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HomeMy WebLinkAbout1291 Las Flores Dr; ; 63-5362; PermitAPPLICATION FOR B IC DING PERMIT 5362 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkwoy 9-1181 • Ext. 36 Owner Nome ~~e/\/,. ... ~/'?~.&.'.£ .. £..L .. MoHing Address ./~ '/ / .~ 9~ .. Ldt ...... 1.£.t> · (Please Pein+) ,1y (Last) / (F;7+J. (M;ddle) Number Street City Phon,7' Contractor .... -~~----------Mailing Address --~s~:..'~~2~~=0~---------1 Please Print) Number Street City Phone To Construct D To Add ~ To Alter D To Repair D To Convert D To Move From----················----- Type of Const,~--Kind of Foundation ....... e~! ...... No. of Stories ....... / .... To Be Used for .... D:::l!..~ ____ <1.d& ...... . (Frame, Masonry, Etc.) {One Family Dwelling, Store, Etc,) Floor Space of Proposed Construction (sq. feet) ............. ~ .. 8:..0. ........... Const. Valuation $ Y. ,8:__t!_Q~:::"'::::c,=::....--.------ Floor Space of Garage (sq. feet} ...... . -attached D ... detached □Const. Valuation $1--:::=======------------- LEGAL DESCRIPTION ............... :".: ... ::. ===.:_------,,,-.,-------·---c-c-- lot Block Subdivision or···········-------......... $action........... . ..... Township _________ Range, ____ _ Located at ... / . .;;)9/:"2%:,_ .. :7~ ...... t2t., ....... Street, Near ...... ~. 2£..:Q:.___ ____ _ Assigned 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 CONSTRUCTIO~ If a check is tendered for pttiyment of the above fee ond the check is • ~~;di:~:i; r;t:teJ'.'esented for payment, your Bu;ld;ng Perm;+ wrn be SIG~::~~fTE~F ... . .~~ Front Y ud Set Back _____________ / Driveway Permit Required Yes ( ) No 1¼. -----........ Side Yard Set Back .............. Grading Permit Required Yes ( ) No (4-:'.'.'.. Rear Yard Set Beck ........ ·················-----Sewer Disposal Plant Capital Cont. Fee / 1(' Distance Between Bldg. ••·•······ ...... ··········-··········· Sewer Pumping Station Capital Cont, Fee Off Street Parking Spaces ' Sewer Main line Cost .................. Sewage Disposal System I Sewer Lateral Connection Charge __________ Zono • Rosidontial ( ) I Water Stocked Lands Charge ...................... Zone -Commercial ( ) I Water Main Pipe Line Fee .................. J Variance I Water House Service Charge ........... /... .. / Eng. Chee, By ---· Water Meter Charljle Sub Total ......... / I Plans Approve Plan Check Fee I ----·--·-·--... ---······---.............. ····--······- Approved by ~~!:: ... zC.2; .. ~ ....... BuHd;ng Pe,mH Fee ... /..s-~ ..... ______ _ Date ............. 6-.:::: .. ~ .... 1/.,.=: ...... 6. ... ,3'-------Total Charges ...... /£._"_a1 _______ _ ~ erri::::'.: " " ----~-_,,,,, ...... ________________ ___ /CITY Of CARll8AD / BUILDING DEPARTMENT r 615~ PllNIING PERMIT. APPLICATION OWNIR e.,,_ '/-.N. e. IC._/) I;. • N"L j,. ~EV MAIL y-i ~ . :::R<~ ~~:; ~=~ yq _ -':) _/~ l'plMBI!_! #,Lo/i4'D ~ '=.1 ~ BUIL01NG / ,,:2 ,P/ ~ ,.., ADDRESS NEAREST -., -_ ,._ · .. ~ A\:!0RI!!! CROSS ST. CIJ:l'. C4. .e L,:S tl!l.11,, D TSL, NO Gf'tOUP I ZONE STATI!'.' CA~L$BAD ■U81N18S Inspection Record LICEN~Ut NO. L,IC 'tllS~ NO, NO . ITJ!:M PlE • ... J TOIL&T 0 $1.U • ,.r,.- ~ . . . IIATH TUS • , ..• , SHOW&;R • 1.u > .. ,,,.-. . FEB ?o.i;u ~•~~~11nn**** --4 WA.SM BASIN • , ... , _,,< . ' KITCHIN SINK • 1.211 DISHWASMll[ft • 1.aa UUNOR:"f TUB oi, TRAY • 1.21 AUTOMATIC WASH•0 • , ... WATEJ!I Hl!:ATER ,S YEfiT • uo CJAa iV,i;,1 J;M I TO 1115 ,9 t:A, ADD, • ISO FLOOR DRAIN OR Sl"i!K • l,H • .&lllN SPRJNKLEft • 2.00 MISC. WATER PIPINQ • 1.150 GARS~GE DISRO&AL • t.QO • -V~du'UM. •1tUKIE" OR BAOK FLOW t>iv10es I -1$ 0 a.oo A~ROV~L.$ DATE INSPECTOPil'8 SIONATURll ) UNDER FLOO" WORK -. ·/~ . . ROUGH PL.UMBING -. GRAO!NG PUtN PE!RMIT • 2 00 GAS PIPING YEJ □ tlO,.__ TOTAL. FE!£ • -~ 7.j-GAS VENTS PLUMBING P'IJ;CTURES I ACKNOWL!i!:DGE TJ-IAT I HAVE Rl!AD-Tf,fl,9 Al'PLIC,\TION AND STATE Tt-lAT THE AIJOVrt, IS CORRECT AND AGFUtl TO MISQ. COMPL.V WITH. ALL CfTY Oft INANCIES AND ST,\TE LAWS f1:EGUL,.,A.TING PLIJM81NG, I CERTIFY THAT I PROPERLY RllOIST,IRED AND 1,.1- c:;:ENSED AS PIEQl) Y THa e1TY OF CARL.SBA~ .\ND GAS TESl' STATE OF CAL,eO NI . THAT I rt •E~r·WNER OF THE ABOVE _/ CR B:Q RESIDENT OP ... R • UTILITY CO. NOTIFIED SIGNATURE /;_ ~ ~ .t ~ _ ~ .,,,, FINAL, OF PERM ITTEE , 1 • • VALIDATION This Is • Pluinbin9 Ptrmll W11on Properly Filled Out, Signed end Velidetod, Permit vaicf If w0rk ts not aommenced within 60 dtys of date of i"uance. , '}/ -, . -· . _, --------------------------------·-·- ~7, M .