HomeMy WebLinkAbout2890 Highland Dr; ; 61-4118; PermitAPPLICATION FOR B IQ DING PERMIT 4118
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArlway 9•1181 • Ed. 36 '-::? O.£!. ;;z:.-1/6 t-
?Pi::;. ~~i~:) Ul:Jf:{~'.e ··~<Jitf'tJid.TMiddle) MaUing Address l~~~;,e~N.t1~:f4//,,y~k_""~f~!
Contractor .... (i.u.nRIJ.N.l"(:.e..d... /{tJ..LY.l..e..S. ..... MaUing Address .. l9.SI .... £.M'lJ-,,,.C2eA.H.XL✓.@ ..... .
I 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 Consi~+;/ind of Foundation .t!.h.u.L ....... No. of Stories .. / .... To Be Used f(o;~·~·--··;;,i~;~.-··e•~·-i""··
.9-3 .. 0 ................. Const. Valuation $ ..... ~ ............................. . Floor Space of Proposed Construction (sq. feet)
Floor Space of Garage fsq. feet) ::?..40. da:::t:j ~-Valuation$ b!.0.~~.C:.. .. ~.: ________ _
.......... HJR.,"'IPf Ii?.l LEGAL DESCRIPTION
Lot Block Subdivision
or . ...............................• Section ...... Township . Range ......................... .
Located et ;}.8. 'JO.. J/.1 ~A /1:1 N..d .. . .... .Street, Near .
Assigned House N'umber
LAND AREA ................... . .. NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE . .fll/.~. !INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES .. k'.'.'.'.'.'.::.. 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.
1f a check is tendered for payment of the above fee and the check is
not honored when presented for poyment, your Building Permit will be
immediotely revoked.
SIGNATURE OF
PERMITTEE
Front Yard Sat Bacl .. ,2..IJ. ... ' ... /"1., .:../ Driveway Permit Required Yes (/, No ( } Fee .... / ~-
Side Yard Sat Bacl ........... 7 .. ~. ....-
Rear Yard Set Beck ....... /.J./. .. ~ .............. ~
.(},
Distance Between Bldg .... / ............ .
_...,...
Off Street Perking Spaces . /
Grllding Permit Required Yes ( ) No I ) ..
Sewer Disposal Plant Capital Cont. Fee .....
Sewer Pumping Station Capital Cont, Fee ..
Sewer Mein Line Cost
Sewage Disposal System ..... . Sewer Lateral Connection Charge ··•·•···································----
Zone -Residential ( J ) Water Stocked Lands Charge
Zone -Commercial Water Main Pipe Line Fee
Variance
Eng. Checl By ...
4fJ Water House Service Charge ........... ······s-····: ...... . ,o
····•··•··✓i·
Sub Total . .. / 0 (:,
Water Meter Charge
Plans Approved ~;:,············'T)·~·1 ....... : .... ~ .... ~.................. . ____ Pfan Check Fee
Approved by ...... ..l.\ . ..; .. S~ ... \..A1.·.~-------uilding Permit Fee
Date /J, ~.;},~.-:::..~L---Total Charges
. .;$,,S~
... l!i3t~.~= ............................. .
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