HomeMy WebLinkAbout2335 DAVIS AVE; ; 63-5287; PermitAPPLICATION FOR PERMIT
N? 5287
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
^__. PHONE PArkway 9-1181 - Ext 36'O- , O /
r Name MW M £. *~ «- A ' Mailing Address
(Last) (First) (Middle)
Owne
(Please Print)
Contractor
Number Street
Mailing Address
(Pleaso Print) " Number Street
To Construct Q To Add [5To Alter Q To Repair Q To Convert D To Move From
City /Phone
City Phone
Type of Const fl^XSV***^ Kind of Foundation U «^ «^-t- f No of Stones
(Frame, Masonry, Etc )
Floor Space of Proposed Construction (sq feet) «.,* ^ O Const Valuation
Floor Space of Garage (sq feet)
LEGAL DESCRIPTION
attached LI
detached QConst Valuation $
Lot Block
Located at
LAND AREA
Section
Street, Near
To Be Used for
(One Family Dwellinq, Store, Etc ) (J
V^o-
——»_
Subdivision
Township Range
Assigned House Number
NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN) WILL,
ADDITION? YES NO
S CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION. ALTERATION. OR
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 payment of the above fee and the check is
not honored when presented for payment, your Building Permit will bo SIGNATURE OF
immediately revoked PERMITTEE
Front Yard Set Baclt
Side Yard Set Baclc
Rear Yard Set Back
Distance Between Bldg
Off Street Parking Spaces
Sewage Disposal System
Zone - Residential ( )
Zone - Commercial ( )
Variance
Eng Check By
Driveway Permit Required Yes ( ) No
Grading Permit Required Yes ( ) No ( )
Sewer Disposal Plant Capital Cont Fee
Sewer Pumping Station 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
Plan Check Fee
Building Permit Fee
Total Charges