HomeMy WebLinkAbout2325 HIGHLAND DR; ; 62-4221; PermitAPPLICATION FOR u u Qo Ii G PERMIT 4221
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
Owner Name
( Please Print}
~ PHONE PArkway 9-1181. Ext. 36
a,_~... ~.p. . .. ....... Malling Addre.,$;?t?;b~~ ./~~?t!:?..'4Ci~~h~rfe,
.~ .................... (Mid_d_l•_l __ M,ning Addross ...... $~ Contractor
{ Pleose Print) Number Street City Phone
To Construct ✓.' Add D To Alter 0 To Repair 0 To Convert D To Move From
Type of Const, ~ind of Foundation .. ~---~·······No. of Stories .... / ....... To Be Used for .... -~
{Frome, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feel) ....... /.$(./~ ............. Con.I, Valuation $ .......... [ ..................................... ..
::;~:P:::;:I:~::• (sq: feet) ~./ ... ~~~ ...... d•~=~~=~. §Const. ;:z $ C;;E_.~:i_.~.... .. ..... ---
Lot Block Subdivision
or .. ___ _.,ection ... ...... Township ..... Range ...... .
Located at ~~/~:;:;;;#~·~ .. Street, Near.
LAND AREA .................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .... ~ ...... (INDICATE
SIZE, USE AND LOCATl~OT 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 o check is tendered for p·oyment of the above fee ond the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE
Front Yard Set Back .... a.Q .. ~--.. ~-·
Side Yard Set Back... . ..... 7 .... 1
... ~
Driveway Permit Required Yes ( ) No ( 4-(e'.
Grading Permit Required Yes ( ) No ( / ................ ·.·.·.~······
Rear Yard Set Back ..... /...'!i. ... ~ .. . -~ e,,C
Sewer Disposal Plant Capital Cont. Fee ............ ;~ .... ~ .. ~---
Distance Between Bldg, ..... /?.?.~ ... . Sewer Pumping Station Capital Cont, Fee ......... /.fl .. !!J ..... ~ ..... ~ ...... .
Off Street Parking Spaces .. . ... ~ ..... ~ ...... ?:;•_ ...... ~ .. .
Sewage Disposal System .......... ~.~•/·
Zone -Residential ( / }
Sewer Main Line Cost ...
Sewer lateral Connection Charge .
Water Stocked Lands Charge .....
Zone -Commercial Water Main Pipe Line f88 .
Variance Water House Service Charge .
Eng, Check By ...... Water Meter Charge ............... ll J.-... 9 .. 4
......... t;I...(}_.'!!!?!_
Sub Total .... / 9/!l. ":_ ~