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HomeMy WebLinkAbout2800 ROOSEVELT ST; ; 63-5245; PermitAPPLICATION FOR Bu l jj DING PERMIT 5245 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 . Ext. 36 Owner Name ..... C ... ~.A •••••••• ~ •• ~····=··················Mailing :~::rsaec~:n✓~ .. ~:~.~, ... Mailing Address ....................................................................................................... . ( Please Print) Number Street City Phone Address /_~~z.~.Mg_.~ ....... ~ .... ~~ Number Street City Phone To Construc1: To Add,O To Alter O To Repair O To Convert O To Move From ............................................................ .. Type of Const. ~~ Kind of Foundation .................................... No. of Stories ................ To Bo Used for ................. ~~~~.~.~~ .............................. .. Floor Space ~;r:::ose:s:~:~t~::~:on (sq. feet) .......... ./.. .. ./..4.: .. l!...Const. Valuation $ ...... z~ .. P ........ ~ .. ~~.~:. 1 .~ ... ~:~.'. 1 .i.~~~ .. ~.~~~~·•···~~~:: ... .. attached 0 Floor Space of Garage (sq. feet) ................................................. detached OConst. Valuation $ ..................................................................................................... . LEGAL DESCRIPTION ........................................................................................................................................................................................................................... , ... 0 ,,,. Lot Block Subdivision ::,:;::=:Z]:i~~~; :::::::~~::; T,~,.hl: = :•••~• ~~:: 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 .... f·····• 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·ayment of the above fee and the check is not honored when presented for payment, your Building Permit will be immediately revoked. SIGNATURE OF ~ ~ ~ .L / r-. PERMITTEE .. 0.. .. ~ ............ ~ .. ~~···· ... .;.;/?.r;.;._.~ ....................... . Front Yard Set Back ........................................ , .......................... .. Side Yard Set Back ..................................................................... .. Rear Yard Set Back .................................................................... _ Distance Between Bldg ............................................................... . Off Street Parking Spaces ........................................................ .. Sewage Disposal System ............................................................ .. Zono • Residential ( l ......................................................... .. Zone • Commercial ) ········ .............................................. .. Variance Eng. Check By .............................................................................. .. Driveway Permit Required Yes ( Grading Permit Required Yes ( ) No ( ) Fee ................................... . No ( ) ..................................................... . Sewer Disposal Plant Capital Cont. Fee ................................................................... . Sewer Pumping Station Capital Cont. Fee .................................................................. . Sewer Main Line Cost ..................................................................................................... . Sewer Lateral Connection Charge .............................................................................. .. Water Stocked Lands Chorge ...................................................................................... .. Water Main Pipe Line Fee ........................................................................................... . Water Houso Service Charge ....................................................................................... . Water Meter Charge ..................................................................................................... . Sub Total ..................................................................................... . APPLICATION FOR Bu I l1 d ING PERMIT 5208 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION To Construct f: To ;dd D To Alter D To Repair D To Convert D To Move From ················A;;jd;~·;~································ Type of Consi;:;~~Kind of Foundation .................................... No. of Stories ................ To Be Usod f(o~·~···j:~;;;iiy··o~;iii"~·~i.-··st~·;~:··et~·.T··· Floor Space of Proposed Construction (sq. feet) ......... £.?.£ ....... Const. Valuation $ ............ -:J. .. ?...~ ... ~~······················--································ attached D Floor Space of Garage (sq. feet) ................................................. detached OConst. Valuation $ ............................................................................. _ ...................... . LEGAL DESCRIPTION Lot Block Subdivision · · · ···························· :~c·~~~~···~ii.:~:::z~:::~::::::::::::::::::::::::::::::::~·~~~~·~::::·.:·.:·.::..~.~.~-::::·············:::········ 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.f ······ 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 ~·ayment of the above fee and the check is not honored when presented for payment, your Building Permit will be immediately revoked. SIGNATURE OF " ----;' ,, • (f', d // PERMITTEE .... ~ ............ : ... ~ ....................... . Front Yard Set Back ..................................................................... . Side Yard Set Back ....................................................................... . Roar Yard Set Back ······································································- Distance Betweon Bldg. . .............................................................. . Off Street Parking Spaces ........................................................... . Sewage Disposal System ............................................................... . Zone -Residentiel ( l ···························································· Zone -Commercial ~) Variance Eng. Check By ............................................................................... . Driveway Permit Required Yes ( Grading Permit Required Yes ( ) No ( ) Fee ..................................... . No ( ) ························································ Sewer Disposal Plant Capital Cont, Fee ..................................................................... . Sewer Pumping Station Capital Cont. Fee ................................................................... . Sewer Mein Line Cost ....................................................................................................... . Sewer Lateral Connection Charge ................................................................................. . Weter Stocked Lends Charge ......................................................................................... . Water Main Pipe Line Fee ....•......................................................................................... Water House Service Charge ......................................................................................... . Water Meter Charge ....................................................................................................... . Sub Total ..................................................................................... .