HomeMy WebLinkAbout2808 ROOSEVELT ST; ; 63-5463; Permit. ,.
'.APPLICAT1ON FOR Bu 111 o Ir G PERMIT
5463
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Ext. 36
Owner Name ...... Sf e., ... ~V...,1. ........... E.J..L ......................................... Mailing Addre2o. •.. ~~ .. :3..d.G.. ... 2.Ml.o ... J..A.1r..lA .... ~
(Pleose Print) (Lost) / (First) (Middle) Number Street • City Pho"[)
Contractor .... /1../a.◊. ............ & ... 1.Y.< ... f ........... e.◊. .. 4> •••••••••••••••• Mailing Address~8..7.3. ... <h./!?.M .. ~R.!!f!~./. .. -F..f ..... S..L ..... ,,
( Please Print) Number Street City Phone
To Construct ~o Add D To Alter D To Repair D To Convert D To Move From ............................................................. .
Type of Const.M..tfl..l.f.J../. ... Kind of Foundation ............ ~ ............... No. of Stories~ ...... To Be Used for ~~······--·······
(Frame, Masonry, Etc.) L b]_j ,$ (One Fomily Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ... S!.~ ........ ~ ......... 77.Co~st. Valuation $ ......... 9.~ ... ~ .. ~ ......................... .
attached D
Floor Space of Garage (sq. feet) ................................................. detached OConst. Valuation $ ............................. .
LEGAL DESCRIPTION ···············································-········----············· .. ···· .................................................................................................................................................... . Lot Block Subdivision
or .................................................................................................................................. Section .................................... Township ............................ Range ........................... .
Located at .. cx.: .. 80 . .8. ... ~ose..u .. e .. l.i .................. Street, Near ..... 0/2./i.AL..d. ............................................................ . 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 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.
Front Yard Set Back .................................................................... .
Side Yard Set Back ...................................................................... .
Rear Yard Set Back ..................................................................... ..
Distance Between Bldg .............................................................. .
Off Street Parking Spaces ......................................................... .
Sewage Disposal System .............................................................. .
Zone • Residential (
Zone • Commercial
Variance
I ............. ·········································----
l ........................................................ .
Eng. Cheek By ............................................................................. ..
Driveway Permit Required Yes (
Grading Permit Required Yes [ )
No{tt--<. ..................................... .
No ( 4 ~ ................................................. .
Sewer Disposal Plant Capital Cont. Fee .................................................................. ..
Sewer Pumping Station Capital Cont. Fee ................................................................. .
Sewer Main Line Cost .................................................................................................... ..
Sewer Lateral Connection Charge .............................................................................. ..
Water Stocked Lands Charge ....................................................................................... .
Water Main Pipe Line Fee .......................................................................................... ..
Water House Service Charge ....................................................................................... .
Water Metor Charge ..................................................................................................... .
Sub Total ................................................................................. .