HomeMy WebLinkAbout1789 RATCLIFF RD; ; 63-5252; PermitAPPLICATION FOR B DING PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner Name ~7.' ......... ~ ... C.. ..... ":'.'. .................. Mailing Address /..7..tf..?... .. z(...¢#/2 .. & .... :~
(Please Print) (last) ( ·,st) (Middle) Numb~;· Street City Phone
Contractor ··················--~~~ .. . .................. ::'.::: ...................................... Mailing Address ....... ~~~ .................... .
( Please rint) Number Street City Phone
To Construct,. To Add D To Alter D 'ro Repair D To Convert D To Move From ............................................................. .
Typo of Cons~ .. ~d of Foundation ...... ~ ... ~of Stories ................ To Be Used for ................. ~.~.~~.~.~~································ (Frame, Masonry, Etc.) ft Fomily Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ..... r..7./~ ...... ~.Const. Valuation $. / Of • -........................................................... .
attached D
Floor Space of Garage (sq. feet) ................................................. detached OConst. Valuation $ ...........................................................................•...................•......
LEGAL DESCRIPTION •••••••••••••••••••••••••••H .. •••••• .. •••••••••••••••••••••••••••••••••••••••••••••••••••• .. ••••••••••••••••••••••••••••••••••••••••••• .. ••••••••••••••••••••••••••••••• .. •••••••·••·••··•••••••••••••••••••••••o•••OOOoOOoOUoooh Lot Block Subdivision
::.:::::, /1£~£L£~LL ~::::.· N,,, ···························T~~"'"' ...... ,.,. :·::: :::
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·oyment of the above 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 ..................................................................... .
Rear Yard Set Back .................................... ································-
Distance Between Bldg .............................................................. .
Off Street Parking Spaces .......................................................... .
Sewage Disposal System ............................................................. .
Zone • Residential (
Zone -Commercial
Variance
I ............................. ·····························
I ························· ·······························
Eng. Check By ............................................................................... .
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No ( ) Fee ................................... .
No I I ..................................................... .
Sewer Disposal Plant Capital Cont. 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 ....................................................................................................... .
Sub Total ..................................................................................... .
Plans Approved b'(; ... 7 ........................................................................................... Plan Check Fee ~
.,,~,., by M ~~ ,,;Id;,, ,,..;, ,:-:j2 ::••··········································
Dato ......... po/ .... ~............................................................. Total Cha,go, ;.tc