HomeMy WebLinkAbout2010 Karren Ln; ; 62-4124; PermitAPPLICATION FOR B~DING PERMIT 0
4124
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-IIBI • E,t. 36
Owner Name .
( Please Print)
.J./4 .. /f~<?/4/1&_ 1 .... Y&-fJ.u.R..~aiUng
(Lost)/ (Firstv {Middle)
Address .e<-D /0. K~ .. ~
Number Street City Phone
Controcfor .. O~ .. ········------Mailing Addreu ·········N·~-~-e-·············•·•·-ph~~;
To Construct ~o Add D To Alter D To Repair 0 To Convert D To Move From __ .
Address
Type of Cons+./:'Zr< .. _..,.0"1'1.-'k-U1<ind of Foundetion .. @~ ........... No, of Stories .... ~. To Be Used for .. W.A. .. .//
(Frame, {sq. foot) ...... /~=?>. ... ~~ ....... Const. Valuation $. ······-'·4·0·:·~~ ... {.~~e Fomily Dwelling, Store, Etc.)
attached D
Floor Space of Garage (sq. feet) ............. detached OConst, Valuation $
LEGAL DESCRIPTION ........ I /-< a.AA..e--.. .~,L
Loi Block Subdivision
or
Localed al ~OJ() k~
Assigned 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 ..... t.-.:::::'
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 ptiyment of the above fee and the check is
not honored when presented for poyment, your Building Permit will be
immediately revoked.
Front Yard Set Back .
Side Yard Set Back ..
Rear Yard Set Back . .
Distance Between Bldg.
Off Street Parking Spaces .
Sewage Disposal System
Zone -Residential I
Zone -Commercial
Variance
Eng. Check By .
Driveway Permit Required Yes {
Grading Permit Required Yes ( )
No{~ae
No(~ ..
Sewer Disposal Plant Capital Cont. 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
Sub Total
Plans Approv•<"'v·· .. f\·· ..... 1750 ..... f ................................................. Plan Checl Fee
Approved by ····•···~··'·····~J.. ...... M .. ~ B•iilding Permit Fee
~00
....... C? ... ~ ...
Date ......... / .. -...... 9 ·-.6 Z-,-Total Charges ~-CLO
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