HomeMy WebLinkAbout2825 ROOSEVELT ST; ; 63-5440; PermitAPPLICATION FOR 8uRn 11 c PERMIT 5440
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner Name ~~d. -MaHing Address.KP..,.4...."f-=// CJt -/4...c,l£.~<.
(Please Print) (Last) (First) {Middle) Number Street City,.. _L' P~ ~
::::~:.. □ -,: --~:~~"': ::"~~~)~
Address
Type of Const, -~~ of Foundation ........ ~ L No. of Stories .... ./. ........ To Be Used for
( Frame, Masonry, Etc.) (Ono Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ·······--------Const. Valuation·$:.:·:.::::~:~~:~-----------------
attached D
Floor Space of Gorage (sq~t) ........... ---· ........... detached DC~. Valuation $ ............ ~
LEGAL DESCRIPTION .. /:-"',vi./. ;('dJ/ .+ ;1'.Z -.~",;,t/~----------Lot Block Subdivision
or ···············--------:;;----------,,---->,ection ....... ___ ~_ Township _____ Rang•-----
Located at,:2.~.:2..£:~:M. · tree!, Near .. ~~"--------
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 __ _ 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 CONSTRUCTION.
If a check is tendered for p·oyment of the .,bove fee ond the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
Front Yard Set Back .......... ---
Side Yard Set Back ···············----,-C-------
ired Yes
ad Yes (
( )
) No
Rear Yard Set Back __ _
Driveway Permit Requ
Grading Permit Requir
Sewer Disposal Plant C apifal Cont. Fee
Dist,snce Between Bldg.
Off Street Parking Spaces ..... ---
Sewage Disposal System -------\-----
Zone -Residential (
Zone -Commercial
Varionce
Sewer Pumping Station
Sewer Main Line Cost
Capital Cont. Fee
ion Charge ......
Cherge
Sewer Lateral Connect
Water Stocked Lends
Water Main Pipe line Fee ...................
Water House Service Charge
Water Meter Charge
Sub Total ..
No ( I Fee /" ..........
/
( )
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Plans Approved by~.---1·-... ·--... --Plan Check Fee-----/J---~··········----------
Approved by ....... -f-d··~~-----"uilding Permit Fee ---~····· .. ·-,:_b
Date ........... / ... 'yl7·······./a·· .3-Total Charges .. .;;z.~.,;;--________ _