HomeMy WebLinkAbout1579 TAMARACK AVE; ; 62-5165; PermitAPPLICATION FOR Bu Jj DING PERMIT 5167
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Ext. 36
Ownor Name ... ~~1114.L. .. ~~f~L.Mailing Address ~.!.4#-...... 7/ .... .'::: ... r!:..~
(Please Print} (Last) (First) (Middle) Number Street City Phone
Contractor ........................................................................................................ ·-·······Mailing Address ...................................................................................................... ..
( Please Print) Number Street City Phone
To Construct' To Add O To Alter O To Repair O To Convert O To Move From ................ Add~~~~································
Type of Const . ...:9.A .~Kind of Foundation ........ ~ .. C!.... .. No. of Stories ... / ......... To Be Used for ...... S.,~·····-·················
( Frame, Masonry, Etc.) ( One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet} /S:::. .. fJ .. L ................. Const. Valuation $ .... ./..~ .. .dLt/. .... ~ .. ,l .. .l~.,././..U.. ..... ~
Floor Space of Garage (sq. feet) .............. 4--... S':.'2 ............. da::~~=~ lconst. Valuation $ ....... ./.., .... , .. 1:!!. ...... ~J .............................................. .
LEGAL DESCRIPTION ............. ~!-···· .. ···· .................................... Bi~~k ..... ~ ...... ~i~····"··· .. ···· ..................... ..
or ..................... .f..5, .. 1.q .......................................................................................... Section .................................... Township ............................ Range ........................... .
Located at4.t!..~fi·~·~~· .. ~···················Street, Near ..... z/.~ .... .....&'.= ......... ~ ..................................... .
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 .... J ..... NO ................•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT! OVE IS CORRECT AND AGREE T:;Or
If a check is tendered for i::ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE
PERMITTEE
Front Yard Set Back ........ .2✓.lJ. .............................................. .
Side Yord Set Back .(. ........ 1.,.5... .... ~ ...................................... .
Rear Yard Set fuk ...... ./-.£. ... ~ ......................................... ..
..:!...._c.,1.-c....:_~-
Driveway Permit Required Yes ( )
-J--~
No ( yJ Fee ..................................... .
Grading Permit Required Yes ( ) No { )(.l ...................................................... ..
~6-<) Sewer Disposal Plant Capital Cont. Foe ............ $1 ...... -............................. .
Distance Between Bldg .............. ~ .................................. .. Sewer Pumping Station Capital Cont. Fee ................................................................... .
Off Street Parking Spaces ........... ..Z. .... ! .................................. . Sewer Main Line Cost ....................................................................................................... .
Sewage Disposal System ........... ~ .............................. .
Zono -Residential ( / ) ........................................................... .
Sewer Lateral Connection Charge ................................................................................. .
Water Stocked Lands Charge ......................................................................................... .
Zone • Commercial ) ........................................................ .. Water Main Pipo Lino Fee ............................................................................................ ..
Variance Water House Service Charge ......................................................................................... .
Eng. Check By ............................................................................... .
rt7
Water Meter Charge .................................... 4=-,.£ ..... -=: ........................................... .
Sub Total ................. ?...£. .... ~ ......................................... .