HomeMy WebLinkAbout240 Pacific Ave; ; 62-5023; PermitAPPLICATION FOR Bu ~DING PERMIT 5023
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Ext. 36
Owner Name ...... TS.t?. .. $..lO ....... J ...... J .. Q"-'E.'J?./J.f ..... ~t ...... Mailing Address3.~.~3. .. (;.e£>.R..~£.C2~~£i3!§..l!!..ri..€!.'(:1.;1 .. &if
(Please Print) (Last) / (First) ,1"Middle) Number Street /··'·city Plione
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Contractor ..... ~ .......... i.Pi;~·~~···ii;;·~;y-······················································Mailing Address ·········N·~·;;;b-;;--··············st;~;t·················Ci·+/················iih~~~
To Construct ~ Add O To Alter O To Repair O To Convert O To Move From ............................................................. .
Type of Const. ~ind of Foundation ..... ~ ........... No. of Stories ...... ~ .. To Be Used for .~ ... r:t~.ss:~ .. 4-... ::'.':" .......... .
(Frame, Masonry, Etc.) (Ono Famil~~.)
Floor Space of Proposed Construction (sq. feet) ........ /~~ ... ( ........ : ...... Const. Valuation $ .............. , ...... ,,..3 .. 9'/:r~···········································
Floor Space of Garage (sq. feet) ................. -c#; .. ;;J...Q. ............ d:::~:~ a-;::t. Valuation $ ......... /.~--!.,·····································r--:=)········7 ·····--···
LEGAL DESCRIPTION ................. c;:;;2__~··························································-··································· .... ........ . ................. ~ ............... ~.t.t:._ .......... .
Lot Block Subdivision
::,.+,d ,t .. &'.te;;d~ ·-····················=:::: Nooe ..... ~•t:,p_ ~•::: .......... .
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 ................•
t 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 p•ayme nt of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
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Front Yard Set Back ........ ~O. ............. ~ ... . Driveway Permit Required Yes (/ No ( ) Fee ...... !.L.l.S ................. .
-1
Side Yard Set Back ............. 4 ........................ ===················· Grading Permit Required Yes ( ) No(v'f"_ ...................................................... .
Rear Yard Set Back ........ /..~ ........ '.. ........................................... .. Sewer Disposal Plant Capital Cont. Fee ..........................h11t\.r ............................ .
/(> I ~ Distance Betwoon Bldg ................................................................ . Sewer Pumping Station Capital Cont. Fee ........................... h 9.-.f.\f ........................... .
Off Street Parking Spaces ...... ~., .......................................... .
Sewage Disposal System ........... &..~ .............................. .
Zone • Residential ( 3 ) ........................................................... .
Sewer Main Line Cost .............................. ft/ ....... b.Jf····_({J.(1.~±.t... ............................ .
Sewer Lateral Connection Charge .......... l?.cJ ............................................................... .
✓ Water Stocked lands Charge ......................................................................................... .
Zone -Commercial ( ) ··•···················································•··· Water Main Pipe line Fee ·····································'!!(__·················································•
Water House Service Charge ................ ~~ .... WtiL. .. ~ .. D .. y.i. .. lrJ ..... .
Water Meter Charge ... ~ .. ~:. ......... 1/.. .. .S:... .. '!!. ... ~ ...... -_::·······································
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_ Sub Total ............... .':f .................................................................. .
Plans Approved~············;n··································································Plan Check Fee ....................................................................................................... .
App,ond by .: ..... f:;:.k .. l ... \!,,&.~ ........................ B•Hd;,g Po,m;+ Foo •... '/ ,, ~ ······;:,:·:;;:;cc·····································
Date ........ ~ --=-:: .... 8:. .. =···b. ... ~........................................................ Total Charges ....................... 2-'!/... ....................................................... ..
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1" 99-. "2.S-