HomeMy WebLinkAbout1569 TAMARACK AVE; ; 62-5168; PermitAPPLICATION FOR Bu l .lJ DING PERMIT 5168
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 3b
f,;;:;, ~;~;1 /2'.'.'~~f,.(M~-e"-',rn,, Add,m ~~,;~-~ '.'.,_(!0 ~
Contractor .................................................................................................................. Mailing Address ...................................................................................................... .
( Please Print l Number Street City Phone
To Construct 7'd To Add D To Alter D To Repair D To Convert D To Move From ........................................................... .. r, Address
Type of Const.~_,/l.~ Kind of Foundation ....... ~ .. 4., ... ,.No. of Stories ....... / .... To Be Used for ..... .};:.~~.,· ......•.................
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ./.~C. ... 3-.............. Const, Valuation $ /..5.;. ... t'..$..J!. ~.:) ... ./.tr9.9f ..... ;;::.
Floor Space of Garage (sq. feet I .................. 4. ... .( .. t. ....... d11::~~=j ~Const. Valuation $ ... /.1 ... .2 .. {f.. ..... :.:::J .................................................... .
LEGAL DESCRIPTION ............ .::f .z._ ... ··-·----····-·-··--,i;;i·--~"2~-··~~··· '.·-···-··· ·········-··--····
or ..................... /::f.(£.5 .............................................................................................. Soction .................................... Township ............................ Range ........................... .
Looat,d ,+ nt..t:-,4h:~~·· . -.Stroot. N"' z/LB!~,.,/2!:: :_.___ -----·
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 ..... 1.-..... NO ................ .
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THJS APPLICATION AND STATE T~AT TH ABOVE 1s CORRECT AND AGREdT lMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC N. -----,4-..
. . ',{,~'/f~ f, '«-If II check is tendered for payment of the above fee and the check is .
not honored when presented for payment, your Building Permit will be SIGNATU OF /4 i lft.td.. f .~
immediately revoked, PERMITTEE ... 11~ ·,q;-JA;·· .. •·········'?l/1~--·······
~ J.' -<--~J-4 -or-'., ~-<-<--
Driveway Permit Required Yes ( J No ()'() Fee ..................................... .
Grading Permit Required Yes ( ) No ()(I ...................................................... .
--;,, ~' Sewer Disposal Plant Capital Cont. Fee ................ ~ ................................................ .
/ Side Yard Set Back .............. 7. .................................................... ..
/ Rear Yard Set Back ........ /... .4, ......................................... ······· ····
Didance Between Bldg ............ ~ ...................................... . Sewer Pumping Station Capital Cont. Fee ................................................................... .
Off Street ParUng Spaces ......... 4 ..... !!o. ................•••••.•••..........• Sewer Main Lino 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 ............................ .-...... +.. .. ~ ................................................. .
Sub Total ............... tf"..~ .... ~ ............... , ........................... .
Plans Approved by ............ ., ...................................................................................... Plan Check Fee ·································--····················--······································ ........ .
Approved by ... ~ .. ~..cL .......................................... Building Permit Fee .. $4, .... ~ ............................................................. .
Date .............. ,..L.y~ .. .2.............................................................. Total Charges ..... ./..4' . .fl ...... ~ ..... ,. ............................................... .