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HomeMy WebLinkAbout1590 JEANNE PL; ; 62-5180; PermitAPPLICATION FOR Bu RD ING PERMIT 5180 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArlwoy 9-1181 -Ext. 36 ~,::;. ~~;~;1.f.'~ ... ~.Co~~··LM•iling Addross/?~.t~ .... 7-/-~.~ Number Street City Phone Contractor ··········------------------....JMailing Address --------------·----------------! Pleose Print) Number Street City Phone To Construct~ To Add D To Alter D To Repair D To Convert D To Move From ................ A~id~;;~--------- Type of Cons+ . ..J-~ Kind of Foundation ..... ~.C?......t .. No. of Stories ........ ). .. To Be Used for .. £~ ..... ~---- (Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.) Floor Space of Proposed Construction (sq. foot} .. /5:..f?..!J. ................. Const, Valuation $ ... /s;. .. .[?~/ '!!f!' 1 .... ./ .. t; .. ~9.ft.., ~ Floor Space of Gor,go (sq. feet) ........................ st,(J ......... d~==~:~ Mconst. Voluation $ ..... /.7 ... .,¢1, ... 9 ...... ~ .. LEGAL DESCRIPTION ................. -3,;~ Block ~~~,s\~~ .... 4. ----- or ---.J.§~-',t),._ __________________ ..,ection .. ______ Township .......... ___ Range ____ _ Locoted at ';2.b..f,.,,a ..... ae..4~.e .. e.."°' .. ~ -St•••I, Near~ .. /.~------ Assigne~se 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 ..... -;.. .... NO•--- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND A~REE TO C?J'PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT).P)'· _ 6 fk.c. not honored when presented for payment, your Building Permit will be SIGNATURE OF 1 Gt}' If a check is tendered for p-ayment of the above fee and the check is /((i 1J; immediately revoked. PERMITTEE _ _ _ _ . . ... ··'7"····· ............. . Front Yard Sot Bock ...... ,,£,./!... ... \ .... _______ _ Side Yard Set Back .......... 1...~.s.:.. ..... -------- / Rear Yard Set Back ....... /..,;£':.----------- Distance Between Bldg ............. --...... . Off Street Parking Spaces ........... ~'------- Sewage Disposal System ............... ~ Zone -Residential { l ) ------------ Zone -Commercial Variance Eng. Check By .. _____________ _ .;t,,.,..._~---Driveway Permit Required s:..J.. . .:,0-~..9-e<_ Yes ( ) No (XJ Fee ..... ____ _ Grading Permit Required Yes ( ) No !)(l -------- Sewer Disposal Plant Capital Cont, Fee ............. S...<?.. .... ~,._, _____ _ Sewer Pumping Station Capital Cont, Fee ____________ _ Sewer Main Line Cost ··················---------------- Sewer Lateral Connection Charge ···••-•·-------------- Water Stocked Lands Charge _________________ _ Water Main Pipe Ltne Fee ........ ________________ _ Water House Service Charge ........... ______________ _ Water Meter Charge _______ 4=.S.:. ___ ,.,_ ______ _ ,,..., Sub Total ___ ...,9£ ... ,\ -------