HomeMy WebLinkAbout1250 TAMARACK AVE; ; 61-4080; PermitAPPLICATION FOR B U't L D ING PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkw•y 9-1181 • En. 36
Owner Name ___________ .,t(':~/J.-/.IY.(;{_~-·-·· -----·······--·····fi!.··~1-L ......... Mailing Address
~~::::ct~:ot) KA 1~;A 1( (FQDNS f~;d~I~)-.... M.mas Addres,
( Please Print)
LEGAL DESCRIPTION
Lot
or .......... ··········•--·-··------------·-············ .... --------·········· ................. Section.. ... .... Township
Located at d8z~".«f ~c:e/ ·--~--Street, Near ~j
4080
Phone
··········•-······-Phone
Range
LAND AREA . . ....... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ...... g/('.)_t">".C::.... (INDICATE
SIZE, USE AND LOCATI~ 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~ AGREE TO COM~LY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING B.UIL0ING CONSTRUCTION/ l~d',c: ~-
lf a chock is tendered for payment of the above fee and the check 1s ,,,....,.., .. ~-..;: -
not honored when presented for payment, your Building Permit will be ilT~>--.J.d.-,,.Z.-,, / 7-
;mmed,otely cevoked. 7 .£..,.. ........ .. .. . ... ~
I •
Front Yard Set Stick ...... ;;20 ..... ~--
s;de Yard Set Back ... ~ .. ./}JAl>f··~·
Rear Yard Set Back .
Distance Between Bldg.
Off Street Parking Spaces _
Sewage Disposal System __
Zone • Residential (~ ... /l
Zone • Commercial
Variance
Eng. Check By .
Plaas App,ove/u ....... jf"")··r· ............... .
Approved by ~~ .... f\ ........ S.\.-.~~·-·
Date . /O=Jf.=6./
Driveway Permit Required Yes (' No t/i Fee
Grading Permit Required Yes ( ) No {L/)
Sewer Disposal Plant Capital Cont, Fee ····--.~.J:2.-.-~~···_-·
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 .
........... Plan Check Fee
... Building Permit Fee
Total Charges
48-l'>.c,
2~~°_