HomeMy WebLinkAbout1138 Knowles Ave; ; 63-5457; PermitAPPLICATION FOR BU@DIIG PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner Name .1t'.J~J'1A},/\// ..... J • Q µailing ~~::::c:::ot)····{1,pl.L:.~cJ£.J./lS'..~.i~Liag
{Please Print)
Address
Address .....
5457
Number Street City Phone
To Construct ~To~ □ /7 To Alter □ To Repair □ To Convert □ To Move From ···n··· .. ······•········· ..
Type of Cons""!Mi~ ... Kind of Foundationc...._-",:::::=~No. of Stories ~ _ To Be Used for .... "±~ ... ------·
( Fro me, Masonry, Etc.) ;: ~ (One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) 2?.J2~ ........ io.nst. Valuation $ ......... 2.!) 7L._.c_C ___________ _
attached D
Floor Space of Garage (sq. feet) ·······················-----detachtd □Const. Valuation $ ............. r. ... :::.====::: ... ::: .. ::: ... :: .. :c ... ~ ... ~ .. ------·"'·-···········
LEGAL DESCRIPTION Lot Block Subdivision
::c-a-te-d-at-.. -L-1/..-.~-.-... -g__-... -.. -~-.. -... ""' .. • ... ~ .. ~ .. -. -.-... -.. -.. -.-... -.-c ...... "'. ,-'----_-_-:_-::_-_-:_-_-~s::::~·~~~~ :::~::::::_··_···_R_an_g_•::::::::::~
AssigneO House Number
LAND AREA .... ---·· NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE _______ _ (INDICATE
INSTALLATION, ALTERATION, OR SIZE. USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING
~ ADDITION? YES___ 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 poyment of the above fee and the ched is
not honored when presented for payment, your Building Permit will be
immediately revoked,
Front Yard Set Back ___ _
Side Yard Set Back _____ _
Rear Yard Set Beck .......................................... ··························-
Distance Between Bldg •.....
Off Street Parking Spaces ------1-------
Sewage Disposal System ··------1--------
Zone -Residential (
Zone -Commerc:ial
Variance
Eng. Check By ----~-----------
Driveway Permit Required Yes ( No ( 4---f:{.
Grading Permit Required Yes { ) No(~···········-/-··-----
Sewer Disposal Plant Capital Cont. Fee ------1--------
Sewer Pumping Station Capital Cont. Fee -----+--------
Sewer Main Line Cost ....
Sewer lateral Connection Charge -------+---------
Weter Stocked Lend, Charge --------,'---------
Water Main Pipe line Fee ........... .
Water House Service Charge ....................... ················----------
Water Meter Charge ··········----:f----------------
Sub Total ········f--------------
Plans Ap~•···/1+)·······/' Plan Check Fee
Approved by .... ~U ..... u..,A:'.J .. ~:::::,:,=1 .. B1<,tilil,ding Permit Fee ........... ½ .. ~CJ ....... _________ _
Date .......... /'.Q:::: .... L..f:t...'::6 .... ...3 Total Charges .......... t✓-._•_'l-o _________ _