HomeMy WebLinkAbout2333 Pio Pico Dr; ; 62-5095; PermitAPPLICATION FOR BUQDING PERMIT 5095
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner NamefarJ?tdlo.R.d. ..................... fl .... P.Mailing
{Please Print) {Last) {First) {Middle)
Address -~133. ..... ~.4.#~~-~~-~:.&
Number Street City Phofe
Contractor ...... ~ ..................................................... Moiling
{Please Print)
Address ... ~ ................................. ..
Number Street City Phone
To Construct~ Add D To Alter D To Repair D To Convert D To Move From ....... /}~ .. ;.;;jd~~;; .............................. ..
Type of Cons1~i;/ind of Found,tion .... ~ .. ' ...... No. of Stories.. . / ..... To Be Used fio~~~: .. e,~:j ... ..
Floor Space of Proposed Construction (sq. feet) ..... .d.:l'S9J ................. Const. Valuation $ .................................................................................... .
Floor Space of Garage (sq, feet) ......... ~D .. O. ................... d
4
:::~:~ ~-Valuation $ .... c:25.0..0...ti. .... ~ .. ':. .......................................................... .
LEGAL DESCRIPTION .......................................................................................... .
Lot Block Subdivision
or ················································---------------------------------·-···-·-----·····--------------··-······-········Section ...... _ .. ___________________________ Township ...... ·--·-·····-··········· Range ........................... .
Located .t .:;:z~ .. 3..3. ....... D. . .h .. ~ .... e .... De .............. Street, Ne,r . 5!~.-1= ..................................................... ..
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,
1f a check is tendered for p,ayment of the above fee ond the check is
not honored when presented for payment, your Building Permit will be
immediately revoked. SIG~~J~~fr~F t?.?.!!:.. .. ~ ................... .
Front Yard Set Back --·-···-·-··-·-·····---········------------···------··-·············· Driveway Permit Required Yes I No ( '-rFee .................................... ..
Side Yard Set Back ·-·-·······-··-··········· --····-·······-·-----·-------------·-······· Grading Permit Required Yes ( ) No ( L-r:.. ................................................... ..
Rear Yard Set Back ··-·-·-·-··--··-----·-·-····· Sewer Disposal Plant Capital Cont. Fee ········-····--·-· ······-·-·-··················-·-··················
Distance Between Bldg. ··········-········· Sewer Pumping Station Capital Cont, Fee ·······------·············-··--········-·-----·-···················
Off Street Parking Spaces -----······-···-············-···-·-···-··········-·-······ Sewer Main Line Cost .......... -·····-·-···-----------·-········-· -·-··············-··---··········-·-······----------·-··
Sewage Disposal System ··-····-······· ························---·····----····---···-· Sewer Lateral Connection Charge ----·-·············-·---------·-·······-·····-··········---·--·····-····-······
Zone • Residential ( l ....................................................... .. Water Stocked Lands Charge ----····················· ···-···-············-··········-·-·--·-----··-···-·-··-·-······
Zone • Commercial ) ........................................................ . Water Main Pipe Line Fee
Variance
Eng. Check By .............................................................................. .. Water Meter Charge ---·-···················-· ···············-····································-·····-·················
Sub Total ................................................................................... ..
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~ b ~~O~b---D ate .............. 0. ... -.. ac--................ 'Z.................................................. Tot•I Charges ............................................................................................ ..