HomeMy WebLinkAbout2265 Highland Dr; ; 62-4245; PermitAPPLICATION FOR BUIQING PERMIT 4245
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArlway 9-1181 • Erl. 36
Owner Nam~ ~ t· ~ IQ. . ........ Mailing Address Ssa-:: 4../..?.~ ~~ tJ,J1,,,,,,,,;t1f!!4.,
( Please Print} ( last) ( First) ,.. ... (Middle) Number Street City Phone
---~ -----·····Mailing Address ....... -~-~-
( Please Print) Number Street
To Construct ~ Add D To Alter D To Repair 0
Contractor
City Phone
To Convert D To Move From _
Type of Const. ~-Kind of Foundation .. ~--! ....... No. of Stories .... / _____ To Be Used for _ -~! .. .
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.}
Floor Space of Proposed Construction (sq. feet) ...... ../.t://..~ ........... Const. Valuation $ ... ~ f... . ._,,
Floor Space of Garage (sq. feet) ,t_/ ,;;z D J'!!::t:~ Be •• ,,. Valuation $ ( ··.·.. .:.."':' ~
6 ·a . ····---
,.$ 7 . /4 ~~ -,11,,-g, .. LEGAL DESCRIPTION
lot Block Subdivision
or . -Range ..
located at ..
···························•·····················•·····-················---··············S•ction.............. ... ..... . Township ...
~;~l~:;;;;bf'(~reet, Near ... ~··
LAND AREA. . ........... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ... ~ (INDICATE
:l~~•IT~~:tND L~~;~l~~.'.~:).: .. ~ILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
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 ps,yment 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 ...... ~.O .. ~ ....... ~
..... / • ... 8'/ ~ Side Yard Set Back . c.,
Rear Yard Set Back ... /3_.,__/;,<... t_--
Distance Between Bldg ... /tJ ..... 1
Off Street Parking Spaces .
Sewage Disposal System
Zone -Residential ( / }
Zone -Commercial
Variance
I
.... ~
Driveway Permit Required Yes ( No (µ(Fae
Grading Permit Required Yes ( ) No fl--),': ..
............ "'-~o .. ,.e, Sewer Disposal Plant Capital Cont, Fee "'WI
Sewer Main Line Cost .
Sewer Lateral Connection Charge ............................ .
Water Stocked Lands Charge .
Water Main Pipe Line Fee .
Water House Service Charge . ························
Eng. Cheek By .... Water Meter Char;e ... ............ ..£::. .. ? .f!-tJ. /)0
Sub Total .... / 9.t?.. <>__~
Plans Approved by ······························~·········/····················•···········••············Plan Check Fee
Approved by .~ ... ~~ .... ~ ... ~ ...... Building Permit Fee
Date .. ...... ~~ .. ~.9'.~ 6.'!=':c:'. ...... c:'.'.'. ..... =---Total Charges
... .,:r1=
.. pj<1f ~ .... Q,J;I/~ .
••••----•-"• ""O••N•<"••-•••