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HomeMy WebLinkAbout2407 BUENA VISTA CIR; ; 63-5486; Permit. .. 1. .. APPLICATION FOR B [ D 11 6 PERMIT .. - N? 5486 CITY OF CARLSBAD - BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 - Ed. 36 @Ah 8 Owner Name .... /kf%?/dy .......... E .... I ...... &.s/ ...... Mailing Address .................. sqL2 2 .... Acz~&..#i6...J*.& Phone (Please Print) (Last) (First) (Middle) Number Street City ................................. Contractor ........ ................................................................. Mailing Address ............. p- ........... ..--s [Please Print) Number Street City Phone TO Construct To Add 4 To Alter 0 To Repair To Convert To Move From .............................................................. Type of Const. ........ ..... Kind of Foundation ........ %.<...No. of Stories .... 1 ......... To Be Used for 72; ... .____e ........................................... (One Family Dwelling, Store, Etc.) -3 4 -ea (Frame, Masonry, Etc.) Floor Space of Proposed Construction (sq. feet ] ......... -3 ................. Const. Valuation $............/>..&A . ............................................................. Floor Space of Garage (sq. feet) ............... 1............ ..................... detached Oconst. Valuation $.. .................................................................................................... attached 0 LEGAL DESCRIPTION ........................................................................................... _................. .............................. Lot Block Subdivision ....................................................................... or ................................................................................................................................. Section ................................. Township ............................ Range ............................ .... &.Le ..... 02- ear ......................... &J=Gdi ................................................... Assigned House Number .................. ............... LAND AREA (INDICATE SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES ................ NO .... P 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. ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE 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. Front Yard Set Back ...................................................................... Side Yard Set Back ........................................................................ Rear Yard Set Back ...................................................................... - c__' Distance Between Bldg. ................................................................ Off Street Parking Spaces ..... Sewage Disposal System ................................................................. Zone - Residential ( I ] ............................................................ Zone - Commercial ( .................. ) ........................................ Variance Eng. Check By ......... .......................................................................... Driveway Permit Required Yes ( ) No (dFee ...................................... Grading Permit Required Yes [ ] 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 ..................................... No ................................................... .................................... .. Sub Total ...................................................................................... Plan Check Fee ........................................................................................................ Approved by .... ... building Permit Fee Date ........ /a.r .... 6 .... r.63 .................. ..................... Total Charges