HomeMy WebLinkAbout1559 TAMARACK AVE; ; 62-5169; PermitAPPLICATION FOR Bu l I.ID ING PERMIT 5169
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
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Number Street City Phone
Contractor ............................................ ., .................................................................... Mailing Address .
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Number Street City Phone
To Construct 9'J' To Add D To After D To Repair D To Convert D To Move From ............................................................. .
Type of Const. ~A .. ~Kind of Foundation ..... ~.~ .. ~.-No. of Stories ...... ./.... To Bo Used for ... ~~:d ..... ~ ...................... .
(Frame, M6sonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ... /.~t?..,5. ............ Const. Valuation $ ... ./.s; ... tJ.i!.(1 ...... : ... .1 ... _/.(.~ .. ~'1...1-, .... ~
Floor Space of Garagl.l (sq, feet) ................. J'/.. ... {.(. .......... d::~~=~ ~Const. Valuation $ ....... f ..... 2...(4. ..... =..J ................................................. .
LEGAL DESCRIPTION ............ .:ff-········•·•··········--············,j;;.-····-··~✓o/ .. ~~···•·······················-····
or ···••···················f'::}£.9i ........................................................................................ Section .................................... Township ............................ Ri,nge ........................... .
Located at .~.e.-1:;~ .. ~ .. ULt. ....................... Street, Near ... z/~,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 ..... ;... ..... . NO ................•
I HEREBY ACKNOWLEDGE THAT I HAYE READ THIS APPLICATION AND STATE THAT~HE AB VE IS co.~ RR CT AND AGREE TZ'.C )MiLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT! . . ~ / ~;I k
If a check is tendered for payment of the above fee and the check is ~~ ~~'o/r ·
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Driveway Permit Required Yes ( ) No ()( J Fee ..................................... . ,IJ t' ,, Front Yard Set Back ....... ~: ...................................................... .
Side Yard Set Baek .......... 7 .. < ................................................... .
/ Rear Yard Set Back ...... /.~ ................................................... _
Grading Permit Required Yes ( ) No I)<, J ....................................................... .
~~ Sewer Disposal Plant Capital Cont. Fee .............. ..;;7. ... L ........................................... .
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 Lands Charge ......................................................................................... .
Zone -Commercial ) ··················•····•··· .. ········--·--·--············· Water Main Pipe Line Fee ............................................................................................ .
Variance Water House Service Charge ......................................................................................... .
Eng. Check By ............................................................................... . Water Meter Charge .................................. ~.£.. .. ~ ........................................ .
9~~ Sub Total .................................... ."~ ............................................ .
Plans Approved by .................................................................................................... Plan Check Fee ................................. , ..................................................................... .
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