HomeMy WebLinkAbout2550 CARLSBAD BLVD; ; 63-5376; PermitAPPLICATION FOR PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArtway 9-JI8I - Ext. 36
Owner Name
(Please Print)
Contracto
To Construct
(Last)(First}(Middle)Number
Address
To Convert
Number
To Move From
Street
&
Street
City
Jt
City
Phone
Phone
Address
Type of Const. j5__jjfrf<-— kind of Foundation
(Frame, Masonry, Etc.
Floor Space of Proposed Construction
. of Stories To Be Used for
(One Family^D^elliiKj, Store, Etc.)
. ^—- . — t/-— -•-?•"—- ~ -—,_ t=—-^j, i_s »- —• — -y - I
y\...A.(../.....Const. Valuation
attached Q
Floor Space of Garage (sq. feet) „,„. detached QConst. Valuation $.
LEGAL DESCRIPTION
toV Bjack Subdivision.—"",* X - ••" ?
i Section.^. ;j...v,.-.. Township...,Range.
Located at ^^ .^ ^ t^*£$^8^^ -..Street, Near
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 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 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 Baclt
Rear Yard Set Back
Distance Between Bldg.
Off Street Parting 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 Conf. Fee
Sewer Pumping Station Capital Conf. 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
Sub Total
Plans Approved by ... — - -Plan Check Fes
Approved by ....yy:..^.pyt^^^^^<^-'^-'' '•--• Building Permit Fee , ./.
Date Total Charges