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 ..................................................................................... .