HomeMy WebLinkAbout2315 Highland Dr; ; 62-4222; PermitAPPLICATION FOR B uQ DING PERMIT 4222
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
~ PHONE PArkway 9-1181 -Ext. 36
Owner Nam.' ts:..q, ~o... ~p (Middlei ....... Mamng Addreu~JNf,;;b~f-I?f~,~~1:i{~~~ (Please Print) ~ (First)
Contractor --------Mailing Address ....... £'~ ..
{Pleose Print) Number Street City Phone
To Construct ✓.-::dd D To Alter D To Repair D To Convert D To Move From .
-52 ~. Type of Const ........ ~nd of Foundation .... e.~---· .. No. of Stories ..... /. ___ To Be Used for ........................................ .
(Frame, Masonry, Etc.) {One Family Dwelling, Store, Etc.}
Floor Space of Proposed Construction (sq, feet) ...... /.~/ .. ~ .............. Const. Valuation $ ...... ~---· .......... .
:~o~~:p:::;:l:T~::• (sq. feet)~l.< .. ~~? ~~==~:j .~Const, Val~~tl~:~~~i·::::::: .. ·-----
Lot Block Subdivision
or . ··········-····························································--------~•ection ......... . . ........................ Range .......................... .
Located at ... ,$?-...3:/~= /21~ i ... (k. ?eGl2. .... Street, Neer ...
Assigned House Numb
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-oyment of the obove 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 . . .... ~.C?.. /
Side Yard Set Back .......... ~•'·~···~
I
Rear Yard Set Back . . . ... /.-ci3 .....
Distance Between Bldg •... /.(?_··· 1
... ~
Off Street Parking Spaces /
Sewage D;sposal System .... : &4-. .
Zone -Residential ( / )
Zone • Commercial
Variance
Eng. Check By ..
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
Sewer Ohposal Plant Capital Cont. Fee ................ ~=.0. ... ..;"';_0
--___ _
Sewer Pumping Station Capital Cont. Fee ......... /./! .... t:P. ...... ~···~····---
Sewer Main Line Cost .
Sewer lateral Connection Charge
Water Stocked Lands Charge .
Water Main Pipe Line Fee .
Water House Service Charge
Water Meter Charge
/ ~co /LA~ ............. :!,ssS ........................ -:rv .................. .
j CJ'..-,,ioO Sub Total ...................... ~ ....... ..