HomeMy WebLinkAbout2202 Highland Dr; ; 62-5200; Permit..
APPLICATION FOR B lh1 DING PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkw•y 9-1181 • Erl. 36
5200
~,;:;. ~:;::) ~~!.~:,11;";;,~~··········M•mng Address £,f;.~f=: .... R.~.1.-. .. ~ ... S ... !llr~~~:,,~{.,d,d.,.'.!-:!~'.'S,...._,--.Phc-o-ne
Contractor
Number Street City Phone
To Construct D 'T~ Alter D To Rep•ir D To Convert D To Move From ·---.,..,.,-------
Type of Con·.a. A~~Kind of Foundation ...... ~ C::-::No. of Stories .... / ..... To Be Used for . . ~-------~-~-~~ Masa-y, Etc.) (Ona amily Dwellin., Store, Etc.)
Floor Space of Proposed Consfruction (~····~~~~d ..... Const. Valuation $ . .,f.,;t.d. .. , ...... "::1;, ........................... ····----
Floor Space of Garage (sq. feet) _ _:::__. _____ detached ~Const, Valuation $. ------·------------
LEGAL DESCRIPTION;?~ .. ~~? 111$,,, .... Jc..!f, .. W..7 .S../l..t.:t. "l-,P~~·····\ ... 1.:,.-:!..~--C..k:ik
Lot Block Subdivision
or ....... ...... .......... ··········••7 ------------->S•ction ................................... Township ...... ________ Range ____ _
Located •I .~2'~,;f_., .~----..5S+.eel, Noor ...... .
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 __ _ NO ...... f .. .
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
immediately revoked. SIGNATURE OF
PERMITTEE ............ .
Front Yard Set Back ··-------:;,..-.-----
Side Yard Set Back ···········----1-------
Rear Yard Set Back -------\------
Distance Between Bldg ..... .
Off Street Parking Spaces ----/--------
Sewage Disposal System -----'.-------
Zone -RHidenfial {
Zone -Commercial
Variance
Eng. Check By ··-------/-'-------
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No()Fee
No ( ) ---\
Sewer Disposal Plant Capital Cont. Fee ····--·····----+-------
Sewer Pumping Station C11pH11I Cont. Fee -----·I
Sewer Main Line Cost .............. .
Sewer Lateral Connection Charge -------'Ir--------
Water Stocked Lands Charge ···········--··········----./--------
Water Main Pipe Line Fee······-------+---------
Water House Service Charge --------+---------
Water Meter Charge ----------/----------
Sub Toi•I ----------------
D Residential
BUILDING
·············D ... □
Fdn. Forms .............. D
Steel ........................ D
Sheathing ................ D
Lath .......................... 0
Frame ...................... D
Final ........................ D
Ready for Inspection --
Special Instructions --
REQUEST FOR
INSPECTION
PLUMBING MISCELLANEOUS
□ □ ................... □
Gas .......................... D Pool Bonding .......... D Porch ........................ D
Water Heater ............ D Pole ........................ D Patio ........................ D
Soi I Line ................ D Pump ..................... D Driveway .................. D
Undergrnd. Plbg ....... D Underground .......... D Sign .......................... D
Undergrnd. Water .... □ Ceil Heat .............. D Wall...... D
Rough ...................... D Rough .... ................ D Fence ...................... D
F::I, ·;~~~-,··~~ .. Fin~~;~.~~ .. 0 #.w~ ....................................... ~
~qu~s;e~ .. ~~· ....... ~ ..................................................... C:Jlr ......... .
Phone number .... ·----.. ·----Person Taking Report: ....................................... .
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