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HomeMy WebLinkAbout1799 RATCLIFF RD; ; 62-5003; PermitAPPLICATION FOR B UQ DI I G PERMIT ,, ....... ' . 5003 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PA,h,ay ~-1181 • Ext. 36 fi;i:::. ~~;~fJ ~~. jf;i;;t\~ftMiddle) Malling Addross..?J¾:~· ,(7~~Lt_.~.a.f··~ Controc:for ............ ~······ ... ---................ ___ ~Maillng Address ...... &~ ................ -----:-:--- (Please Print) Number Street City Phone To Construct~ Add D To Alter D TQ Repair D To Convert O To Move From ... _. ............ " .. " ............. ····················-·., Type of Const • .:1~. Kind of Foundatlon ..... ~L...-.No, of Storie, .. / ..... To Be Used !or .... ~ .................•.........• (Frome, Mosonry, Etc.) (Ono Family Dwellin~, Store, Etc.} Floe,, Spae• of Proposed Construction (,q. feet) . ./_(/f'.3:.. ........ Const, Voluotion $ .• ·····?·· ... ~;y-"l(;tJ .~.A .... . Floor Spae• of Garag• (,q. feel) ... ---~'9:lL d"!!:~: ac:::,. Valuation$ .. ·~!,;~✓---.. __________ _ LEGAL DESCRIPTION .. t/~-........ ~~~~~ .. ~g ................. __ lot Block Subdivision or .............. . .................................... -r-;5•··~"··a1-:,;-; ction .... -............................... Township ........................ ..,, Rant• .................... -•·-· Located at ...... /A?gt: t:,,_-N~~·~ ............. Street, Nm #-g ~ . . ................ -..... .. LAND AREA .................•.................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDIN(S. 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 ANO AGREE TO COMPLY WITH ALL CITY ORDINANCES ANO STATE LAWS REGULATING BUILDING CONSTRUCTION, If o check is tondered for payment of the above feo ond the cheek is not honored when presented for-p4yme!\t, your Building Permit wHl be immediately revoked. SIGNATURE OF PERMITTEE .... r ,, Front Y•rd Set Back .... ~ ............ ~ .. Side Yord Se! Back ......... /!. .. ~ .. '. .......... ~---- Rm Y ord Set Baek ..... /,;;:J.-. .. :. ................ ~ .. Dlstanee 8etwnn Bl<lg •... /tl.~ .................. ~ ... . / Off Street Parktng Spaces ... ., .. ------···-··········----- Sewege Dlspo,al System ......... ~ ........... ____ .. Zone .. Residential ( I ) ·--~··••rn••········--""""-·-·-·-·-·-....... . Zone .. Commoreial Variance l ............ ·········· .. ·-·--· ....... .. Eng. Ch•ck By ................. . ---·······--········ Driveway Permit Rt1quited Yes ( Grading Permit Required YH ( ) l No (~ia.. ................... .. No(✓ ..... __ _ . .--Sewsr Disposal Plant Capitol C:tnt. Fi,e .................... ~ ... a ... ~-·---·- ..n .,. cOO Sewer Pumping Station Capital Cont, Fee / Co-"' Y,,,,____. _____ _ Sew&r Main Ltne Cott ................................................................................. _________ ..., Sewer Lateral Conneetion Ch•rg♦ ______ -···~··· ............. ,. .. ___ _ W fflr Stocked Lands Chal"(le .. "'"·" Water Main Pipe Line FH . Wattr HoUUt Service Char;• ........... __ " ................ ·--------- Water Mefer Charge ,.. .. m .. , ...... ,..m ............. :S:f.-0::_Q c, 1/lJ~ Sub Totel / 9._tfZ_~..................... . . Plans Approved by .................. . ................... ·-·----------··-·-·-······Plan Check Fee ..... ,... . ........................................ ,.,, ................ _ ....... . Approv•<I by ........ P.SJ. .... ~ ... ~ ............. Bulld;ng Perm;! F<oe . . .... ;::f'./.. ... 4'_ .. ':. ................................... . Date ............. 6(--dlo~.6:z---............. Tolel ChargH ....... 1£i'. •• 2Z':~.': ...... 2i29'/ lJJ--