HomeMy WebLinkAbout1789 RATCLIFF RD; ; 62-5004; PermitAPPLICATION FOR Bu QB ING PERMIT 5004
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
Own•r Nam~ .. bN·E· p~~~ay
9fu:· .. 3
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6
.............. Mamng
(Pie••• Pdnt) (le•+) (fo•t) ( (Middle)
Addr•s.3.J;:$_=£~'4....~r!y..<J. .. e.
Number Street City Phone
Contractor .... ~ ·---( Please Print)
-------Mailing ..Sa--..-o Address ................................. ::: ... ~ ... ~ ... :, .. ~ .. ---------,--
Number Street City Phone
To Construct~Add D To Alter D To Repair D To Convert D To Move From·················-~--___ _
Typ• of Con•+. ~d of FoundaHon .... ~ ...... No. of Stor;••····/ ...... To Ba Us•d for .... ~•···----
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Propos•d ConstrucHon (sq. feet) ;~t/.<~~··:::+, ValuaHon $ ·§";°·8"·6··tf·QJL···············
Floor Space of Garage (sq, feet) ----~--=:...,::...._detached OConst, Valuation $ ... L,__ ________________ _ ... X: ... ~ ~& ...... . LEGAL DESCRIPTION __ ___,¥._f:;;,=---------
Lot Block Subdivision
or ..... ?-z=5 action........... Township ..... Range ..... .
Located at ..... /.{';;!f-·H~~;;t~;;.. .... lr••t, Nm ~L~-~!-a"-.. ~::!c:::..-£)~~:_ ________ _
LAND AREA..... . ........................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SIT~ (INDICATE
SIZE, USE AND LOCATIO_N ON ~PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES-'~"'---N .. 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 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 S•t Back ...... £.tJ. ..... ~ ....... ~ ..... .
Side Yard Set Back ............... ~ ... '. ................. ~-----
b I L---
Rear Yard Set Back ........ /.. ................ --------
Distance Between Bldg •... /.Cr .. ~ ...... .
Off Street Parking Spaces /
Sewage D;•posal System .. ·········~·······-----
Zone -Residential { / }
Zone -Commercial
Variance
Eng. Check By ···········-------------
Driveway Permit Required Yes (
Grading Permit Required Yes { )
) No(~ Fae
No(~····---
Sewer Disposal Plant Capital Cont. Fee ............... ~-0 e,_
oc;>
Sewer Pumping Station Capital Cont. Fee ...... l._~,!}~.':0:'....:==::==-----
"' Sewer Lateral Connection Charge ·········--7-1>----------
::::: ::~~•:i~.-•~:.c:::g• . .( ...... .
Sewer Main Line Cost ......... . I'
Water House Service Charge ···········---------------
Water Meter Charge -----------(z/Q ~
Sub Totol __ _,/ 9..0 .. ~O _____ _
Plans Approved ~··r······/7'1···~···· ······---Plan Check Fee .............. .
Approved by ... ~ .... (S;. .. c>., ..... ~~-----"8;1iilding Permit Fee . . .. d .. ./... ~
Date .......... ¥.--:. .. .,;s. .. o✓--.-_,,b::::_"Z---.=_______ Total Charges __ _.,,,6 # ~