HomeMy WebLinkAbout2044 CHESTNUT AVE; ; 62-5073; PermitAPPLICATION FOR BDtDlNG PERMIT
5073
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 - Erf. 36
Owner Name .V.V.jft..L/^...L^......j - fe^....'. LA)....-:. Mailing Address
(Please Print)(Last) '(First)(Middle)Number Street
Contractor S->r^>^/r..^r:.!U^ : -Mailing Address
To Construct D To Add
Type of Const."
(Frame, Masonry, Etc.)
To Alter D
of Foundation
To Repair D To Convert
Number Street
To Move From
City
•—,--.•
City
Phone
Phone
Address
o. of Stories....rC- ...... To Be Used for .....
(One Family Dwelling, Store. Etc.)
Floor Space of Proposed Construction (sq. feet) ....4?~.x=».^ci2 .....Const. Valuation $
Floor Space of Garage (sq. feet)
LEGAL DESCRIPTION
attached D
.detached QConst. Valuation $
Lot Block Subdivision
Section Township....Range..
Located at .iS^..^.....:t..^. ^...^r^^.. ^^^^..y. Street, Near .
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-
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 ( ) 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
Plans Approve
Date
.Plan Check Fee
Approved by _F^.....-<s^.?.....(^?*&....£*rri^<-^k<<rrrr~T!»___^..Building Permit Fee ....^.
'£> O
Total Charges