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HomeMy WebLinkAbout1790 RATCLIFF RD; ; 63-5308; Permit,,..--- APPLICATION FOR BD1LDING PERMIT 5308 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 • Ext. 36 Owner Name ?~4,f-··i····/I. J, U,iling Address /Z .. f.!_.✓-f?~ !./.. .... £4-. (Please Pd,t) (Last) • /, / (fost) (Middle) Number Street ~ity Phone Contractor ,,,;:~,,,.::::.,d.:.✓.:~'::::----=-----------l~ailing Address .......... 5-.. ... ~------ Number Street City Phone To Construct D To Add f. To Alter D To Repair D _To Convert D To Move From············---------- Type of Const .... _5l:A.~ind of Foundation .. C1J.....f .. -.. £ .. ~-i!!:Ystorie, ..... ). ... To Be U,ed for. ~~~ {Frame, Masonry, Etc.) (On-ff;:~ly Dwelling, Store, Etc.) Floor Space of Proposed Construction (sq. feet) ___ __,/../...t'... ....... Const. Valuation $j!L.4..,..c:::,,.._.,='----------·------ attached D Floor Space of Garage (sq. feet) ................. _::==~--detached OConst. Valuation $. LEGAL DESCRIPTION Lot Block Subdivision or -----·----~--✓--ection..... ____ Township Rang•------ Located at /.7~/!... . ... ~ ... ~! • !l_✓-~treet, Near.... ·-----Assigned ou~~/·····• 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 p-oyment of the above fee end the check is not honored when presented for payment, your Building Permit will be immediately revoked. SIGNATURE OF PERMITTEE ··············------------- Side Yard Set Back------+--------- Rear Yard Set Back _____ .\-------- Distance Between Bldg. Zone -Residential ( Zone -Commercial Variance Eng. Check By ··-------------- No( J Fae ) Driveway Permit Required Yes { . Grading Permit Required Yes { ) No ( I ___ / ___ _ Sewer Disposal Plant Capital Cont. Fee -------\,------- Sewer Pumping Station Capital Cont. Fee _______ \.\------- Sewer Main Line Cost ···························---------1'------ Sewer laferal Connection Charge _________ ,,_/ _____ _ Water Stocked Lands Charge ···---------,,_/ _______ _ ( Water Main Pipe Lina Fee ···················-------',---------\ Water House Service Charge _______ _ Water Meter Charge ------------~·v:-'-::._ _____ _ J Sub Total ---------------