HomeMy WebLinkAbout2855 CARLSBAD BLVD; ; 62-5093; PermitAPPLICATION FOR JJUl-jDIlSG PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArlrway 9-1)81 - Erf. 36
~N! 5093
Addre,,
Contractor .S^..^^^.;*^^^-^.-^ Mailing Address
Owner Name
(Please Print)
To Construct Q To Add To Alter Q
Type of Const. MJ.»*r(2>s Kind of Foundation,
(Frame, Masonry, Etc.)
To Repair
Number Street
Number Street
1 To Move From
City
City
Phone
Phone
To Convert
. of Stories To Be Used for
(One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction {sq. feet) .Cs,£f.,S*. .Const. Valuation $..
fc attached D
Floor Space of Garage [sq. feet) ™~...l...;;..7Zn:- detached DConst. Valuation $.
LEGAL DESCRIPTION
or * •=;•- ••—*• Section
Located at G&3>£!^.M~4!&<%4to^ Street, Near
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 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 SIGNATURE O
immediately revoked. PERMITTEE
Front Yard Set Back
Side Yard Set Back
Rear Yard Set Back
Distance Between Bldg.
Off Street Parking Spaces
Sewage Disposal System
Zone - Residential ( }
Zone - Commercial ( )
Variance
Eng. Check By
Driveway Permit Required Yes ( ) No ( ) Fee
Grading Permit Required Yes ( ) No ( )
Sewer Disposal Plant Capital Cont. Fee
Sewer Pumping Station Capital Cont. Fee
Sewer Main Line Cost
Sewer Lateral Connection Charge
Water Stocked Lands Charge
Wafer Main Pipe Line Fee
Water House Service Charge
Wafer Meter Charge
Sub Total
*6JX&34 Building Permit Fee .
Total Charges