HomeMy WebLinkAbout2398 CIPRIANO LN; ; 63-5262; PermitillAPPLICATION FOR BDftDING PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9 1181 Ext 36
N° 5262
Owner Name
(Please Print)
Contractor
To Construct
Type of Cons
D
(Please Print)
To Alter Q
Kind of Foundation
Mailing Address
Mailing Address
To Repair D To Convert |
No of Atones
Number Street
To Move From
(Frame Masonry Etc)
Floor Space of Proposed Construction (sq feet)
Floor Space of Garage (sq feet)
LEGAL DESCRIPTION /
Lot
Located at
To Be Used for '
(One Family Dwellmq Store Etc )
Const Valuation $
attached D
detached QConst Valuatjjn $
~T-&3
Block
Section
Street Near
Subdivision
Township Range
Assigned House bfumber
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
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 be
immediately revoked
SIGNATURE OF
PERMITTEE
Front Yard Set Back
Side Yard Set Back
Rear Yard Sat Back
D st nee Betwe n Bldg
Off Street Parking Spaces
Sewage Disposal System
Zone Residential ( )
Zone Commercial ( )
Variance
Eng Check By
Driveway Permit Required Yes ( ) No ( ) Fee
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 Mam Pipe Line Fee
Water House Service Charge
Water Meter Charge
Sub Total
Plan Check Fee
Building Permit Fee
Total Charges
s.u