HomeMy WebLinkAbout2757 Highland Dr; ; 62-5234; PermitAPPLICATION FOR BUI1DING PERMIT
5234
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181. Ext. 36
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Contractor .... U~"'2-~-.:'t""··"··[!··(-..-...... L .. ~ ................... Mailing Address 1=-..~ .... f.~ ..... t.£. .. ~~ .. ::1.£.. ... :-:::: .... f. ... ~~
( Please Print) Number Street City Phone
To Construct r,;;( To Add D To Alter D To Repair D To Convert D To Move From ............................................................. . ;=, Address
Type of Consr~ .. ~ .... ~ .... ·Kind of Foundation .................................... No. of Stories ................ To Be Used for ............................................................. .
( Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet)~.,,.C'..4 ... #nst. Valuation $ ... /✓-. ..2..8..( .... , ..... :::::. .................................................. .
attached D
Floor Space of Garage (sq. feet) ................................................. detached OConst. Valuation $ ..................................................................................................... .
LEGAL DESCRIPTION
Lot Block Subdivision
or .................................................................................................................................. Section .................................... Township ............................ Range ........................... .
Located at .................................................................................................................. 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................ NO ... r_ ....
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 f:·ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked. SIG~ti~~AE~F £..?L .... 4!_ .... rff ~ .. ~ .................. .
Front Yard Set Baek ..................................................................... .
Side Yard Set Baek ..................................................................... .
Rear Yard Set Baek ..................................................................... .
Distance Between Bldg .............................................................. .
Off Street Parking Spaces ......................................................... .
Sewage Disposal System ............................................................. .
Zone • Residential ( ) ···························· ............................. .
Zone • Commercial ) ....................................................... .
Variance
Eng, Cheek By .............................................................................•
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
Sewer Disposal Plant Capital Cont.
No ( ) 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 ....................................................................................... .
Water Meter Charge
• ....................... u .................................... ····-····-························· ..
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