HomeMy WebLinkAbout2642 DAVIS AVE; ; 63-5324; PermitAPPLICATION FOR BlltDIRG PERMIT
"N? 5324
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
/-} PHONE PArkway 9 II8L- Ext 36
Owner Name
(Pleasa Print)
Contractoi
To Construct
(Last)(First)(Middle)
(Please Print)
To Add D To Alter D
,. ./)F Foundation
Address
Mailing Address
Number Street
Type of <
/? v (Frames Masonry Etc
"^C<^i_ "ft-d L&.CLJI.
Proposed Construction (sq feet)
i
/C?
Floor Space of Garage (sq feet)
LEGAL DESCRIPTION
Number Street
To Repair D To Convert D To Move From
-_ ^"* No of Stones
• ^v^
=s-i Const Valuation $
attached D
detached QConst Valuation $
City
City
Address
Phona
To Be Used for -~Z,
(Ono Family Dwellmq Store, Etc )
Lot Block
or
Located at
LAND AREA
Subdivision
\TownshipSection
Street, Near
Assigned House Number
NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE
Range
(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 ALI 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
immediately revoked
SIGNATURE OF
PERMITTEE
Front Yard Set Back
Side Yard Set Back
Rear 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 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
Water Meter Charge
Sub Total
Fee
Plans Approved"^ ^-^
Approved by
Date
Plan Check Fee
Building Permit Fee ^^-
Total Charges