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HomeMy WebLinkAbout1240 BUENA VISTA WAY; ; 62-5129; PermitAPPLICATION FOR B u 1 ,, D 1 N G PERMIT CITY OF CARLSBAD - BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 - M. 36 -.- . __ N? 5129 -h Owner Name .... S~.~.AL!Q.+ ..... R,v7No..N/ ............... Mailing Address .../.Z!~.Cl___.__ ..OA.&+.@!.dfbd City Phone (Please Print) [Last) (First) ( iddle) Num er Street ....................................................... Mailing Address ......... ?c? .................................... (Please Print) Number Street City Phone To Construct To Add 0 To Alter 0 To Repair 0 To Convert 0 To Move From .............................................................. Type of Const. .. .A.-nd of Foundation ...... e.@%&.! ....... No, of Stories ....... !! ..... To Be Used for ............................................................ mf 7 (One Family Dwelling, Store, Etc.) (Frame, Masonry, Etc.) Floor Space of Proposed Construction (sq. feet) ........ 2.2..7..7 ........... Const. Valuation $ .............. ,63..a .......................................................... attached e Floor Space of Garage (sq. feet) ________~~. ..q..o ....................... detached OConst. Valuation f.. ............................................................................................ LEGAL DESCRIPTION ............................................................................. ............................................................................... ................................................................ Lot Block Subdivision ....................... ............................ or .............................................................................................................................. Section Range .. ..................__....................-..... Located at .... /!.q& ..... &.a ..... && ................. Street, Near ........ Assigned House 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 ..... J 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 payment of the above fee and the check is not honored when presented for payment, your Building Permit will be immediately revoked. PERMITTEE ................................................................................................ SIGNATURE OF Front Yard Set Back ....... ~. ! ................... J Side Yard Set Back ...... -1.. ......................................................... Rear Yard Set Back .... L.. ..................................................... Distance Between Bldg. .............................................................. w. c-c, 9 8' .I f '/ Off Street Parking Spaces ............................................................ Sewage Disposal System ........................................................... c% Zone - Residential ( / ) ............................................................ Zone - Commercial ( ) .......................................................... Variance Eng. Check By ................................................................................ Driveway Permit Required Yes ( ] No ( ) Fee ...................................... Grading Permit Required Yes ( ) No [ ) ........................................................ Sewer Disposal Plant Capital Cont. Fee ...................................................................... Sewer Pumping Station Capital Cont. Fee .................................................................... Sewer Main Line Cost ........................................................................................................ Sewer Lateral Connection Charge .......... ! ... ?........................................................ '4' f Ij4 Water House Service Charge .... c .... .*& ...................................................................... Water Stocked Lands Charge .......................................................................................... Water Main Pipe Line Fee .............................................................................................. $1 Water Meter Charge ........................................................................................................ Sub Total ...................................................................................... ................................................................ Plan Check Fee ........................................................................................................ ..... Building Permit Fee 00 Total Charges ..............7.-..............................................-. . Y