ~---~-of S-tories .... ----1····-To Be Used for ---~---··,.----··-----··
(Frame, Masonry, Etc.) (One Family Dwelli ng, Store, Etc.)
Floor Spaco of Proposed Construction (sq. feet) __ ;?._.1_.6?.!J .. P. .......... _______ Const. Valuation $ .. _2., .. ?.Z. .. f?.. __ '!::_ ______ ~ ....... 2..~ ... ./~.~ .. -E
:~~~::~~'.=-~-~:~:~==:~~:==:==:=
:~ootod ,t 5_t/c_/_~2-L~. : _:::::: No,, ........................... '•:o,hip ·····························R••:: _ --·
Assigned House Number
LAND ARe,.. ····------·-----.. ---·----·-··-------· 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·--·f ... 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 payment 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 ----~-P.. .. -·--·-····-··----------···--···----··-----... Driveway Permit Required Yes ( ~ No ( ) Fee ______ /._. ___ ?._ __ 'f.:_ _________ -::_../. f
I
Side Yard Set Back ---------/------0.. ........... -.. ·--···-------·---·--·--........... .
Rear Yard Set Back ...... ~ .... / ...... :. .... ·-·--··-.. ···--·-------··-------····--
Grading Permit Required Yes ( ) No ( L-}-.... _____ ....... ::-=.== .. _ .......... ..
Sewer Disposa l Plant Capital Cont. Fee ......... : ......... _ ...... ~_?._<?._:.9. .. 9. .... :/?..: ~ f5
Distance Between Bldg. _____ / _____ /.?. __________________ ............. --........... .. Sewer Pumping Station Capital Cont. Fee .............................. ~:?. ... _ ..... :: .......... ..
Off Street Parking Spaces ----------~-------·----........ -.... ··--····----····· Sewer 11,fain Line Cost -· .. ··--·------·--·-···--··-····-----·--.. --·····--.... -------------~ .. ---..
Sewage Disposal System ··-------td-r ............ -................. ..
Zone -Residential ( / ) -·-···· .. --·-···-·--.. -.......................... __________ _
Sewer Lateral Connection Charge .......... ·-·-----·-·--·· .. -···-·-·------C.-...... -:: ________________________ ..
Water Stocked Lands Charge ............. _ .. ___ .................................................... -................ ..
Zone -Commercial ( I ________ ................. ·-····-··-------····------------· Water Main Pipe Line Foe ..................... _ .. ___ ............. -.......... -..... _ ... _ .......... _ ... _ ........ _ .... ___ _
Variance ~/ ~
Eng. Check By _ .. _.t:7(/" ... W-~~-----····---····----·--·
L,qn!f,•<. ~~e4r,o,v S o,v c:"'11e-<3
/I/Cr#' ,St,,.._,,ra, 7.Jl!FP,H / ,4, Oo /
Water House Service Charge -······ .. --... ¥..J._~;~-.......................... .. ~~ :~:-:g~:.:_~~~---~-----.. -~ ... ~-----···---------~--~~~--~---(
Sub Total ... _:. ......... _ ... E.6...z.~-------~---~-----··-··---·--·-----···
::::.::·:::~~: ~-;;;_~:=:'.::,~.'·::.::·,:: !-~ : :: -_
Date ··--·---~ r ..... __ 6.~------------··---·------------····-···---·-·-··--------·-----··---·--·--· Total Charges --~-L...! ..... = ....... _ ............ -........... _ .............. _ ..... . y----~ ~ fi5'
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