HomeMy WebLinkAbout1844 BUTTERS RD; ; 61-4085; PermitP
APPLICATION FOR B 1, D IN [ PERMIT c- - N? 4085
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArkwav 9-1181 - Ext. 36
.......... ....... ........ ....
Number Street City Phone Owner Name Mailing Address /sQf z&.fl<pJ... (Please Print] (Last]
Contractor ............... ...- ................................................ Mailing Address ......... 2- ............. ---, .................................. (Please Print) Number Street City Phone
To Construct AAdd 0 To Alter 0 To Repair 0 To Convert 0 To Move From ..............................................................
Type of Const. .................................. Kind of Foundation .................................... No. of Stories ............... To Be Used for ..............................................................
u
Address
(Frame, Masonry, Etc.) One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ..... 32.a .............. Const. Valuetion $........a. ..A ............................................................
attached 0 Floor Space of Garage (sq. feet) ................................................. detached CjConst. Valuation $ ......................................................................................................
LEGAL DESCRIPTION ............................................................................................................. ....................................................................................................................
Lot Block Subdivision
or ......................................................................................................................... Section .................................... Township ............................ Range ., .........................
Located at ............................... /8 yf 6.- .... 30/1. ....... S+reet, Near ................................................................................................................
Assign d House Number
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 BUlLOlNG CONSTRUCTION.
not honored when presented for payment, your Building Permit will be If a check is tendered for payment of the above fee and the check is
immediately revoked. SIGNATURE OF PERMITTEE
Front Yard Set Back ..................................................
Side Yard Se+ Bac4
Rear Yard Set Back
Distance Between Bldg.
Off Street Parking Spaces
Sewage Disposal System
Zone . Residential I )
Zone - Commercial ( ]
Eng. Check By
Variance
Driveway Permit Required Yes ( I No (4 Fee ......................................
Grading Permit Required Yes ( ) No ( bf ......................................................
Sewer Disposal Plant Capital Conf. Fee ............,.. .....................................................
Sewer Pumping Station Capital Cont. Fee ...................................................................
Sewer Main Line Cost ......................................................................................................
Sewer Lateral Connection Charge .................................................................................
Water Stocked Lands Charge ........................................................................................
Water Main Pipe Line Fee ...........................................................................................
Water House Service Charge .......................................................................................
Water Meter Charge ....................................................................................................... x
Sub Total ......................................................................................
Plans ApproveFx&.& ....................................... Plan Check Fee ........................................................................................................
Approved by .......... L... ......................................................... Building Permit Fee ....... s...- ..................................................................
Date .............................................................................................................. /b- 1!.-6 j Total Charges .............................................................................................. 3=--