HomeMy WebLinkAbout2800 ROOSEVELT ST | 2802 ROOSEVELT ST | 2804 ROOSEVELT ST | 2806 ROOSEVELT ST; ; 62-5079; PermitAPPLICATION FOR BUtrDING PERMIT 5079
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkwoy 9-1181 -Ext. 36 ' l).t ~
Owner Nome .. ~IA/.,, ... fJ..J,,.h..e.R..f.. ........ .£..L ......... Momng Address ... ~~O ...... S:a...,...11'1.t..e... .. .
(Please Print) (Lost) (First) (Middle) Number Street City Phone
Contractor YA T 7-.. A:J/ J /~ ... r?,.~--"'•mng Address ........... --=~::......:..'•-'+---'fY----~---
(Please Print} Number (Street City Phone
To Construct[] To Add ~-To Alter D To Repair D To Convert D To Move From---·--------
Type of Const.~ .. -f.!'?1f~ndotion ... ~ .. , ........... No. of Stories ... ,/ To Be Used for ~r~~ ~
(Frame, Masonry, Etc.) / (One Family Owelling, Store, Etc,)
Floor Space of Proposed Construction (sq. feet) .. /~8.Z.2 ........... Const. Valuation $ ______ A_~9~ ... v3...6. .. ,c7 __ .,_c _____ _
attached D
Floor Space of Garage {sq. feet} .......... ..:::=====.:.....detached □Const. Valuation $ __ _.::=====:..c.. _________ _
(',,1114{~ ... ~ LEGAL DESCRIPTION &Q.k ... ,,$.S..::: . .$..1!::.~~._-__ ~/'~1,gp /2.:Z z
Lot Block Subdivision
t,'5.iml O _ ;2.f?'O(I-;;"l_f? 'f~f-··Section -·~····· Township ..... ____ Ronge ____ _
Locoted ot .<X.~ ....... .i?.-~~~-~-············O ... {., _____ ~treet, Near .. ~~~----------
Assigned House Number I 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 e check is tendered for p·oyment of the obove fee ond the check is ~ ,,C? ~
not honored when presented for poyment, your Building Permit will be SIGNATURE OF C -
immediately revoked. PERMITTEE . .......... -"' ................ , __
Front Yard Set Back-------------
Side Yard Set Back ______________ _
Rear Yard Set Back _____ ---------
Distance Between Bldg. ....... Nt1.1v .. ~ .....
Off Street Parking Spaces _ __,_l/~2~--------
Sewage Disposal System _________ C__f __ f._,;,L-------
Zone • Re1idential (
Zone • Commercial ( ~)
Variance
Eng. Check By ---------------
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
Sewer Disposal Plant Capital Cont. Fee ____________ A{.,a_a,__ _______ _
Sewer Pumping Stafion Capital Cont. Fea __________ .,&(.ft,(}_.._ _______ _
Sewer Main Line Cost ----------------~&/qt1,.__ _______ _
Sewer Lateral Connection Charge ____ fg_ __ /.~ .. .!.C.~.f?!Y..r.✓... .. P..£.fe.a: ... J;_P.,!J!J..t:.c/4., • .'J •.
Wotor $fQokod Lands Chargo ________________ _
a er a1n 1pe 1ne e ........ , ____ "j"j/'-Cf W t M • p· L· Fe l ' .. .c
Waler House Service Charge ····ftt-£..l. ·········---------
Water Meter Charge -------------------------
Sub Totol ----------------~iiE c::::> .... c ..
Plans Approved b _ ·;··n···--7r1·:·····~~----------'Plan Check Fee ..
Approved by _____ --__ -"----~---t:-.. J.~--~ 811ilding Permit Fee __ &/__,,_~_£_Q ___________ .
Date ........... f.;. .. ::: ... Ql: ... Q.:::: ... !a ... ~ Total Charge, ....... 52.L.f;/,.., .... ~.-:.O..'--------