HomeMy WebLinkAbout2020 GAYLE WAY; ; 62-5148; Permit,___ ---·-···-· --··· -. ·-·-·--~-... ,
APPLICATION FOR BU&lING PERMIT 5148
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
__, • )HONE P~9-l 181 • ~-36
Owne, Name .. tLe./4 .. s..~R.!=tJ/J'--"----'Mamng :::::c:::•+I.S~f.Q~ (M;ddle)
( Please Print J
ailing
To Construct ~To Add D To Alter D To Repair D To Convert D To Move From ········~
Type of Con~~f• .... Kind of Foundation~-~-----No. of Sto,ies.:::= ..... To Be Used lo~ ... ~,-
~!e, Masonr~c.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq, feet) ..... 3/IJ I:, Const, Valuation $ ...... 2..l/~.b,~------------
ettached D Floor Space of Garage (sq. feet) ....................... _____ detached •Const. Valuation $ .......... ________________ _
LEGAL DESCRIPTION Lot Block Subdivision
or ...... ection .. ~.,4=······ Townshi
Localed al c20.;J..O. .. <-,,,Q .. Y../e. ... w.~ Sl••el, Neu l./Jt.~1"(. ______ _
Range ____ _
AssignedA;use/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 ..... cL 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 r::-ayment of the above fee and the check is
not honored when !=)resented for !=)ayment, your Building Permit will be
immediately revoked, "·i:w:t,it~~
Front Yard Set Back ··········----+-------
Side Yard Set Back ··············-----'<---
Rear Yard Set Back ........................ ·----,>------
Distance Between Bldg ............................................................. ..
Off Street Parking Spaces ____ _, ______ _
Sewage Disposal System ----
Zone -Residential (
Zone -Commercial
Variance
Eng, Check By ---------------
Driveway Permit Required Yes ( No ,t,,r" Fee -------
Grading Permit Required Yes ( ) No (Lt-::'.--::;:------
(.
Sewer Disposal Plant Capital Cont, Fee ··----\--------
\
Sewer Pumping Station Capital Cont. Fte ------l'r-------1
Sewer Main Line Cost ..... ----------,''---------
Sewer Lateral Connection Charge _____ ,,_/ ________ _
I
Water Stocked Lands Charge ------+------------
Water Main Pipe Line Fee ............ .
Water House Service Charge ------f
Wale, Melec Chuge S_u_b_T_
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_1a_l~~·-··_···_···_···...,··/-t-···_·_--_···_--·_···:::::::::::::::::~
Plens App,o~r...·7'r'7····/---,_---------Plan Check Fee ...
Approved by .... ~ ... t:::i).~~.~='.:::'.:::="'
Dale ...... /d-.~ .. ~/_-~b_'Z---_____ _