HomeMy WebLinkAbout2275 Highland Dr; ; 62-4244; PermitAPPLICATION FOR BU~DING PERMIT 4244
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
~ PHONE PArkwoy 9-11B1 -Ext. 36
Owoer Name( K.a. L& . ~a ............ Mailing Addrm..J..Js..-1;..12r,(_ &q_~O'Jw.a,,@t>.IJ~
{Pleose Print) (Last) (First) O~iddle) Number Street City / Ph::;1 •
Contractor . ~ . . . .. .. . ............ ----Malling Address s~ . . ........ .
( Pleose Print) Number Street City Phone
To Construct IIJ,..----'io Add D To Alter D To Repafr O To Convert D To Move From ..... ............. . ...... .
Type of Const .. f ~---. Kind of Foundation. --~~-----No, of Stories ....... /_ .. To Be Used for ---······-~--I. ...... .
(Frame, Masonry, Etc.) (One Fomily Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet} ........ /1/.J.8. .......... Const. Valuation $ ....... --·-·-A·····';,;,·"9-;;zcf"~---·
Floor Space of Garage (,q. feet) . .4/~7 .da:::t:1 ~luation $ .(.<.:<.. . .. ________ _
LEGAL DESCRIPTION ,,$,k ................................................................................ @..~.~;;?.,, .. .
Lot Block Subdivision
or .... -......... •···········-································ .. 'i,7 ............................................. Section............ ... ... ..... . Township.. ... . ....... Range ..
at.. i
9
'f3r~~N;;;bt-r~~ .. Street, Near. ~ ........ . Located
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, __ _
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 e check is tendered for p·t1yment 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 .... ;;;z..f>. ... 1
... ~ ....
Side Yard Set Back ___ ..... ~.1. .. 8..~---
Rear Yard Set Back ______ /.$1 .... 6.. ... '
Distance Between Bldg, .... /.CL~---
OH Streat Parking Spaces ...... / .......... .
Sewage o;spo,al System ......... ~~.
Zone -Resfdentiol ( /)
Zone • Commercial
Variance
Eng. Chock By .....
Driveway Permrt Required Yes (
Grading Permit Required Yes ( )
No ( /(\ee
No(~
-.-,c.. Sewer Disposal Plant Cepitel Cont. Fee ............ ~ ... .O. .. ~ ........................... .
Sewer Pumping Station Cepitel Cont. Fee ...... /.f!...J!! ... ~~ .. ~ ... .
Sewer Mein Line Cost ..... .
Sewer lateral Connection Charge ...................... , .................. .
Water Stocked Lands Chargo .
Water Main Pipe Line Fee .
Weter House Service Charge . ... . .................................... .
Weter Meter Charge . ................... ~=--.. c/:t) ... ~:::::.
Sub Total ...... /_ 9_d?"_ ??
Plan, Approved~--.. ·r;------7r')----·~--------·Plan Check Fee
Approved by ......... K-... .... ~ .. ~ .... ~•··········--····--···················· Building Permit Fee ,.,).-: I.. C',:,
a<?).~ ;,e> //_ 30---£'-z_..
·····7..··•············"•··················································· Date T otel Charges
..-,,///AO-
.... ~/.."'-:. ....................... .