HomeMy WebLinkAbout2770 MADISON ST; ; 63-5310; PermitAPPLICATION FOR BIQDING PERMIT 5310
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkw•y 9-1181 -Ext. 36
Owner N•me .... 81.;kf.t>l ........ &it..LAt').,___ ···········M•mng Address .. s...o.-z.. ......... l.A:-: ... Ca .. s.14 Su,./._~
( Pleose Print) rj LastY { First) ( Middle) Number Street City Phone
Conlreclor /yd-lJ#.. ... L/;_eA-.L/,.(t(J ... Wu.s..t::.C..a ......... M.mng Address .zi~ ...... ?A: .. t.1"z.4JA.S.H«...Ciear.e<Y..l-f
(Please Print) Number Street . City /ii;:, i~ll ~
To Construct 1/f" To Add 0 To Aller D To Repair D To Convert D To Move From ·····-----------
Floor Space of Proposed Construction (sq. feet) .. 8.:.6. ... r.. / Const. Valuation $. Q f?...c::2./ .... 6.. ... 6..a::._•_L_O_" __ _
attached D
Floor Space of Garage (sq. feet) ....... ------detached OConst. Valuation $--------------------
LEGAL DEscR1PT1ON .M ... UJ.flv .. 3.'.?h.;,.3. ...... ~ ..... ~ .. ~ .... lf.._ . .8'... ~ 4.~'d.R...i~--------ro+ ~t)-· Block Subdivision
or ---·--f?··7:.····1···LJ ~ :••lion... a ....... Township .......... ,, ............... Range ..... ___ _
Located .r-;7. 27"J• 222~~-----..>.lreel, Neer ........ :k1.. ... !< ... ':: .. ~~dl;:..,!~(.._----------
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 __ _
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 o check is tendered for p-ayment of the .?lbove fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
I Front Yard Set Back ......... .,;z .. Q ________ _
Side Yard Set Back __ __,..,8' .. _' _______ _
b I Rear Yard Set Back ............ / ....... ________ _
.{)/~
Distance Between Bldg •...... / ...................... .::::;::;___c, ....•.........
Off Street Parking Spaces _....,_/_{;)_:::,-_______ _
Sew•g• D;,po••I Sy,tem ......... &'o/------
Zone • ResidentlGI I ~ )
Zone -Commercial
Variance
Eng. Check By .. -------------
Driveway Permit Required Yes I )<1 No ( ) Fee ........ /,. .. :?. .. 2-. .......... .
Grading Permit Required Yes ( ) No l)<l
Sewer Disposal Plant Capital Cont. Fee
Sewer Pumping Station C11pital Cont. Fee ·····--=====.::_ ____ _
Sewer Main Line Cost ···························---'======="~'----
Sewer Lateral Connection Charge ..................... /. ... 2 .. k. .. 1.S 0 -1;;1-1211
Waier Stocked Lands Charge ----------------· , ,.
Water Main Pipe Linet.{;• •µc_.S""l.··· ~·········r,.·····Z. ~c,t,
Water House Service Ch:,:e _£(.../-.1.. .. j}}, /-~---••
W•ler Meler Chu~• ···---------..... )_1.__,i,"-·--
Sub Tot•I .... -3..D..~ __ 3-,--:::....:, ______ _
Plans Approved by~·----~~------·----Plan Check Fee
Approved by ............. ~.~ .. ~ .. ~ .. Q1. .. ~----~B,•Ailding Permit Fee ...... / .. ~~~ ~ .... _________ _
Date ·········.:; .:-::: .. .f.e:::::. .... ~3............. Tol•I Charges ____ ll_y_,· .... 9D.::__z_.:._-____ _
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