HomeMy WebLinkAbout2041 Gayle Way; ; 63-5336; PermitAPPLICATION FOR BU@DIIG PERMIT 5336
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner Name .C.Rf)SS./"J..i./.J,(.;1 .. 7.2<?.. .. /'L..~___,M,mng
(Plea,o Pdnt) (Lost) (j,frst) (Middle)
Contractor .......... ~•·····----------Mailing
'
Addre" .~~f!~····?-~~t
Address ........ ~ ....... ..
(Pleose Print) Number Street City Phone
To Construct D To Add ~ To Alter D To Repair D To Convert O To Move From·················---------
Typo of Const. ~.~ .. Kind of Foundation .... ~ . .!.. ...... No. of Stori•• ... ./ ....... To Be U•od for .~:.~.~
{Frame, Masonry, Etc.} (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Condruction (sq. feet} ............ /..y. _____ Const. Valuation $ ........... /.. ... V..~---~-G ____________ _
....___... attached D
Floor Space of Garage (sq, feet) ----·············•-•······· . detached OConst. Valuation $ ..
LEGAL DESCRIPTION ··························--------~-,---Lot Block Subdivision
or ··-------------------------~•action ...... ------Township ___ _ Range ____ _
Located at .... ~.D. ~/. ...... £.11_:rt:···· • • • • UJ.t·· • treet, Neor • · · C)k_~
Assigned Houuum
LAND AREA .... ___ ..... ...... UM OF EXISTING D LLINGS 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 AG TZv CMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
If a check ;, tendered for payment of the above fee and the check is . 4 ~ . /J
;n~~;d;~~:i; ,:tii.J.'esented for p,yment, your BuHd;ng Perm;+ wm be SIG~~~~~frit ~Q.... . .. ~~==-::=---
Front Yard Sat Back ---·----
Side Yard Set Back ··-----
Distance Between Bldg.
Off Street Parking Spaces __ _
Sewage Disposal System ............................. ,1-------
Zone -Residential I
Zone -Commercial
Variance
Eng. Check By ---
Driveway Permit Required Yes I No [ ) Foo ........... ··----
Grading Permit Required Yes ( } No I )
Sewer Disposal Plant Capital Cont. Fee
Sewer Pumping Station Capital Cont, Fee ___ _
Sewer Main line Cost
Sewer Lateral Connection Charge -------J'--------
Water Stocked Lands Charge ----·
Water Main Pipe Line Fee···············---~'------------
Water House Service Charge ------✓-•
Water Meter Charge ··-------1--------------
Sub Total ··············1-------------
Plans Appro~·("l····A 7 _ Plan Che~I Fee ..
Approved by ..... /¥= .... d .. !:.~-~====--BB,••ilding Permit Fee ....... J. ... ~
Date ........ ~.=-::.d..3 ... = ... 6.;3. Total Charges ..... ~--__;"' ---=-"-----------
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