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HomeMy WebLinkAbout2399 SPRUCE ST; ; 62-4191; Permit-=-=-=-=-=-=-~~=-=-===-=-----------------i-#I ~i4 9 APPLICATION FOR BUklJDING PERMIT 4191 CITY OF CARLSBAD -Bl!ILDING INSPECTION DIVISION PHONE PArkway 9-1181 • Erl. 36 ?,;;::. ~:::, 01~¼{{,~(µ,, ~tiddi;i·-····-"'•m•, Contractor ........ ~•·······················································Mailing Address~f:-·······~··········~··········Ph~~~ Address .... ~.~·················································· ( Please Print ) Number Street City Phone To Construct ~ Add D To Alter D To Repair D To Convert D To Move From ............................................................. . Type of Const.?&.~ Kind of Foundation.~;. ....... No. of Stories ..... / ...... To Be Used for .. ~~~······························ (Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.) Floor Space of Proposed Construction (sq. feet) ...... /.) .. 6...C.. ............... Const, Valuation $ ....... ..-:: ...................................... 00 ................................. . ~,:~:,:::;:,:;,::• {,qloot)j~~~~. '::2'"£~•·· .• .1 2 ... ~~~............... ~:: Lot Block Subdivision or .................................................................................................................................. Section .................................... Township ............................ Range .......................... . Located at .. ;;).3~!-~·d··i~f.:.i1 ~:!-··~····e······································Street, Near ......... B .. R.e:.s..~ ................................................................. . 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 ...... ~O ................ . 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 chock is tendered for i:·ayment of the above fee and the check is not honored when presented for payment, your Building Permit will be immediately revoked. SIG~t~~~frit .... Y.11 ... o .. ~ .. o. .......... . r ' Front Yard Set Back ........... ~ .. ◊-............ ~.~~.~ Side Yard Set Back ....................................................................... . Rear Yard Set Back ...................................................................... . Distance Between Bldg ................................................................ . Off Street Parking Spaces ........................................................... . Sewage Disposal System .............................................................. .. Zone • Residential ( 1 I ···························································· Zone • Commercial ) ····················································· ..... Variance Eng. Check By ............................................................................. . Driveway Permit Required Yos (✓ No ( ) Fee . .Jc?. .. S.. ... 1~ .. Grading Permit Required Yes (y{ No ( ..)_·.J~~·~·~·····-'f..:.?..:~.; .... '!.L1J?. Sewer Disposal Plant Capital Cont. Fee ............ 5.Q .. ~ ..... 9. .. 9. .................... . Sewer Pumping Station Capital Cont. Fee ........... N..<?..!.'!.£. ............................. . Sewer Main Line Cost .................... f/..q_.(y__~··-,--·····;;····i·i······················· .. •······· ... . . E..'x./5T6 S IN CV~ Sewer Lateral Connection Charge ....................................................... ,. ........................ . Water Stocked Lands Charge ......................................................................................... . Water Main Pipe Line Fee .......................................................................................... . Water House Service Charge ·········;,.:;··········································~·e······················· Water Meter Charge ···••·••·········-%-·=···············?/.·t)_···;i·,.:}.·;:.;.························ Sub Total ............................... 9../ ... ~~············· ........ . APPLICATION FOR Bu l tJ DING PERMIT 5277 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 -Ext. 36 (Pi::;e ~~i~;) -1~~·~···········Mailing Coot,•olo, ·····················~···············································-M•;l;og Address .,2;;{~~~ .• ................ . Number Street City Phone Address ···~·····-···························· Number Street City Phone To Construct~~~ To Repair D To Convert D To Move From ................ Add~;·~~····· .. ························· Typo of Const ................................... Kind of Foundation .................................... No. of Stories ................ To Be Used for .. a~ .. ~ .... .. ( Frame, Masonry, Etc.) ( One Family Dwelling, Store, Etc.) Floor Space of Proposed Construction ~eet) ........ ~1..r!... ................ Const. Valuation $ .... _;t__z;.. .. ~ .............................................................. . attached D Floor Space of Garago (sq. fe et) ................................................. detached OConst. Valuation $ ..................................................................................................... . LEGAL DESCRIPTION Lot Block Subdivision :~catod at .~Jfj.7..d~ ................................. ::::::~ Near ........................... ~~~~·~·~i·~····· ...................... : ... ~.~.~.~~ ........................... . 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 ............... . NOr····• 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. Front Ya rd 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 Eng. Cheek By ............................................................................... . Driveway Permit Required Yos ( Grading Permit Required Yes ( ) No ( ) Fee ................................. . No ( ) ...................................................... . Sowor 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 Meter Charge ...................................................................................................... . Sub Total ..................................................................................... . Plans Approved~by ... ;······························································································p1an Check Fee ....................................................................................... . Approved by~ ....... ~~~········································Buifding Permit Fee .cf;i:. .. ~~· .. . Total Charges ........ ~ ...... ~ ............... ·.·································································.························· Date .......... . .... ~ ... 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