HomeMy WebLinkAbout285 Juniper Ave; ; 61-4062; PermitAPPLICATION FOR B~DING PERMIT 4062
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
Owner Name
{Please Print) Address · 'ffi[~·~Cii~ Phone
-~~~-1.::'_~~tlli.11ngng ~ .. '-:L'/?t ..... UJ.f?!f~ .. ~I Contractor
( Please Print) Number Street City Phone
To Construct ✓To Add D To Alter D To Repair D To Convert D To Move From . _
Type of Const.~.~nd of Foundation. .... No. of Stories.--·-·-·-------To Be Used/or 7~
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ................ Const, Valuation $ ....
attached D
Floor Spece of Garage (sq, feet} ........... detached OConst. Valuation $ ..
LEGAL DESCRIPTION Lot Block Subdivision
Range ...
LAND AREA ___ ...... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE . .. ........ (INDICATE
SIZE, USE AND LOCATION ON PLOT PLANl_;,>VILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION. ALTERATION. OR
ADDITION? YES,___ NO ... k'.'.'.'.:: ....
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 payment of the obove 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 .
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No (.t.--( Fee
No (4<" ..
Rear Yard Set Back .
Distance Between Bldg.
Sewer Disposal Plant Capital Cont. Fee ..
Sewer Pumping Station Capital Cont. Fee .
Off Street Parking SpacH .
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 Char~• .
Sub Total
Plans Approv•~·'xi····7j()··~--r· .. ··································· .. · .. ······ .. Plan Check Foo
Approved by .. ~:: . ..,S: ........ o>.~---~~uilding Permit Fee
.. 9~7-~/-Date Total Charges