HomeMy WebLinkAbout1250 TAMARACK AVE; ; 63-5397; PermitAPPLICATION FOR Bu J L DING PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • E,t. 36
5397
Owner Name . £Lff Y/'J:!..~ T .. d, Z .... MaiHng Address/,<LtJ .. :2.~~.~
~~::::c:::nt) ~ ?~ ......... (.~iddle) ailing Address &er~~.-Phone
( Please ~tj"···· Number Street City Phone
To Conslr,cl D To Addf To Alter D To Repair D To Convert D
Type of Const. ✓...,d~P.tL-,.Kind of Foundation ----~--~,No, of Stories./ ..
(Frame, Mosonry, Etc.)
.. To Be Used for.
(One family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet)
Floor Space of Garage (sq, feet)
LEGAL DESCRIPTION
Lot
/-2/ Const. Valoation $ 3-.f,L ~ ·····························--
attached D
........ detached OConst. Valuation $ ...
········---·-··· Block Subdivision
or ............. ............................. ection ................................. Township ............................ Rang;z············· ~:c~:::::2g~:::~::::~~::e:~:::s~:-:r:~··L··:: :···i;::Z~
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES NO f
I HEREBY ACKNOWLEDGE THAT I H~~~ R·~~-D THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
1f a check is tendered for pi!.yment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE ...
Front Yard Set Back ....
Side Yard Set Back .
Rear Yard Set Back
Dis·tance Between Bldg.
Off Street Parking Spaces .
Sewage Disposal System .....
Zone -Residential (
Zone -Commercial
Variance
Eng. Check By ..................... .
Driveway Permit Required Yes ( No()Fee ....... .
Grading Permit Required Yes { J No ( ) ................ .
Sewer Disposal Plant Capital Cont. Fee ........................... ·········-------
Sewer Pumping Station Capital Cont. Fee ························1----------
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 .................................................................................... .