HomeMy WebLinkAbout2255 Highland Dr; ; 62-4246; PermitAPPLICATION FOR B lhti DING PERMIT 4246
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION r:-7 PHONE PArkway 9-1181 • Ext. 36
?Pi:::.~~;:;) Ka~ 1 (Fi,st) ~ a:ddl;i·····M•Hing Address4 .$£,:,.;f 12f~+~~it;~~~
Contractor ~ . . ...................... .Mailing Address _____ $._~_
( Please Print) Number Street City Phone
To Construct ~ Add D To Alter D To Repair D To Convert D To Move From .
-<"J A A --n · ··d d .. ~·-·········-·-·······'··-···-.No. of Sto,•,es .... /..... .I\ Addr,; Type of Const, ~t .. ~ of Foun etion. .. To Be Used for ·--~-----
:: :::: :~::::::• I• •m~4~I~:~ i2 ::: ~ fl->_'.;;~•~:'" Store, Etc.)
LEGAL DESCRIPTION J~ ······································•~··•··e;~~~. Lot Block Subdivision
or Range ...
Located at .... ""i,~=[7,(..!g~ :::·~ .. if~
LAND AREA . .... . . NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE . .~ .. (INDICATE
SIZE, USE AND LOCATION 0~ 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 BUIL0ING CONSTRUCTION.
If a check is tendered for p·ayment of the ebove fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
I ,..
SIGNATURE OF
PERMITTEE
Front Ya,d Set Beck. e?.tJ. .... ~ Driveway Permit Required Yes (
Side Yard Set Back _ .... /?.L~... ~ Grading Permit Required Yes ( )
Rear Yard Set Back . _ ... ~ .. P ... : .. --• Sewer Disposal Plant Capital Cont, Fee ...... S"tJ...£,12..-.
Distance Between Bldg. ../_t)__ __ ~--···
Off Street Parking Spaces ·-······(-······--···
Sewage D;sposel System ......... ~
Zone -Residential I / )
Zone -Commercia I
Variance
Eng. Check By ....
Sewer Pumping Station Capital Cont. Fee ·······-··/ t) . C, ~ ..
Sewer Main Line Cost . -
Sewer Lateral Connection Charge .
Weter Stocked Lends Charge .
Weter Main Pipe Line Fee .-
Weter House Service Charge
Weter Meter Charge .
Sub Total .
½V~~-
-··············
/9~.
Plans Approved by ··········-··············-·········•·-···--·•-·········•-···········································Plen Check Fee
Approved by ........ ~.S.·-•···&.t.··~·······Building Permit Fee
0 C>
······~··· ················•
Oete ./.l--3.t)-b z..._ __________ .7". ... -••·····································•-···· Total Charges .t:2.;$~ ... P~I 0
~ ..