HomeMy WebLinkAbout2400 BUENA VISTA CIR; ; 63-5410; Permit.... .....
APPLICATION FOR B u ked D I N 6 PERMIT - N? 5410
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArkway 9-1 181 - Ext. 36
Owner Name fl ............................... gL #&. o... ?..G.d.o.l!& ....................... Mailing Address zph& ...................... ... &L.kJ&L
Contractor .&##..&&...c ....
Y
(Pleaso Print] (Last) (First) (Middle) Number Street City Phone
............................. Mailing Address .. (Please Print) Number Phone
To Construct IJ To Add !J To Alter 0 To Repaifi To Convert 0 To Move From .............................................................. Address
Type of Const2A..-nd of Foundation no. of Stories ............... >To Be Used for ..............................................................
Floor Space of Proposed Construction (sq. feet] /y..&..gf..t: ...... Const. Valuation $ .... gy.$.9 ........ - ..............................................................
(One Family Dwelling, Store, Etc.)
*---ed--?
(Frame, Masonry, Etc.)
attached 0 Floor Space of Garage (sq. feet) detached OConst. Valuation $ .......... : ................. .................. ............................ ......... .....-.......
LEGAL DESCRIPTION ........................................................................................... _.................. ..................................................................................................................... Lot Block Subdivision
or Section .................................... Township ............................
Located at S..f..E..... ............ ...&-..... Street, Near
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 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. PERMITTEE ....................................................................................... __-.___. SIGNATURE OF
Variance
Eng. Check By ................................................................................
I
Driveway Permit Required Yes ( ) No ( )
Grading Permit Required Yes ( ) No ( ) ......
Sewer Disposal Plant Capital Con). 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 ......................................................................................
Plans Approved b .......................................................................................... Plan Check Fee ................................ ...........................................................
Approved by .......................................................................................... Building Permit Fee ...........................................................
Date .......................... .-./..-.’ ......................................................... Total Charges .. ................-.-...---..........-.........................................-.- ?,,,A