HomeMy WebLinkAbout1126 Larkspur Ln; ; 63-5297; PermitAPPLICATION FOR B~DING PERMIT 0
5297
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkw•y 9-1181 -Ext. 36
Owner Name .~ . ./ M.A .N.~ ...... /).J. ~.-/..J.1..?J..M ... 7.M.mng Address · ·· / / ,Q &, ~=~S~reet A·c···,·,·;:,,,,-a.Ph·~.-
(Pleose Pdnt} (Lost} r (F~dle} Number =-~ A,/.. ry ;!{
Contractor ... ~.f ..... _ f--:, Mailing Address . ----=-=-..::..;;_:_=-~c·,ty •· ?"'·····p···h·o···n··•· (Please Print} Number Street CityO _,,
TO Convert □ To Move From ....... r·; -/
No. of Stories. __ .,_ ,=,-_-: .. -1Tfnu Be Used l(O~,~···
'-••-,....""""""'o,;l,,,Go..,!11111..,. (sq. feet) .v ~() ___ ,Const. Valu•Hon $ ...... 6cl.'.:::~_Q_..e£ __________ _
attached D
Floor Space of Garage (sq, feet) ·························----detached OConst. Valuation$ ... ---,-----~-----------
_,lo f ~ IA.J~ .. .1.6. .. ~~:.L-£:z ___ _ LEGAL DESCRIPTION Lot Block ~ision
or ------~:•trceteiotn, ··N···•·•r ··········~······················~··o···w· -.n .. s .. ~h·l·•p····· ~ ..... Range
Located •I ..... //,5L6 ...... ~ _ =:-.e:-.~~----
Assigned House Number I 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? YE>---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 CONSTRUCTION.
If a check is tendered for ~-ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
Front Yard Set Back .......... ·······•·•····· ··········---Driveway Permit Required
Side Yard Set Beck ··········· Grading Permit Required Yes
Reor Yard Set Back Sewer Disposal Plant Capital
Yes I I
I } No
Cont. Fee
Distance Between Bldg. ... ······•·•·········· ··········· ·················· .......• Sewer Pumping Station Capital Cont, Fee
Off Street Parking Spaces ) Sewer Main Line Cost ...........................
Sewage Disposal System ......................... / Sewer Lateral Connection Charge ..
Zona -Ros;denti•I ( } ............. ,/ Water Stocked Lands Charge
Zone -Commercial I I ······-/ Water Main Pipe Line Fee ...
Varience Water House Service Charge
Eng. Check By Water Meter Charge ..........
No 11--(F ••
( tr:
( .\
I
7 / ..........
. ............
\ Sub Totol ........... 7
I
I
A
Pl•n• Appr"'t9" by lx·3·0-· a2·t;;;,;:~---~------'Plan Ch•ck Fee .... / " a,
Approved by .............. \ ..... ~-~! ................... ~~C::::::::==--BBuilding Permit Fee ....... ~ .......................... ________ _
D•te ......... 'l..:::: .. -d.=···•·(d.····-"------------Tot•I Chug•• __ .,_/4_,',;J=._e_e __________ _
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