HomeMy WebLinkAbout2645 CARLSBAD BLVD; ; 62-4174; PermitAPPLICATION FOR RIUL PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-1 181 - Ext. 36
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Owner Name ...... J(*™<*$. ................... fe> ........................ AJ* ......... Mailing Address
(Please Prinji. — ./ I (LasV) (First) (Middle)
Contractor ..lfc5HLlfe<>^ AddreK
/|/ (Please Print) Number
To Construct &j To Add LI To Alter LI To Repair LI To Convert US To Move From
41?4
Number Street
j
Street
City
City
Phone
Phone
Type of Corist.^XA^*W< Kind of Foundation Wr^T*1r<.v_..,....No. of Stories....'&??.... To Be Used
(Frame, Masonry, Etc.} s"~~*>. ^ns Family Dwelling, Store, Etc.}
Floor Space of Proposed Construction {iq. feet) ..C>*.O..7r.j£ .Const. Valuation $.
attached Q
Floor Space of Garage (sq. feet} _.*^:~.; detached QConjt. Valuation $.
LEGAL DESCRIPTION /4~ /
Lot Block Subdivision
..Section n-v- • Township....Range.
Located at ...S^..!te.fr^..-.-.!L-AK3^ Street, Near
Assigned House Number 0'
LAND AREA - NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE (INDICATE
SIZE, USE AND LOCATION OM 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 e check is tendered for p-ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be SIGNATURE OF
immediately revoked, PERMITTEE
.S
Y
V. _
Front Yard Set Back ... ...... ..-.* .............................. Driveway Permit Required Yei ( Y\ No f ) Fee Z.25.
Asl ~^* fl/e£f> G&APZSSide Yard Set Beck ..... ...J#3?..*£!.^ ....................................... Grading Permit Required Yes | ) No | ) ................. .............
—•/ *
Rear Yard Set Back ..... .>•£>.... .......... /^/.^..^/ .................. Sewer Disposal Plant Capital Cont. F«e ........... /^
Distance Between Bldg ............................ .................................... Sewer Pumping Station Capital Cont. Fee ../Vc?A/£
Off Street Parking Spaces
Sewage Disposal System ....
Zone - Residential ( )
Zone - Commercial (
Variance
Eng. Check By
Sewer Main Line Cost
Sewer Lateral Connection Charge
Water Stocked Lands Charge
Water Main Pipe Line Fee ...
Water House Service Charge
Water Meter Charge
.
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J
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Sub Total