HomeMy WebLinkAbout2285 Highland Dr; ; 63-5333; PermitAPPLICATION FOR BUCDING PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Erl. 36
5333
Owner Name .... W.t±.lq. .. 1',lf::c .. R...,.... ££A.1.\L./<,__~Mamng Address ~~~:£.. ... J./4~j__h1/.:l .. ~ .... &R.tfs.j__fld
(Pleose Pdnt) (Last) / (Fiest) (Middle) N,mber Street City Phone
Contractor .......... 0...W. __ N._e_ __ fR__ ___ ~----------"'ailing Address ..
(Pleas;··p~ Number Street ,y Phone
To Comtfruct D To Add ~ To Alter D To Repair D To Convert D To Move From ~
Type of Const. ~A .• -•.. ·A······ Kind of Foondation ... e~ . .<: ........ No. of Stories ... ./ ....... To Be Used for .~.b.~~'--------(;;~~-l (One Family Dwelling, Store, Etc,)
Floor Spece of Proposed Construction (sq, feet) ..... d...f./ .. 7 ................... Const, Valuation $ .................. 7 ..... 'l, __ ,_/ __ ,._e __________ _
attached D
:~:~~P:::;:,:T~::e (sq, feet~_L _______ d_e-ta~•-he_d_□_C~n•t .... ~~l~~~i:i········t3~:~g'--__ _
Lot Block Subdivision
or___ -----.,------,--0..,.------,-----__,S•ction.................... . ...... Township, _____ Range, ____ _
at 6?/51~~~··· p~za .J _ __,/reet, Near .. Kflle//.£(; ____ _ Located Assigned ~!~..L ljt'imber
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 a check is tendered for p·ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
Front Yard Set Back ···················----..,C.----Driveway Permit Required Yes ( ) No (~Fee
Side Yard Set Back ______ _ Grading Permit Required Yes ( ) No ( ~
Rear Yard Set Back ...... . Sewer Disposal Plant Capftal Cont. Fee .................... ,;''---------
' Distance Between Bldg .......... . Sewer Pumping StaHon Capital Cont, Fee ----!\'-----------
Off Street Parking Spaces -----+-----Sewer Main Line Cost ............ . /
I Sewage Disposal System _____ ,_ _____ _ Sewer Lateral Connection Charge
Zone • Residential I
Zone • Commercial
Variance
Water Stocked Lands Charge ·····----···· 1
Water Main Pipe Line Fee ...... -----/------------/
Water House Service Charge ----1--------------
Eng, Cheek By -----~---------Water Meter Charge
S,b Tatel ............. ;.'------------
...
Plans Ap~·····~····· .. ·-Plan Check Fee .... ~
Approved by .... ~.J:;::;:.. .... -e;).. ...... ~~B,ilding Perm;+ Fee .... ~l..-__:O":::°'==-------------
Dale ·········-·~·::::::::=:::::·/ 5 -b. ... ~------Total Charges .... ~?..,-.=~=:<l>:::=-----------