HomeMy WebLinkAbout1250 TAMARACK AVE; ; 62-5144; PermitAPPLICATION FOR BU111DING PERMIT 5144
Owner Name
(Please Print)
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkwoy 9-1181 -Ext. 36
}11rvA/[ S/. .kv. • .............. // .......... MaiHng Add,e,s
/(Last) (fost) (M;ddle)
... /ol.s_"ZJ~l~/-1 ,112/9-R,4cY (?(y
Number Street City /"7--·· Phony
Contractor o~. ------..-ailing Address
(Please Print) Number Street Phone
To Add ~ To Alter 0 To Convert D To Move From ···••······•···•···•••· To Construct D To Repair 0
Type of Const.~ Kind of Foundation ... e.'~ ...... No. of Stories ___ ... / ____ To Be Used /or ~ 611}~ ·---
(Frame, Masonry, Etc,) (One Family Dwellinc;:r, Store, Etc.)
Floor Space of ~osed Construction (sq. feet) .................. ___ _
Floor Spaoe of r.?!:V?.q. feel) ..... ~6.fl. 3"//1 /.,E.9---···········7...':7. ............................................ ____ _
LEGAL DESCRIPTION
Lot Block Subdivision
or ..... .
located
----····-··--·--··· ········z·······---~ection .......... ···········-····•·-·····-Township ............................ Range
,t ./el:,;;~Q. .. /~~-!reel, Near c:Ju..~~tt(j,-~--
Assigned House Number C7 -···7····-
LAND AREA. . ......... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE . . ........ (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THJS 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.
'I
SIGNATURE OF
If a check is tendered for F·ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked. PERMITTEE . ....... ... . .. .
Front Yard Set Back . Driveway Permit Required Yes ( No (t.y'Fee ................................... ..
Side Yard Set Back ........... . Grading Permit Required Yes { ) No ( /.)-<: ....... .
Rear Yard Set Back Sewer Disposal Plant Capital Cont. Fee ........................... .
Distance Between Bldg. Sewer Pumping Station Capital Cont. Fee .............................. •·············----
Off Street Parking Spaces Sewer Main Line Cost ...
Sewage Disposal System .. Sewer lateral Connection Charge
Zone -Residential ( Water Stocked Lends Charge .
Zone -Commercial Water Main Pipe Line Fee .... .
Variance Water House Service Charge ....................................... .
Eng. Check By ............................. . Water Meter Charge ································----
Sub Total ........................... ·········································---
Plans Appro~.•°("···"r'-,·······:;j····(-········-··························Plan Check Fee
Approved by ..... K'--·--~··'"··~·~ Building Permit Feo
Date ...... /.Q .. := ..... ,-;;:z .. aJc.::::. .. b.. .... 7.. T olal Charges
... ? .. _'!£!.--
.. ~ .. ~ ........... . -------
APPLICATION FOR BUt11DING PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
5133
?P7e":;e ~:,~;) ./!~:c;;'f/:;~. (Ficstt,D' .T ........... Mailing Address J ~ . .s-o .~~'-----
Contractor .... (J:!!.f1/:::1~------
( Please Print)
(Middle)
-----·····•Mailing Address
Number Street City Phone
Number --------------------------·----------------·-----Street City Phone
To Construct &-'T~ Add D To Alter D To Repair D To Convert D To Move From ..... . ....................... .
Type of Const. li.~---·-·----Kind of Foundation ...... -. . .......... No. of Stories ... __ _
(Frame, Masonry, Etc.)
--· To Be Used for~--------------------------·
(One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ....... /.3 __ 0 ................. Const. Valuation$ ... __ ;2 __ 60_~ ............................... ____ _
attached D
Floor Space of Garage (sq. feet) ............ detached OConst. Valuation $
LEGAL DESCRIPTION
Lot Block Subdivision
or .....
/MA . ection.. ·.·.· .. -. -:::p········,,.., .. ·.·.·.· -.·.·.·.·.-·.·.· .. -.T .. o.w .... " .. • .. h .• •.• .. P .. ·.·.· ·.·.············ .·.·.·.· /·············· R ... • .. " .. g .. e ....... .
•t .3..8A?.i~:,~(W4:U/..l:{/__4Y-...... Streef, Noar 0C=c:<e:!~ ____ _ located
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----------------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 1,"=·ayment of the above fee and the check is ~
not honored when presented for payment, your Building Permit will be SIGNATURE o~·
immediately revoked. PERM/TTEE ... . ............. ·.?/./-~~"-1'!:2~.<'--.(c __ ::; __ .~ .. ::-... --.. ---, __ ........... .
Front Yard Set Bad ... .
Side Yard Set Back ......... .
Rear Yard Set Back .. -----
Distance Between Bldg.
Off Street Parking Spaces .
Sewage Disposal System ..
Zone -Residential (
Zone -Commercial
Variance
Eng. Check By·····································----'.----··················
;,/
Driveway Permit Required Yes ( No ( l Fee ...... .
Grading Permit Required Yes ( ) No ( ) ....................... ------------------------------
Sewer 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
Plans Approve~·················-r1·····/·················································p/an Check Fee
Approved by ...... .t;;;. .... J..c ...... ~.~•···Building Permit Fee .. 3 .. ~ O -
Dale ....... <:J.~ .. oJ. ... G...=. .. k• .. ~----Total Ch•rges .... 3 .~