HomeMy WebLinkAbout1790 RATCLIFF RD; ; 62-4247; PermitAPPLICATION FOR uuQo1NG PERMIT 4247
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
Owner Nem~.bE .. P:r~ay~~rl• ..
36
............. Malllng Addre,,$~J.~.~ .... /2~i····~~~q_/ <?Q,A
(Please Print) (Last) 1:First) , {Middle) Number Street City Phone
Contractor ........ ~•········•-····················································Meiling Address ---~---·······························-······················ ( Please Print) Number Street City Phone
To Construe:+ ✓r:" Add D To Alter D To Repair D To Convert O To Move From .
Type of Const.~ ... Kind of Foundatlon.~L .. No, of Storie,./ ...... To Be Used for .. ,[) .. :::t!, ... .
{Frome, Masonry, Etc.) (One Family Dwelling, Store, Etc.}
////~-::.h~~:::•t. Valuation$ ....... r;, .. ✓~..:. c;>~ .. ~qg:,
................. 11..~.7 ...... detached □Const. Valuation $ .. C······~-
Floor Space of Proposed Construction (sq. feet)
Floor Space of Garage (sq, feet)
LEGAL DESCRIPTION Subdivision
or .
Located at .
........... Section..... . To/h~-··············=
........ StrHI, Nm······~ .. ~ Range
LAND AREA .... . ........ NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ... ~ (INDICATE
SIZE, USE AND LOCATIO~PLANJ. 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 e check is tendered for peyment of the above fee and the check is
not honored when presented for peyment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE -----····················---
Front Yard Set Back .. dtJ. .. ' .. ~•-·
Side Yard Set Back ....... 2.8. .. ~ .. . _,,
Rear Yard Set Back ....... /.~ .......... .
Distance Between Bldg ... /0. ... ~ .. .
Off Street Parking Spaces . / ..
Sewage Disposal System . . .. ~•··
Zone -Residential ( / )
Zone -Commercial
Variance
Eng. Check By .
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No {,(Fee
No IV(. --~ Sewer Disposal Plant Capital Cont. Fee ................... Td.-.. 0 ..................... .
Sewer Pumping Station Capital Cont. Fee ....... /. 6. 0
Sewer Main line Cost . ··················-················---.
Sewer Lateral Connection Cherge .
Water Stocked Lands Charge .
Water Main Pipe Une Fee .
Water House Service Charge .
Water Meter Charge .. //l~~?,~?;;;,.a.-
/ 94' ~ Sub Total .
. . ,,,,:;,7_0_. 0-..... -.. -
Total Charges