HomeMy WebLinkAbout2550 CARLSBAD BLVD; ; 62-4237; PermitAPPLICATION FOR PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PAHtway 9-1 181 - Ext. 36
NJ 4237
«2j>^ST)Owner Name f^.^./Y./*X/././H /___/_.£)_. /CT,/. Mailing Address
(Please Print) ^-^ (Last) , /(First) _ (Middle) J^umber
Contractor -r?.. ..; ..< ...rrV^r^Sr-^-r^-, ^ -Mailing Address
To Construct D To Add To Repair D
Number
To Convert C3 To Move From
Phone
/"2.~/^A-^'.-tr>-A^_Xind of Foundation ...C-<?~?<^<L-/-,No. of Stories ...... /Type of Const.
(Frnme, Masonry, Etc.)
Floor Space of Proposed Construction (sq. feet) ... /._> O.tx&. Const. Valuation $
„, •. attached Q
Floor Space of Garage (sq. feet) detached QCoiist. Valuation
7 1 V- / 1 // ><3 J f fe? .*
Lot Block
To Be Used
(One Family Dwelling, Store, Etc.)
.*•? ..... 7TT ...... ............. ............... ....... ........
LEGAL DESCRIPTION
Subdivision
Section , Township.Rant
Located at c>^.^..W...W,..V^.*^UJ^...lW»-<»< ,S-K^t^...: Street, Near1,
Assigned House Number
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 i-^ 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
nor honored when presented for payment, your Building
Side Yard Set Baclt -
' f
Rear Yard Set Baclt ^ -- /^VVIrrVr-
Off Street Parking Spaces .4-J.. _/T..Ct-.Q.
i
&XL.
Permit will be SIGNATURE OF _ / 'f ~ A (/ 1) ^j J79&/0 ,
PERMITTEE >H^^^^-«t/v^-f"' ff. JjHCvt-l^aIA
Driveway Permit Required Y«s ( ) No { ^) Fee /VV V''.A_;r;
A/.,- •' s:~ .... Sewer Disposal Plant Capital Cent. Fee - ( -J - • • —
V^A/C-
_ _ . j*?* *\. *~s\ <5 ^-*
Sub Total *d! 0 ,.**S 7i ^ "^"7
Plans Approved/fay~~~r->_ ^<~\. r , Plan Check Fee
Approved by ^>...^.:....LLai^--J'ws!C<</^^^ Building Permit Fee
Date *-(...~ ?*:..&> C tS»....*^C Total Charges