HomeMy WebLinkAbout2333 Pio Pico Dr; ; 62-5094; PermitAPPLICATION FOR B uQ O 11 c PERMIT 5094
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
Owner Name Pt?odR~J~.~~~~.9-:.1
.
1
~.
1
... :I?.3
.
6
............. Mamng Address .2~33. ..... h:.rd.~.~.: .. :.cq! .. t.v..
(Please Print) (Last) (First) (Middle) Number Street City Pb6ne
Contractor ....... D...~ ............................................................. Mailing Address------~~----·······--·----······ ................... .
To Construct D To Ad~ D{Pleose p::t~lter ~ To Repa;r D To Conve~ D Nu;obe~ove Frf:~~~~i.~ ........ :h.:::
Type of Const.:;?i~ Kind of Foundat;on. ~, .... No. of Stories ./ .... To Be Used /or ................. ~~~·.·.:· ............................... .
(Frame, Masonry, Etc.) h {One Family Dwelling, Store, Etc.)
Floor Space of Proposed Constru t oR sq. f~f .1.l ... .S:.. ................ Const. Valuation $ .................................................................................................... .
attached D
Floor Space of Garage (sq, feet) ................................................ detached OConst. Valuation $ ..........................................................................•....................•.•...
LEGAL DESCRIPTION ............................................................................................. .
Lot Block Subdivision
or .................................................................................................................................. Section .................................... Township ............................ Range .......................•.... . ~
Located at .:52_,J3..3.. ..... 0 . .l.t.t.1. .. ::C.. ................ '/f1... .................... Street, Near ..
Assigned House Number
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 o check is tendered for p~yment of the above fee ond the check is
not honored when presented for poyment, your Building Permit will be
immediotely revoked.
Front Yard Set Back .................................................................... .
Side Yard Set Back ..................................................................... .
Rear Yard Set Back ........................................... ·························-
Distance Between Bldg •..............................................................
Off Street Parking Spaces ......................................................... .
Sewage Disposal System ............................................................. .
Zone -Residential (
Zone -Commercial
Variance
) •··•••·•·········· ·······································•
l ············ ·······································
Eng. Check By .............................................................................. .
Driveway Permit Required Yes ( No ( ) Fee .................................... .
Greding Permit Required Yes ( ) No { ) ...................................................... .
Sewer Disposal Plant Capital Cont. Fee .................................................................... .
Sewer Pumping Stetion Capital Cont. Fee ............•......................................................
Sewer Main Line Cost ................................................................................................... .
Sewer Lateral Connection Charge .............................................................................. ..
Water Stocked Lands Charge ........................................................................................ .
Water Main Pipe Line Fee ............................................................................................ .
Water House Service Charge ....................................................................................... .
Water Meter Charge ..................................................................................................... .
Sub Total ..................................................................................... .
Plans Approv•~···c:·o···········7 ............................................................. Pl~n. Check Fee ....................................................................................................... .
Approved by .~ ... k:. .. ~: .......... d/?...~ ................ Bu1ld1ng Permit Fee .......... ~ ......................... .
Date ........... a-,;;;2.o-.... G .... z................................................. Total Charges···············~·················--