HomeMy WebLinkAbout1589 TAMARACK AVE; ; 62-5166; PermitAPPLICATION FOR Bu .l _(JD ING PERMIT 5166
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181. Ext. 36
?Pi:::e ~~i::) .. 4(~~~.Mi~ .. ~ailfng Address f<fi,-c~~····Zft.~ .. ~~•
Contractor .................................................................................................................. Mailing Address .......................................................................................................•
( Please Print} Number Street City Phone
To Construct It( To Add D To Alter D To Repair D To Convert D To Move From ............................................................. . r' Address
Type of Const . .2:d .. ~ Kind of Foundation ...... ~ .. ~ .... :No. of Stories ...... / ...... To Be Used for ....... k.~······-···············
( Fra me, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet} ./£. . .l/. . .1.. .................. Const. Valuation $ .. .1..s.;. .. o../. .. ,?. .... ~.1 ./_./,"f&/..O ..... ~ ........ .
Floor Space of Garage (sq. feet) ................. ¢.~~···········d4~:~t:f~-Const. Valuation $ ...... ./. ..... £. .. ~ ....... ~) ................................................... .
LEGAL DESCRIPTION •..........•. .5'£. ............................................ ,j;;•················~j;~··•······················
or ··~········/-5··~0·························································································•··Section .................................... Township ............................ Range ........................... .
Located at ~~~~·······························Stroet, Near ..... ✓.'u.Lo/-J?.~ ....... ~ ...................................... .
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 TH~T THE BOVE IS CORRECT AND AGREE TO ITMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC O ~ M-
lf o check is tendered for p•ayment of the above fee and th e check is
not honored when prese nted for payment, your Building Permit will be SIGNATUR
immediately revoked. PERM ITTEE
Front Yard Set Back ......... ~f ............................................... · Driveway Permit Required No
~-..A-.
Fee ..................................... .
Side Yard Set Back ....... 1....~ ... ~ ............................................ .
s--Rear Yard Set Back ........... / ......................................................... .
Grading Permit Required Yes ( } No ( 'ii
Sewer Disposal Plant Capital Cont. Fee .. /...._ .. £-;;····~························
Distance lletween Bldg ............. ~ .................................. . Sewer Pumping Station Capital Cont. Fee ................................................................... .
Off Street Parking Spaces ....... ..,Z. ............................................ . Sewer Main Line Cost ....................................................................................................... .
Sewage Disposal System .............. ~•·························· Sewer Lateral Connection Charge ................................................................................. .
Zone -Residential ( / ) ........................................................... . Water Stocked Lands Charge ......................................................................................... .
Zone -Commercial l ·························································· Water Main Pipe Line Fee ............................................................................................. .
Variance Water House Service Charge ......................................................................................... .
Eng. Check By ............................................................................... . s-~ Water Meter Charge ................................. /.::: ................................................................ .
..:7 e-4-:::: Sub Total .............. -:r. .... ~ ............................................................ .
Plans Approved by .................................................................................................... Plan Check Fee ........................................................................ .
Approved by .. ~-:~L ............................................ Building Permit Fee .... S...~ ....... ~ .............................................................. .
Date ........ ./.✓~~?. ... ,Z. .... .,............................................................... Total Charges ... / .. ff.=f.!.. ...... ~ ................................................... _ .. .