HomeMy WebLinkAbout1096 KNOWLES AVE; ; 63-5368; PermitAPPLICATION FOR Bu E?o I I G PERMIT
5368
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArl<way 9-1181 -Ext. 36
Owner Name ./I/.J .. D . .IJ/. ... G.::. .. /. .. 7 ..... , /(R e.f) ..... mng Add, .... /P.9..( ... ~--
(Please Print) (Last) {FirH) (Middle) Number Street City Phone
Contractor ··------'-~£-C.:~"'-1~--_:~.:._ ____ -1"1ailing Address .......... ~~
Number Street City Phone
To Construct D To Add ~ To Alter D To Repair D To Convert D To Move From ·····················--------
Type of Const. JA .... ~ Kind of Foundation ....... ~.!L.No. of Sto,ies.... . ..... To Be Used lo, ... q~----
(Frame, Maso~~y; Ef~ {On~;;.~Dwelling, Store, Etc,)
Floor Space of Proposed Construction (sq, feet) .......... rJ.',.,;?.~ ............... Const. Valuation $ .... //----~---~---d .......... ~_..!.._.:?---·------
attached D
Floor Space of Garage {sq. feet) ........................... ____ detached □Const. Valuation$---------------------
LEGAL DESCRIPTION
Lot Block Subdivision
:~.·~;:~· a~/-____ -a-.. -.~---.:~-.. -.. -k//.-~--. -·--... -... -. --.---_-_-:::~~~.,:::::~N-.-.-,-... -2 ........ -.. -... -~:.T:~•.hi~•-.-.. -.m~-... -·-.-/---Ra_n_g_a==========
Assignedt.i~e Number
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>.<.. ...•
I HEREBY ACKNOWLEDGE THAT r;:VE 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 o check is tendered for p-ayment of the above fee and the check is
not honored when presented for poyment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE ·····----------------
Rear Yard Set Back ------------······· ... ····
Distance Between Bldg ..
Off Street Parking Spaces ···············\----------
Zone • Residential (
Zone -Commercial
Variance
Eng. Check By ---------------
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No(}Foe
No I } ............. --,1-------
Sewer Disposal Plant Capital Cont. Fee -------\-------
\
Sewer Pumping Station Capital Cont, Fee ____ _
Sewer Main Line Cost ···························---------/------
J Sewer Lateral Connection Charge ·········-------,<'-------
/
Water Stocked Lands Charge ······················------t-------\
Water Main Pipe Lina Fee ............. .
Water House Service Charge _______ _ I
Water Meter Charge -.J ,. ;:;,-"·'··"----
Sub Total _______________ _
--,----,-------,,.----::;--;r----Plan Check Fee .......................... ~ .. ·······---············ .. ················ ....... . ---c~'....c~tL,¢.e.d~:1-'..:::::::~===--_suilding Permit Fee .... ~ p--Z' ........... __________ _
Total Charges ..... 9-._ ________________ _