HomeMy WebLinkAbout2027 CHARLEEN CIR; ; 63-5275; PermitAPPLICATION FOR PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArltway 9-1181 - Ext. 36
Contractor ^^^fr^Z^^f^^:. Mailing Address
Owner NameX'
(Please Print)
Number Street
To Construct Mt^ To Add D To Alter D To Repair D To Convert D To Move From
Type of Const Kind of Foundation No. of Stories To Be Used for_
(Frame, Masonry, Etc.)
Floor Space of Proposed Construction (sq. feet) .Const. Valuation $..
JT~y attached">§
Floor Space of Garage (sq. feet) ^>P.....O?.....C detached "LjConst. Valuation $..
(One Family Dwelling, Store, Etc.)
LEGAL DESCRIPTION
Lot
Located
Block Subdivision
Section Township....
..(L<cUL_~ Street, Near
Range..
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...jL...
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 checlc 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
Side Yard Set Back
Rear Yard Set Back /....../!/..
Distance Between Bldg »r-...
Off Street Parking Spaces
Sewage Disposal System
Zone - Residential ( / )
Zone - Commercial ( )
Variance
Eng. Check By
Driveway Permit Required Yes ( J No ( ) Fee
Grading Permit Required Yes ( ) 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 Approved by Plan Check Fee
Approved by ..j&x.. KSK^ef^^^r^^C^kr^^T.......... Building Permit Fee ..
Date ^^/.../.L/.....A.^... Total Charges
.