HomeMy WebLinkAbout1539 TAMARACK AVE; ; 62-5171; PermitAPPLICATION FOR PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner Name .. )(...~ .. ~6-.. i .. k..LMailing Address /[l/ .. ~.~ .. '.7/.. .. --::: ..... ~.~~
( Please Print) ( Last) ( First) ( Middle) Number Street City Phone
Contractor .................................................................................................................• Mailing Address ....................................................................................................... .
( Please Print) Number Street City Phone
To Construct bl To Add O To Alter O To Repair O To Convert O To Move From ............................................................. . I" Address
Typo of Const. ~A .. ~Kind of Foundation ...... ~.C....., .... No. of Stories ....... / ..... To Be Used for ..... IJ. .. ~ .... ~ ................. .
( Frame, Masonry, Etc.) ( Ono Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) /£~ . ..3 .................. Const. Valuation $ .... ./.s; ... O. .. d.,,l. .... ~ .... ) ... / .. C..,.J..f..9-:-:. ... %;;
Floor Space of Garage (sq. feet) .......................... 9-: .. ({ ..... d:!:~~:~~onst. Valuation $ ........ //f. ... $. .... { .. f. ..... ':;,. . .J ............................................ .
LEGAL DescRIPTION .................... ~ .. ~ ...................................... 5i~~k·············~6·.:i~····: ..................... .
:~:::::~~=i!;,~ ~: : :::::~~::. '2,~l~; ···:: : :~::
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 ...... x. .... . NO ................•
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 CONSTRUCT ON. . k
If a check is tendered for ~·ayment of the above fee and the check is //1/l,l'U,"VI r.n"2.~~c,ir,,:,, d
not honored when presented for payment, your Building Permit will be
immediately revoked.
' Front Yard Set Back ........... £ .. 0 ............................................ .
I Side Yard Set Back ...................... 7 ............................................. .
I
Rear Yard Set Back ............... ./-.//,··········································-
Driveway Permit Required Yes (
. ~
No l)<l Fee ..................................... .
Grading Permit Required Yes ( ) No ( )(l ....................................................... .
(J,-AJ
Sewer Disposal Plant Capital Cont. Fee ................ n .... :~:::. ............................... .
Distance Between Bldg ................ ~ .................................... . Sewer Pumping Station Capital Cont. Fee ................................................................... .
Off Street Parking Spaces .............. Z. .. :~ ................................. . Sower Main Line Cost ....................................................................................................... .
Sewage Disposal System ......... 4 .............................. .
Zone -Residential ( / ) ........................................................... .
Sewer Lateral Connection Charge ......................................................................•...........
Water Stocked Lands Charge ......................................................................................... .
Zone -Commercial ) ·························································• Water Main Pipe Line Fee ............................................................................................. .
Variance Water House Service Charge ......................................................................................... .
Eng. Chock By ............................................................................... . Water Meter Charge ..................................... ~.~···~·····································
Sub Total .................. 'z..£....-:.~ ....................................... .
Plans Approved by .................................................................................................... Plan Check Fee ....................................................................................................... .
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