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HomeMy WebLinkAbout2530 Jefferson St; ; 63-5240; PermitAPPLICATION FOR Bu l Jj DING PERMIT 5240 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PAr~ay 9-1181 -Ext. 36 ?Pi::;e ~~i~;??-~/ _____ 1.,_;f-~Mid~i~ .. --.. -.. Mailing Contractor -~ .. --.. -...... -...... ~~-=: ................................ _ ......... Mailing Address ..t. .. f~ .... -~-~ .. ~;. Address .. -.... -~--~ ...... _:. ........ -................... _ .......... . Number Street City Phone To Construct~ To Add D To Alter D To Repair D To Convert D To Move From .......... -............................................ -.... .. ~ ~= Typo of Cons(F;~,:,:;~~Kind of Foundation .. -~-~ .. -No. of Stories.. .... / .... -To Be Used f(O~~~jj~··:;~~f-- Floor Space of Proposod Construction (sq. feet) ...... _:::,:!5.?.d: .. : .......... _Const, Valuation $ .. _: .. g .. ~~ ...... -.............................. _ ............ .. Floor Space of Garage (sq. feet) .......... _ .. _ ...... _ .. ~Z;{: .... _ ::+:~~=~~onst. Valuation $ .... .:2._.J._£.<!_ .. _ .. -~ ........ _ ....................................... -.. .. LEGAL DESCRIPTION .............. _ .. _ .. _L~t .. f.. ........................ -.. -........ ~~k .... :._ .... _ .. __ .......... _.::s.::.~~fo(~/;,. .... ~_ ........ .. or .......... _ .. _ ............ -...... --...... -................................ -...... _ ........ -.............................. -........ Section_ .... _ .............................. Township ........ __ ............ -.. _ .. Range .......... -...... -...... __ ,, Located at _..,2._4iftt-~-~·~;~~eet, Noar .. _ .............. -.................. --........ -.. _ ............................................. -............... . 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 .. --A .... , 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 Fayment of the above fee and the check is not honored when presented for payment, your Building Permit will be immediately revoked. Front Yard Set Baek .................................................. _ ................ -Driveway Permit Required Yes ( Side Yard Set Baek ........................................ _ ............................ _ Grading Permit Required Yes ( ) No ( ) .................................................... _ .. Rear Yard Set Back .......... -.... -............................ -...................... _ .. Sower Disposal Plant Capital Cont. Fee .......................................... _ .................. _ .. _ .. .. Distance Betwoen Bldg ......... -.................................................... .. Sewer Pumping Station Capital Cont. Fee .................................... _ ........................... .. Off Streot Parking Spaces .... -.......................... -.......................... . Sewer Main Line Cost ...................................... -........................ _ ...... _ ............................ _ .. Sowage Disposal System ............................................................. .. Sewer Lateral Connection Charge .................. _ ............... -.................................... -...... .. Zone -Residential ( ) .................................................... _ .... _ Water Stocked Lands Charge ........................................................ _ ............ -............ _ .. __ .. Zone -Commercial ) ........................................ _ .............. -Water Main Pipe Line Fee .. -........................ -............................................ _ ............ _ .... .. Variance Water House Sorviee Charge .......... -................................... -................................ -........ _ Eng. Cheek By ...... -.......... -.. -.. -...... -.... -.. -.... -.............. -...... -............ .. Water Meter Charge ...... -........ _ .. -................ -........... _ .. _ .. -.... -...... -............................ _ ........ _ Sub Total ................. -........................ -.......... -...... -.......... -.... -........ _ Plans Approved bl_ .. _7 ............ __ .. __ .......................... -................ _ .... ,,_ .. _ ................... Plan Cheek Fee .. --.. -...... -................ '?' .. -........ -.......... -........ _,,_,, ........... -...... -.... .. Approved by .... ~-~ .. ~~.L.-C. ...... _ .... _ .. , .. _ ................ -Building Permit Fee -·----/~ .... -.. -;;., .. -.... -...... -.. _ .. __ .... ,, .......... __ .... _ ............ _ .. _,, D,t, ...........• lf t;,t..-.. b. . .3. ........ ········-····-···-························· Tot,I Ch"'" .. / ,,.L .... ----···························-·········-········-······- b1