HomeMy WebLinkAbout2667 ROOSEVELT ST; ; 62-5020; PermitAPPLICATION FOR B UQ DING PERMIT -, 5020 ,._
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PA,i<way 9-1181 • E,t, 36
Owne, Name . ~/!.Jt:{D...B, ..... /3, A.. .. I... ........... MaHing Add,es, .;,.6.~2.?~-/2 __
~~::::.:::•ti ~ .i:: .. ~ddle) MaHing Add,es, ..... ~.:.mbe, St,eet City Phone
To Construct /r o Add
(Please Print) Number Street City Phone
D To Alter D To Repair D To Convert D To Move From __________ _
Type of Const. . .... ---------------··· ... Kind of Foundation .... ~ .. t ......... No, of Stories .... / ..... To Be Used for ...... ..;);;f.~-~
{Frome, Mosonry, tc.) !One Family Dwelling, Store, Etc.)
.. ~/,/..6$1-"7<--.-..!Const, Valuation $ .... 12.~ ... C>. ... $.._3...._~ _____ _
attached 0
(sq. feet)
Floor Space of Garage (sq. feet) -----------······detached OConst. Valuation$, ___________________ _
LEGAL DESCRIPTION __ _,/i;i.2-.. ::: ... ~./~---'!-/"a1~~,,.{----------~~ .. fu42--------
:~c·~::~·~: .-3.~ 9 t__. ~~.'f._= ____ ....,5::::. Near _W, __ ~-,.:{;,_-:=_-:=::-·_ .. -:_ .. -:_R-:_a-::_n_g•_-:_-_-_-_-_-_-_-_
Assigned House Number
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 .... t,.,c:' NO•---
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTIOND
lf o check is tendered for p-ayment of the obove fee and the check is '£
not honored when presented for payment, your Building Permit will be SIGNATURE OF )3_
immediately revoked. PERMITTEE -fl.~o·'· ,r._':1,,~~~!d,'.'.t,,:!.J, ___ _
Front Yard Set Back ............. ~:_..:__.co.. _____ _
Side Yard Set Back ---"'De:_ ________ _
Rear Yard Set Back . __ _.._(t... --=='-------
Distance Between Bldg. .. ___.
Off Street Parking Spaces ......... 2.J'----------
Sewage Disposal System ........... ~'--------
Zone -Residential { J -----------
Zone -Commercial { ).,1 __________ _
Variance
Eng, Check By __ __,/;~~------
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
) No I~ .. --===----
No (v{':_-===--
Sewer Disposal Plant Capital Cont. Fee ............... /Y..C!.t)._,._l ______ _
Sewer Pumping Station Capital Cont. Fee ............... N..c..n.,,,..._ ______ _
Sewer Mein Line Cost ______ ,,,1'.'n.c,,..,_r ______ _
Sewer Lateral Connection Charge ......... ___ /J C.ll.,:: .. (/;.t.LJ, ... (1.\1,.(,_/i.) ..
Water Stocked Lands Charge ______ _,N .. Q f\ e
Water Main Pipe Line Fee ............ . ____ li/..i!.,/\~_,c~------
Water House Service Charge ···········---~------------,.-. '..L .
Waler Meler Charge .......... k .. X.J.J../ .... rr.. .. L.N...G,;,.... _____ _
Sub Total ........... _____________ _
Plans Approved b~ ............................ r-------Plan Check Fee .... .
Approved by ...... \&.-.. ... S..L@>..~,::::==---..luilding Permit Fee ......... k.Z~ .... . z--------h7 t}µl--Da!e ............ ,.:,. .. =. .... 8...:::. ... 6......!:::..____________ Total Charges ----.L-""---'------------