HomeMy WebLinkAbout2295 Highland Dr; ; 62-4224; PermitAPPLICATION FOR BUQDJNG PERMIT 4224
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
?Pi;:;. ~~~~···~~ .. ~;:;::~.9-~;:~:~~i·······• .. Mailing Address ~~t_:ff... ..... /Z/if!~ .. ,c;i"'~'---'""o/ph~i
Contractor ....... ~ ................... ailing Address .. ----~-(!.-~_":":-:::~: ...... ~ ......... -........ .
{Please Print} Number Street City Phone
To Construct ~To Add D To Alter D To Repair D To Convert D To Move From ........................ . ................ .
Type of Cons+.T~ind of Foundation ..... ~.C ..... No. of Stories ..... / ..... To Be Used for . ~, ............ .
(Frame, Masonry, Etc.) !One Family Dwelling, Store, Etc.)
:I::~::::::: ::~ao::d(,:.o~:t::;tion (,q. leet)~:;~~d~::i:~~::. ~:l:::i: :. [~~-~~:.~ ... :::::: .. _ .. __ _
.... ~ .. 424-1./L.~&.
Subdivision
LEGAL DESCRIPTION ········•J..II Lot ••••••••••••••••h••• Block
or . ..... ............................................. ----·······•·································S•ction.......... ........ ........ Township.. ......... . ..... Range Located at. ~t~!rt:-;~e.~~ .... Street, Noor '?j~ :.:.. .... . ....................... ..
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? VES .... ~ 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 i::·ayment of the obove fee ond the check is
not honored when presented for poyment, your Building Permit will be
immediately revoked,
SIGNATURE OF
PERMITTEE
Front Yard Set Baclc ..... ~./J. .. ~-..... ~ .... Driveway Permit Required v., (
Side Yard Set Back . 6~~' ~ Grading Permit Required Yes ( )
RHr Yard Set Back ...... / ..1, ... 6 .. -Sewer Disposal Plant Capital Cont, Fee .
.... / .... A········'· Distance Between Bldg. f./ Sewer Pumping Station Capital Cont. Fee ....... /~O ~.
OH Street Parking Spaces . I
Sewage Di,posal Sydem ........... ~
Zone -Residential ( /)
Zone • Commercial
Variance
Eng. Check By .
Sewer Main line Cost
Sewer lateral Connection Charge ..
Water Stocked Lands Charge
Water Mafn Pipe Line Fee .
Water House Service Charge .
Water Meter Charge .
Sub Total
Plans Approved~ ............... a•~· ................. Plan Check Fee
Approved by ...... K. .... S.J...................................... Bvilding Permit Fee
Date ...... //~ . .;)tP.-.6.z---__ Total Charges
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