HomeMy WebLinkAbout1281 Magnolia Ave; ; 62-5131; PermitAPPLICATION FOR But DING PERMIT 5131
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181. Ext. 36
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Contractor ..... ~·······-·························································Meiling Address ... ~~····························--········ .. ········ ( Please Print) Number Street City Phone
To Construct ~ Add D To Alter D To Repair D To Convert D To Move From ............................................................. .
Type of Const. t.!J..~ ...... Kind of Foundation .................................... No. of Stories .... ~ To Be Used for .. ~~··········
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Space of Propo~ed Construction (sq. feet) .. /...o'..O. ...................... Const, Valuation $ .......... /e.../J. .. ~.~···································································
attached 0
Floor Space of Garage (sq. feet) ................................................. detached OConst. Valuation $ ................ ~-----·············································--··············· .. ···
LEGAL DESCRIPTION
Lot Block Subdivision
or .................................................................................................................................. Section ................................ , .. T;,w;r ;::;······· Range ........................... .
Located at ... ./~t,~·;·;/{:!!•~~···························Street, Near ..... 4~ ................................................ .
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 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 p·ayment of the above foe and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF x 'VVl. _~~a ,t.,..,,. ~
PERMITTEE .............. J.J~·····················r·:,,:-:= ................................ .
Front Yard Set Back ................................................................... .
Side Yard Set Back ...................................................................... .
Rear Yard Set Back .................................................................... ..
Distance Between Bldg ............................................................... .
Off Street Parking Spaces .......................................................... .
Sewage Disposal System ............................................................. .
Zone -Rosidential (
Zone -Commercial
Variance
Eng, Check By ............................................................................. .
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No ( ) Fee ................................... .
No ( ) .................................................... ..
Sewer Disposal Plant Capital Cont. Fee ................................................................... ..
Sewer Pumping Station Capital Cont. Fee .................................................................. .
Sewer Main Line Cost ..................................................................................................... ..
Sewer Lateral Connection Charge ................................. . .................................... -..... .
Water Stocked Lands Charge ....................................................................................... .
Water Main Pipe Line Fee ............................................................................................ .
Water House Service Charge ...................................................................................... ..
Wate r Meter Charge ..................................................................................................... .
Sub Total ................................................................................... .
Plans Approv~··ry--~ .. ··~• .. ·· .... ·.· ..... Plan Check Fee .............. :; .. ;;·;;; ...................................................................... ..
Approved by ...... ts:;:., .. ir;),.~ .. ~·--··· .. ··· .................................................. Building Permit Fee ...... ~ ... ~ ................................................................. ..
Date .......... 9-~6.,-.6 ... L--..................................................... Total Charges ....... $..~ ..................................................................... _