HomeMy WebLinkAbout2080 BASSWOOD AVE; ; 63-5285; PermitAPPLICATION FOR B u , D I 6 PERMIT .. N? 5285
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
Owner Name ..m.fl.c..K..@. .............. Mailing Address (57080 ................... ............................... Phone Number
........... ................. ................................................. Street City Phone
To Construct do Add 0 To Alter [7 To Repair To Convert To Move From ..............................................................
Mailing Address 3
Number
Type of Const. 7 ...- Kind of Foundation no. of Stories .......... & .... To Be Used for ........................................................... rn
Floor Space of Proposed Construction (sq. feet) ...... /a.qd ................ Const. Valuation $ ....... q.2~ ...Y..b... a .... =.-.-: ................................
(One Family Dwelling, Store, Etc.) (Frame, Masonry, Etc.]
attached 0
Floor Space of Garage (sq. feet) detached OConst. Valuation $ ......................................................................................................
LEGAL DESCRIPTION ........ ...................................... Lot Block Subdivision
or ................................................................................................................................. Section .................................... Township ............................ Range ............................
Located at ......... .&...cz.?....... ................. Street, Near E*..@.% k&kK?G%...~ 1
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ..............................
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION?
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT T
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT1
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
immediately revoked. PERMITTEE .............................
.... .......... ..........................
Assigned House Number
............... (INDICATE
YES .............. / NO .................
SIGNATURE OF
Front Yard Set Back
Side Yard Set Back
Rear Yard Set Back
Distance Betwean Bldg.
~ Off Street Parking Spaces
Sewage Disposal System
Zone . Residential (eA)
Zone . Commercial ( )
Eng. Check By
Variance
Driveway Permit Required Yes ( ) No ( ......................................
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
Water Stocked Lands Charge
Water Main Pipe Line Fee
Water House Service Charge ............. .......................................................
Water Meter Charge ........................................................................................................
Sub Total ......................................................................................
........................................................................................................ Plans Plan Check Fee
Approved by
- r 60
Buiiding Permit Fee ................................... ................................................
Date ....................-....L..................................................................... Total Charges ................................... . 00 -