HomeMy WebLinkAbout2521 CREST DR; ; 61-4024; PermitAPPLICATION FOR PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 - Ext 36
"NS 4024
Owner Name
(Please Print)
Contractor
(Middle)
(Please Print)
To Construct D To Add &? To Alter D
Type of Const "/P'tiil-'HA^l,—Kind of Foundation
(Frame, Masonry, Etc )
Floor Space of Proposed Construction (sq feet) ^t&£? (J
Floor Space of Garage (sq feet) * '
LEGAL DESCRIPTION ' '
Mailing Address
.Mailing Address
Number
To Repair D To Convert D To Move From
To Be UsedNo of Stories
Const Valuation $
attached D
detached CJConst Valuation $
(One Family Dwelling, Store, Etc )
GO
Lot Block
or
Located ai
LAND AREA
Assigned House Number
Section
Street, Near
Subdivision
Township Rangn
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 chock is tendered for payment of the above fee and the check is
not honored when presented for payment, your Building Permit will be SIGNATURE OF
immediately revoked PERMITTEE
Front Yard Set Back
Side Yard Set Back ~~
Rear Yard Set Back
Distance Between Bldg / O
Off Street Parking Spaces
Sewage Disposal System
Zone - Residential ( )
Zone - Commercial ( )
Variance
Eng Check By
Driveway Permit Required Yes ( ) No (>*J Fee
Grading Permit Required Yes ( ) No ( £•)
Sewer Disposal Plant Capital Cont Fee
Sewer Pumping Station Capital Cont Fee
Sewer Mam Line Cost
Sewer Lateral Connection Charge
Water Stocked Lands Charge
Water Main Pipe Line Fee
Water House Service Charge
Wafer Meter Charge
Sub Total
Plans Approvi
Approved by
&-&Date
Plan Check Fee
Building Permit Fee /
Total Charges