HomeMy WebLinkAbout1609 TAMARACK AVE; ; 62-5164; PermitAPPLICATION FOR Bu DING PERMIT 5164
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Ext. 36
Owner Name .... t~~.d~t./J ... ~ .. fk.~iling Address /?a .. t.Lf+/. ... 7/ ... ~ .... Q ... f~~L.
(Please Print) ')····" (Last) (First) (Middle) Number Street City Phone
Contractor .................................................................................................................• Mailing Address ....................................................................................................... .
(Please Print) Number Street City Phone
To Construct 'f To Add D . To Alter D. To Repair D To Co~vert D To Move From ·················,._·;jd~~····················· .. ···
Type of Const. 4.A.~ Kind of Foundation ..... ~.~ ..... No. of Stories ....... / ..... To Be Used for ...... E..~ ................ :~ .................. .
(~·;, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) .. /.£ ... 0..~ ................ Const . .Valuation $ .... ./s.; ... .()..3.b. .. , ... ~ ... /--...... j. .. C,.-, ... .R.?..Ji. ..... ~
Floor Space of Garage (sq. feet) ...................... ~ .. t. .. t.' ....... d
11::~~=~ ~Const. Valuation $ ........ _/.. .... ~., .. 'f-.... ~ ................................................. .
::G~L::•l;;;Ci ::_ .,o,I-S0<Ho,~:~~90 ____ _
Located at~ ... ~~5:-&··H~.M ... ~ .................. Street, Near ....... ~~ .. P. .............. ~ .............................. .
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 ..... f ... NO ................ .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE AB VE IS CORRECT AND AGREE TO Cr_PLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTIO • lf'""l'f'J/J'/J'A "'t-;t.-;r:;.,, .t2
If a check is tendered for payment of the above fee and the check is {;J'
not honored when presented for payment, your Building Permit will be
immediately revoked.
Front Yard Set Back ........ ~tl .......................................... .. --Side Yard Set Back ......... 7 ...... -$, ............................................... .
Rear Yard Sot Back ......... /. .. L ............................................ .
Distance Between Bldg ............................................................... ..
Off Street Parking Spaces .......... 2-. ... ~ .................................... .
Sewage Disposal System ............. ~•····•· .. ····· ................ .
Zone • Residential ( / J ........................................................... .
Zone • Commercial ) ......................................................... .
Variance
Eng. Check By ............................................................................... .
~ ~--c--.....,
Driveway Permit Required Yes { No y(l Fee .................................... ..
No 11'.l ............... ~ ................................. .
Sewer Disposal Plant Capital Cont. Fee .......... $"'(} ........................................... .
Grading Permit Required Yes ( )
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 ............................. 1/.::: ................................................................... .
tt-d
Sub Total .......... f._. .. £ ........................................................... .
Plans Approved by .................................................................................................... Plan Check Fee ....................................................................................................... . )L: 4~
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