HomeMy WebLinkAbout1529 TAMARACK AVE; ; 62-5172; PermitAPPLICATION FOR Bu l Jj DING PERMIT 5172
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
f;;::e ~~i~:) ~~~·~·l ·~··<!..,···Mailing Address l!~.~1-f-:i-... 1<t;~~t··~·~
Contractor .................................................................................................................. Mailing Address
Phone ( Please Print) Number Street City
To Construct f"il To Add O To Alter O To Repair O To Convert O To Move From ............................................................. . I" Address
Type of Const-9..A..~. Kind of Foundation ... ~.L ...... No. of Stories ...... .J. ..... To Bo Usod for ... k..~ ....... ": ..................... .
(Framo, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ./£:.IL5 .................... Const. Valuation $ .. /s;. .. .tl.::!LJ. ..... ~.J,. ... /~-,. .. i..9..~ .. ! ... ~.
Floor Space of Garage (sq. feet) ............................ ~.t .L. .. d~:~t:j ~Const. Valuation $ ... ./., .... /...1:. .. f. ... ~J ..................................................... :
LEGAL DEscR1PnoN ···············-f-1-··············································8i~~k·······-····~di~·~···~·······················
or ······················/5i):.·Cf·························································································Section .................................... Township ............................ Range ........................... .
Located at . .£.12;,f:~~·
8
H~u;~· ·N·~·;,;ber. .. . ............................ Street, Near ~.A.A/. .... ~ ......................................... .
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 .. t ....... NO ................•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE T~HAT THE ABOVE IS CORRECT AND AGREE TO COM"Y
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC 10 ~ t;5 ~
not honored when presented for payment, your Building Permit will be SIGNATU F If a check is tendered fo r i:;aymont of the above fee and the check is ~ ~
immediately revoked. PERMITTEE . ... ....... ·~···· ... . ... ........ .... .... ··--···
" Front Yard Set Back ......... ~.O. .............................................. .
I
Side Yard Set Back .................. L. ................................................ .
/
Rear Yard Set Back ........... / .. ¢.. ................................................ .
Distance Between Bldg ........................ , ....................................... .
Off Street Parking Spaces ......... ,,Z.. ... : ..................................... .
Sewage Disposal System ············~·····························
Zone -Residential ( / ) ........................................................... .
Zone -Commercial ) ··································•···•·•·················
Variance
Eng. Cheek By ............................................................................... .
~U, ,__ 2,A_/-~ f ~
Driveway Pormit Required Yes ( No {)() Fee ..................................... .
Grading Permit Required Yes { )
Sewer Disposal Plant Capital Cont.
Sewer Pumping Station Capital Cont. Fee ................................................................... .
Sewer Main Line Cost ....................................................................................................... .
Sewer Lateral Connection Charge ................................................................................•.
Water Stocked Lands Charge ......................................................................................... .
Water Main Pipe Line Fee ............................................................................................. .
Water House Service Charge ......................................................................................... .
,,.....,eJ
Water Meter Charge ......................................... 4., .. £.. .. ~ ................................... .
Sub Total ..................... ?..£....~ .................................... .
Plans Approved by .................................................................................................... Plan Check Fee ....................................................................................................... .
Approved by . .;z;;~ ................................ Building Permit Fee .... S.f.~································································
Date ...... /...if ~6...2. .................................. _...................................... Total Chargos ....... /..~£.~ .. ··················································-···