HomeMy WebLinkAbout2550 CARLSBAD BLVD; ; 63-5258; PermitAPPLICATION FOR PERMIT
'S3 5258
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 - Erf. 36
Owner Name .(\s//.*3 UA' - .C^T.^^A.../ Mailing Address
(Please Print} _ (Last)/ (First) (Middle)
Contractor .^.^^d^C./rL^U^-.t-^:. Mailing Address
Number
To Construct Q _ To Add
Type of
Number Street
To Alter D To Repair Q To Convert D To Move From
ind of Foundation.^...^-:..^"1!^...'. No. of Stones X To Be Used
City
City
Phone/
Phone
(Frame, Masonry, Etc.)
Floor Space of Proposed Construction (sq. feet) .—^^-fe?.-*^—.— Const. Valuation $
attached PJ
Floor Space of Garage (sq. feet) .- *T - detached QConst. Valuation $.
LEGAL DESCRIPTION
(One Family Dwelling, Store, Etc.)
Lot Block
Located at
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.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 c'neck 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
Roar Yard Set Back
Distance Between Bldg.
Off Street Parking Spaces
Sewage Disposal System ...
Zone - Residential ( )
Zone - Commercial { )
Variance
Eng. Check By
Driveway Permit Required Yes { ) No
Grading Permit Required Yes ( ) No (
Sewer Disposal Plant Capital Cent. Fee
Sewer Pumping Station Capital Conf. Fee
Sewer Main Line Cost
Sewer Lateral Connection Charge
Water Stocked Lands Charge
Wafer Main Pipe Line Fee
Water House Service Charge
Water Meter Charge ,
Sub Total
Plans Approve^-by^- .^v.**...- .^^\ /?- Plan Check Fee
/ *"Approved by .../\*. ^^^..f^t^^jr^^C^^^^^ Building Permit Fee
/ 3 > /" ^
Date /-. -.-£>*:/.- - E2..Trrrr,_ Total Charges