HomeMy WebLinkAbout2391 SPRUCE ST; ; 62-4121; PermitAPPLICATION FOR B PERMIT I -N~ 4121 V
CITY OF CARLSBAD -BUIC31NG INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner Name .... ~/J. .. tQ..M..A .. l:f. ............................................................... Moiling
(Please Print) {last) {First) (Middle)
Address ....................................................................................................... .
Number Street City Phone
Contractor ... 0e£.tl-1pi~¢.p~·+f1··················································Mailing
a k~11 Address .................................................................. ~ .................. ¢.t. .. .
Number Street City Phone
To Construct O To Add O To Alter O To Repair O To Convert O To Move From ............................................................. .
Type of Const.fA~ .. Kind of Foundation ...... t. .. ~ ..... No. of Stories ...... / ...... To Be Used for ....... ~ .. , ........................... .
(Frame, Masonry, Etc.) {One Fam ily Dwelling, Store, Etc.)
"'" Spm of ,,,,,.,d c,,.,,,,t;,o (,q. i.,1~ ~ JJ ;;'.:!; ~· v,1 .. 11,. I [_r:s; 3 ' 6 ~ ... ~=~~':::::,::: I•: l,,t>;,; ~ ~:t•o:d □..C••:•· v:1,.,;.,~ ~ g;,z~:
lot Block Subdivision
or .................................................................................................................................. Section .................................... Township ............................ Range .......................... .
located at .... c?..~~d·f ~·············································Street, Near .... --:7.~ ..................................................... .
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ...... ~~DICATE
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 i:·ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF PERMITTEE ............................................................................................... .
r ,.
Front Yard Set Back ............ ol.0 ........ /v'J '.Al' ................ .
Side Yard Set Back .................. 7,/ ,._,,.,-.. ................................. .
CQNC. S4W /2.E-;!jt/l&I>
Driveway Permit Required Yes ( J.--)
Grading Permit Required Yes ( )
No ( } Fee ./r.£.1. ..................... .
,,,. ,::,lo,' p/o ;.
No I '1' tapJ:;>.l!;/.v,::chr.'!l. .. ~I._~~~ ....... .
Rear Yard Set Back .............. /#.. ... '...... .__,..,,, ........................... Sower Disposal Plant Capital Cont. Fee .1•.S32..~°.. ............................................... .
Distance Between Bldg .......... / () ............... ,__,,,., ························• Sewer Pumping Station Capital Cont. Fee ................................................................... .
Off Street Parking Spaces ............ J ...... .
Sewage Disposal System .......... ~···~
Sewer Main line Cost ................. ~~.~.: .................................... • ........................ .
Sewer lateral Connection Charge 5 C/6if! Y · ...... .. ····················································-·-·······-·
Zone • Residential ( / ) ............................. . .............................. Water Stocked lands Charge ......................................................................................... .
Zone • Commercial ) ················································•········· Water Main Pipe line Fee ............................................................................................. .
Variance
E Check By ··········· ··········· ....... ~···· ng.
~ '
Water House Service Charge
Water Meter Charge ................. ~··~·~········M._~ /-~ ~ ........ 4 t) 1 ;;,_···
I !::J. 7 b S,b ,.,., -.... /19(,~;;,;_
:::r:::r::e~ ... i?..£·.·.·.·.a.·.·~·--········--··--······--··------····--·:~i~di~:e::r~:e F~~···.·.·.··.·.·.·_-.·_-_-.·.·_-_-_-.·_-.·.·.··_-.·.·.~.>i..·_-_-~ .................................... · ... : ..... .
.,. ,;24,-
Total Charges ..................... /. . .::.J..3. .......................................................... . Date I '-9-f "t----···································--···········································
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