HomeMy WebLinkAbout2041 CHARLEEN CIR; ; 62-4138; PermitAPPLICATION FOR it i torn;PERMIT
4138^"
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArlcway 9-1181 - Ext. 36
Owner Name
(Please Print)
Contractor ...
(Last)
AddresS...* ......
'Rr ' (Middle)
..3rI. ...... Mailing Address
Number Street
(Please Print) ' Number Street
To Construct O^ To Add D To Alter D To Repair D To Convert D To Move From
**>. _ . AType of
City
City
.ddress,
Phone
Phone
Kind of Foundation...{£j£r!--^!k.|!...No. of Stories \ To Be Used
(Frame, Masonry, Etc.) -*—^ (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) .....^5?.!/fjes=3r.T Const. Valuation $..
ti -n i attached
Floor Space of Garage (sq. feet) ?r..../..f.. detached QConst^ Valuation $.;
LEGAL DESCRIPTION
Lot Block
or
Located at
Assigned House Number
Subdivision
..Section •. y»v- Township....
(4
t, Near £*S£*
Range..
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 BUILDING CONSTRUCTION.
If a check is tendered for payment of the above fee and the check is
not honored when presented for payment, your Building Permit will be SIGNATURE OF
immediately revoked. PERMITTEE
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 (t^l No
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
Fee
II
Plans Approved fay^TT. \.f\, -j/F\ -f- P'an Check Fee
Approved by fSs..>...CX..:....V^v..CrV^r..?^.1r .-.'-.I Building Permit Fee
Date