HomeMy WebLinkAbout1590 Jeanne Pl; ; 63-5493; PermitAPPLICATION FOR Bu Q DI I G PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 • Erl. 36
5493
?Pi:::. ~~;~;1.;,Cf/:%~ e}./Y.7 .t~·~j:j·· •······•Mam,g Address ./ ,ff; ~ ... ~~••1-l<~
Contractor ......... ___ ...... ~ . • . /_ __ L -ailing Address ....... :i ~ ~+) Number Street City Phone
To Construct~ To Add~ To Alter O To ~•pair D To Convert D To Move From··········----------
Type of Coos/F~--;2;;!-r;,•~Klod of Fouod,flo~~.No. of Stor;es .. ../ ....... To Be Used f(O;~ ~~:':'""e,-Et-c.,-) _
Floor Spece of Proposed Construction (sq, feet) .... 4. .. £.2.. ................... Const. Valuation $ .. ~,_. ... 9..2..?J ~ ·······················-----
attached O
Floor Space of Garage (sq, feet) ............. . ____ detached OConst. Valuation $ ___________________ _
LEGAL DESCRIPTION -------~?l-Lot Block Subdivision
Loc,ted at ./~(). ..... ~ •. /.~ ... ~~ ... Street, Near .... Q~---------
or .......... ~ eetio Township ...... ____ Rang~-----
Assig House Number 'IT"
LAND AREA ...... _____ NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ............. (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE AN'( 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
oot honored when presented for payment, your Bu;!d;ng Parma wm be SIGNATURE OF \t\
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTIU
If a check is tendered for p·ayment of the above fee and the check is
;mmed;,tely revoked. PERMITTEE ... . . ..... -'·~ ..
Front Yard Set Back ..... . _2 (',I -~----··················----------
Side Yard Set Back -----~L~·-------
Rear Yard Set Back .................... / .. ~-'------
Distance Between Bldg ... J~t'~----
Off Street Parking Spaces ___ -Z-..~-------
Sewage Disposal System ~-----
Zone • Residential { /
Zone • Commercial
Variance
Eng. Check By ··---------------
Driveway Permit Required Yes {
Grading Permit Required Yes { }
No() Fee
No I
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 ·············-----------I-
Water Meter Charge·············--······----------°"'<----
Sub Total _______________ _
Plans Approved by ~~-~-·-------------Plan Check Fee
Approved by .... 'µ:_ .... ~~ uHd;ng Permit Fee .... ...£.,g_: ... f ; ........ .
Date .......... /./?j.L.J.j. .. t.. 3 Tot,! Charges . ..2'.,£.-'-----------w)