HomeMy WebLinkAbout2742 STATE ST; ; 63-5429; PermitAPPLICATION FoR BU uDIIG PERMIT
~~/ ---. 1 N~ 5429
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9•1181 • Ext. 36
Owner Name ......... A~l .. P. .. h!J .. f:?.. ... L ...... /1.1.i.~.'!.J. .................................. Mailing Address ........... ?..-. . .?..~.?.: ... ~.~~ .. ~~·······~··~····························
(Please Print) (Last) {First) (Middle) Number Street City Phone
Contractor .a..~.~.~ .. !5/. ...... Co..al . .S .. T;. ...... C..O. ................................... Mailing Address .. J:.~ .. d .. £ ... /3.~.<..P..l.:{ ........ ::?...,f?..t ...... ~.-l-.~.Y..l.9 ()
( Please Print) Number Street City Phone
To Construct (;!I To Add @ To Alter O To Repair O To Convert O To Move From ............................................................. .
Address
Type of Const . .STJ..:~.Q.7.£.~Jl.t,,~1 Kind of Foundation .... f .. 9..!..{.f;'. .............. No. of Stories .. ../. ......... To Be Used for /IZ!.d. ... J.. ... S. .. U!./1.1.1.f .. e .... .
{Frame, Masonry, Et!:.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) .... .6. ... ?'2 .. 0. .................. Const. Valuation $ .. ...3.e. .... ~ .. ¢. ... f.) ................................................................. .
attached 0
Floor Space of Garage (sq. feet) ................................................. detached □Const. Valuation $ .....................................................................................................•
LEGAL DESCRIPTION /?.n.R.L ...... .J.. .. .2 .. :~.;,. .. ~ ............................................................ ..s..~.'..d. .. S.L..a .. e. ..... .l..B.r.t. .. P...-§. .................................................... .
Lot Block Subdivision
or .................................................................................................................................. Section .................................... Township ............................ Range ........................... .
Located at ... ~.2.1/.'-~ ....... ~/~ .. l....~ ............................................ Street, Noar .... t.f...t?. ... '?.. .. ~ ... .f.f ....................................................................... .
Assigned House Number
LAND AREA .. JP./-.(2·'?._·8:._····· NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ..................... 1.. .......................... (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES ..... k.".'.'.' ... 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. C' -// ,,.i A ,tu• /:.J/e,J,/.,• --· .
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. SIG~~~~~fT~F &~ ............................. .
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 ( 2 ) ························,;/···················
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 .......... ~ .. j.:.f..S.LJ.. .. ll ... G.. ....................... .
Water Stocked Lands Charge ......................................................................................... .
Water Main Pipe Line Fee ............................................................................................. .
Water House Service Charge .... e .. ~ .. !.:?. ... T../.../tJ. ... G. .................................. .
Water Meter Charge ....................................................................................................... .
Sub Total ..................................................................................... .
APPLICATION FOR Bu~ .1 DI I G PERMIT
5488
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner Namo .f.(1..p.A .. !1..12..f..I-····H4...?. . .'Z.[ .................................. Mailing Address ... ::J. /.'-/ 4 ......... S--/,9--'fij J / ........ {7/1/1 /SI~'!:..</
( Please Print) ( Last) I First) ( Middle) Number Street City Phone
Contractor . ./f./r:;.r..V.?./.f..rJ/.. .... /3.?.A.d~.~h.. ......... <.~!.-!J:.e.: ...... Mailing Address .. /...9.:J. .. '). ........ -S.9..!.Mlf. .. ~.l ...... c2.<.!D!l .. ll.! . .r..!.r/.~
I Please Print) Number Street City Phone
To Construct D To Add D To Alter ✓ To Repair D To Convert D To Move From .,~fY.£ .. t:l .. r,,.~lc:u..t!r.1.::r:-.'-:! .. !:J.r>1c&J.,
Type of Const.~ ...... Kind of Foundation .......... '. ......................... No. of Stories .. ::= .... To Be Used for ........ .
(Frame, Masonry, Etc.) (One Fam· Dwelling, Store, Etc.)
f'JtP () e o ~.iEl.i'Znilili!;ij!;il!l!!ll!l!lt:f:1P!llill!lilDll .. l lllf•••·•• (sq. feet) ...... ~d.~ .. ~ ..... Const. Valuation
attached D
$ ..................................................................................................... .
Floor Space of Garage (sq. feet) ................................................. detached OConst. Valuation $ ..................................................................................................... .
LEGAL DESCRIPTION ••••••••••••••••••••••••••••••••••••••••••••••••••••••••u•••••••••••••••• .. •••••••••••••••..,.•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
Lot Block Subdivision
or .................................................................................................................................. Section .................................... Township ............................ Range .......................... ..
Located at .................................................................................................................. Street, 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 IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
If II check is tendered for p·ayment of the above fee 11nd the check is
not honored when presented for p11yment, your Building Permit will be
immedi11tely revoked. SIGNATURE OF ~ __ /J :-e ~ _ / /
PERMITTEE ~ ..................... ~ ..................... .
Front Yard Set Back .... 'J. ... '.: ..... E.l?..'?./~ ...... e..!-!..t.l.P.<.t.!t[-Driveway Permit Required Yes { ) No { U Fee ..................................... .
Side Yard Set Back ..................................................................... . Grading Permit Required Yes ( ) No { ~ ..................................................... ..
Rear Yard Set Back .................................................................... _ Sower Disposal Plant Capital Cont. Fee .................................................................. ..
Distance Between Bldg .............................................................. . Sower Pumping Station Capital Cont. Fee ................................................................. .
Off Street Parking Sp11ces ......................................................... . Sewer Main Lino Cost .................................................................................................... ..
Sewage Disposal System ............................................................. . Sewer Lateral Connection Charge ............................................................................... .
Zone -Residential { Water Stocked Lands Charge ..................................................................................... ..
Zone • Commercial Water Main Pipe Line Fee ........................................................................................... .
Vari11nco Water House Service Charge ...................................................................................... ..
Eng. Check By .............................................................................. . Water Metor Charge ................................................................................................ .
Sub Total .................................................................................... .
Plans Approve~~· ::,·("i .... J?<, ... ~ ............. Plan Check Fee ........................ 0 ..... = ........................................................ ..
Approved by ...... /5;:.cl .. "::.~ .................................................................... Building Permit Fee ...... a. ... ~ ......................................................................... .
1~-'7-6 2° -Date ............ /...'. ..................................... :~......................................................... Total Charges ...... c:5.l. .............................................................................. _