HomeMy WebLinkAbout1529 TAMARACK AVE; ; 63-5351; PermitAPPLICATION FOR Bu Jj DING PERMIT 5351
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 . Ext. 36
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c.,tmto, ·····················~········=··································-"•m,, Add .... ·······~··c;-~···-············Ph;;;;
To Constructf-;; ~ To Alter D To Repair D To Convert D To Move From ................. A.C:id~~·~~ ............................... .
Typo of C"''t;;;V ~i;c;;:;,, . . .No. of Sto.fo, • To Bo ""];:Z;°~;{iiS!iii~~f::--
Floor Space of Proposed Cons~ ~11 tits+) ........ cf!f~ ............... Const. Valuation $ ....... $. .. '-. .. I?.. ........................................................................... .
attached D
Floor Space of Garage (sq. feet) ................................................. detached OConst. Valuation $ ..................................................................................................... .
LEGAL DESCRIPTION
Lot Block Subdivision
or .................................................................................................................................. Section ................. = ... / Township............................ Range ........................... .
Loeot,d ,t /_ . .qf :.f ~~St .. ,t, N,,, ...... :t/-~··········""°·······························
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.f'······•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
If a check is tendered for pi,yment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE ........................................................................................•.......
Front Yard Set Back ................................................................... .
Side Yard Set Back ...................................................................... .
Rear Yard Set Back ..................................................................... ..
Distance Betweon Bldg .............................................................. .
Off Street Parking Spaces ......................................................... .
Sewage Disposal System ............................................................. .
Zone • Residential ( I ······················-··· ································
Zone • Commercial
Variance
Eng. Check By ............................................................................... .
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No ( J Fee ..................................•.
No ( ) ..................................................... .
Sower Disposal Plant Capital Cont. Fee ................................................................... .
Sewer Pumping Station Capital Cont. Fee ................................................................. ..
faer Main Line Cost ...................................................................................................... .
Sewer Lateral Connection Charge .............................................................................. ..
Water Stocked Lands Charge ....................................................................................... .
Water Main Pipe Line Fee
Water House Service Charge
Water Meter Charge ...................................................... . . . ...................................... .
Sub Total ..................................................................................... .