HomeMy WebLinkAbout1619 TAMARACK AVE; ; 62-5163; PermitAPPLICATION FOR Bu JJ DING PERMIT 5163
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner Namo .;.Y.pt.:I.M.H.~ ..... ~.P.t/.~.?...! ... 0..(L,_/Nd.Mailing Address f.l..t2.., .. .i._l?.:/.-.... 1.J ..... ~ ..... ~ .. f!.~.!.:_.~.§_f.Y.J
(Please Print) (Last) (First) (Middle) Number Street City Phone
Controctor ........... S.h!...Y. ... (:;; ....................................................................... Mailing Address ....................................................................................................... .
(Please Print) Number Street City Phone
To Construct pd.. To Add D To Alter D To Repair D To Convert D To Move From ................. Add;~,~ ............................... .
Type of Const. ££:Q'N,.E.. Kind of Foundation ... <! . .b'..A{ .. c._ ......... No. of Storios ..... /. ...... To Bo Used for ..... JJ.W...lt .... L. .......................... .
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ./5.:..t!../ .................. Const. Valuation $ .. /:£;...LJ./P.. ..... ~."2,_ .... ../&.., .. £:/.<l. ...... ~
Floor Space of Garage (sq. feet) ........ ~~t?.. ................... da.:::~~=~Const. Valuation $ .... J . .( ... /. .. ~ .... ~.J~ ................................................... .
LEGAL OESCRI PTION .............. 4,;_;'f"···········································,;;;•······-·············.'ld,,,1?,i/6,6,;?2?··~···· .... ············---
or .................... J..!o .. J..'3. ................................................................................................ Sec:tion .................................... Township ............................ Range ........................... .
Loootod ,,-.:Jl/l{i;~~ • St~••• No,, ... zL~ . ...,l;;t .......... '. .. _ -__ _
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 ... j........ NO ................ .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT! N.
If o 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.
~ 0 I Front Yard Sot Back .......... ~ .................................................. .
7 S"' ~ Side Yard Set Back ......... .~ ....................................................... .
/
Rear Yard Set Back ....... /..£ .................................................. _
Driveway Permit Required
Grading Permit Required Yes ( ) No ( L.}--t ...................................................... .
,!--0
Sewer Disposal Plant Capital Cont. Fee .............. .s.::-'~ ........................................... ..
Distance Be+.,een Bldg ................................................................ . Sewer Pumping Station Capital Cont. Fee .................................................................. ..
Off Street Parking Spaces ............ .2. ...................................... . Sewer Main Line Cost .................................................................................................. ..
Sewago Disposal System ......... £!.~······························ Sewer Lateral Connection Charge ................................................................................. .
Zone -Residential ( / ) ........................................................... . Water Stocked Lands Charge ......................................................................................... .
Zone -Commercial ) ......................................................... . Water Main Pipe Line Fee ............................................................................................. .
Variance
Eng. Check By ............................................................................... .
Water House Service Charge ................................ ~····································· .. ·········
Water Meter Charge .......................... 4:,. .. $.(. .............................................................. .
d"-d
Sub Total ......... 9 .. £. ............................................................. .
Plans Approved by .................................................................................................... Plan Check Fee ....................................................................................................... .
Approved by ..... 'J.,,/:~.L. ........................................ Building Permit Fee .......... .S:.,f:. .. : ...... ~ ....................................................... .
Date ............ l..v~✓-~···,Z............................................................... Total Charges ....... /_ .... f.:::?., .. ~ .................................................... _