HomeMy WebLinkAbout1088 CARLSBAD VILLAGE DR; ; 61-4029; PermitAPPLICATION FOR IlltUIIU PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -
¥° 4029
Owner Name
(Please Print)
Contractor
(Please Print)
To Construct £f To Add D To Alter
Type of Const c^C-CjfSl^-—- Kind of Foundation
Number Street
To Repair D To Convert D To Move From
' No of StoriesI c JCA n \[ rrarns,/Masonry, etc / ,— t .
of Pr-oposod Construction (sq feet) O^€>J^>S*4, ''Const Valuation $
Address
To Be Used for «^—C<^^>^^_x
{One Farmlw^wellmg, Store, Efc )
Floor Space of Garage (sq feet)
LEGAL DESCRIPTION
Located at
attached O
detached QConst Valuation $
Lot Block
Assigned House Number
Section
Street, Near
Subdivision
Township Range
/
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 <^^~~
\ 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 IE tendered for payment of the above fee and the cheek is
not honored when presented for payment, your Building Permit will be
immediately revoked
SIGNATURE OF
PERMITTEE
Front Yard Set Back
S.de Yard Set Baclt
Rear Yard Set Baclt
Distance Between Bldg
Off Street Parking Spaces
Sewage Disposal System
Zone - Residential ( )
Zone - Commercial ( )
Variance
Eng Check By
Driveway Permit Required Yes { ) No
Grading Permit Required Yes ( ) No £-
Sewer Disposal Plant Capital Cont Fee
Sewer Pumping Station Capital Cont Fee
Sewer Mam Line Cost
Sewer Lateral Connection Charge
Water Stocked Lands Charge
Water Main Pipe Line Fee
Water House Service Charge
Water Meter Charge
Sub Total
Plans Approved by
Approved by
Date C
Plan Check Fee
Building Permit Fee / / '* /<a^
Total Charges //' /*•*