HomeMy WebLinkAbout2661 DAVIS AVE; ; 61-4058; PermitAPPLICATION FOR BlmliDIM PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 - Ext. 36
NS 4058
Owner Name /..G...«../>£.*!>£ i/T..,t .Jf...* Mailing Address
(Please Print) f/~} (La.st| ^/ (First),/ //(Middle]
Contractor Mailing Address
(PleasePrint) ' " Number
To Construct D _To Add $3 To After D To Repair Q To Convert Q To Move From
Type of Const. ./^Uft^1f1^r^-K\nd of Found ation....?*?1^*^/ No. of Stories /
(Frame. Masonry, Etc.)y/j?^
Floor Space of Proposed Construction (sq. feet) ^7rT-<?...V^ .Const. Valuation $
^^^^^^ attached Q
Floor Space of Garage (sq. feet) TT .'.". .T^detaehed QConst. Valuation $
Phone
Family Dwelling, Store, Etc.)
LEGAL DESCRIPTION
Lot Block
Located at
Assigned House Number
Subdivision
Section - Township...
Street, Near
Range.
LAND AREA NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE (INDICATE
SIZE. USE AND LOCATION ,pN PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
NOADDITION?YES.
TIONpN
] 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
immediately revoked.
SIGNATURE OF
PERMITTEE
Front Yard Set Baclc
Side Yard Set Baclc
Rear Yard Set Back
Distance Between Btdg
Off Street Parking Spacei
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 Con*. Fee
Sewer Pumping Station Capital Cont. Fee
Sewer Main Line Cost —
Sewer Lateral Connection Charge
Water Stocked Lands Charge
Water Main Pipe Line Fee
Water House Service Charge
Wafer Meter Charge
Sub Total
Plans Approve<L-by ^_...--xX^V /^ - Plan Check Fee
Approved by _..P^_^.~-*!*^./^*?*S±??^^ Building Permit Fe«
£\ V—• /*" /"
Date v^~.O....*TT<2?./r. Total Charges