HomeMy WebLinkAbout1837 ANDREA AVE; ; 62-5114; PermitAPPLICATION FOR B u , ,, D 1 N 6 PERMIT
I
_" ~. N? 5114
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 - M. 36
Owner Name .... ......................................... Mailing Address ..f!$.3..7 ...... 6&&&....&.
(Pieare Print) I First) (Middle) bar Strset 'fY
Contrastor .... Mailing Address ...k ................................................... Number Street City Phone
To Construct 4/Te Add I3 To Alter 0 To Repair 0 To Convert To Move From ..............................................................
.....
Address
&(F~ennry, Type of Const. h.d...~ Etc.)
-ed Construction [sq. feet) ....... &A- .................. Conrt. Valuation S ....... .......
Kind of Foundation no. of
Floor Space of Garage [rq. feat) detached OConrt. Valuation $ t"--L-.~ attached 0 ................................................. 1.
LEGAL DESCRIPTION ...................................................................................................................................................................................................................................
Lot Block Subdivision
or S*~i~" .................................... Township ............................ Rang.
Located st ....... /82...7..6&&fk- .................................. Street. Near ..... ~u* ..
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ............ - ............... [INDICATE
SIZE, USE AND LOCATION ON PLOT PLANJ. WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION. OR
ADDITION? YES ................ NO ................. #
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS COR
If D check is tendered for payment of the above fee and the check is
immediately revoked. not honored when presented for payment, your Building Permit will be SIGNATURE OF
Arrigoed House Number
PERMITTEE ......
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Front Yard Sat Back
Side Yard Set Back
Rear Yard Set Back
lirtancs Between Bldg.
Off Street Parking Spacer
Sewage Disposal System
Zone - Residential [ )
Zone . Commercial 1 )
Variance
Eng. Chest By ................................................................................
c
~~~~~ ~~~~ ~ ~
Driveway Permit Required Yes [ I No [ ) Fee
Grading Permit Required Yes [ ) No [ )
Sewer Disposal Plant Capital Cont. Feo
Sewer Pumping Station Capital Cont. Fee
Sewer Main Line Cost
Sewer Lateral Connnctien Charge
Water Stocked Lends Charge
Water Main Pipe Line Fee
Water House Sewice Charge
Water Meter Charge
Sub Total .....................................................................................
Plans ApprovTJ.~.~ .....................
Plan Check Fee ........................................................................................................
Approved by ....... L .... .t. Building Permit Fee .... g..% ..................................................................
Date .......... 2 ....... - 2 ............................................................................................. /-6r Total Charges .......... 2e: .................................................. - ",
0