HomeMy WebLinkAbout1670 BASSWOOD AVE; ; 62-5083; PermitI
APPLICATION FOR B u 1 ,, 1 N G PERMIT
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArbay 9-1 181 - Ext. 36
-. - N? 5083
....... ................................. ...... .................... ........................................................................................................ Number Street City Phone
1
(Middle) Owner Name &I/ ..1_._.. hw 1.. i..h..a :...Mailing Address
Contractor ..e%Ee ........... k..@s.& ........................................... Mailing Address .... .......................................................................
(Please Print) (Last) (First)
(Please Print) Number Street City Phone
To Construct dTo Add 0 To Alter 0 To Repair [7 To Convert 0 To Move From .............................................................. - ddress
Type of Const. ................ Kind of Foundation .... h.5 ....... No. of Stories ...... / ...... To Be Used for ......................................................
Floor Space of Proposed Construction (sq. feet) .......... LA...& ...e .......... Const. Valuation $ ........
Floor Space of Garage (sq. feet) y..g...@ detached OConst. Valuation $... ................................ ......-...
.4 .... 6.L ......................................
(Fra-c.) ? (One Family w Dwelling, Store, Etc.)
/ ..........................................
attached
............. .............
LEGAL DESCRIPTION ij.~~~...~~.~..~...~~...La.3 ........... pd.&!
Lot Block Subdivision
.................................................................................................................................. ............ or Section ............ Range ............................
Located at ..J.6..7’. ............... Street, Near . Assigne
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILD
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES ...... e NO .................
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVEjS 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. ..........
P
Front Yard Set Back do‘ ...................................................................... u
/ -
Side Yard Set Back .......c5_. L ......................................................
Rear Yard Set Back ..... 1. ...‘ .....................................................
Distance Between Bldg. ................................................................
II-
u
Grading Permit Required Yes ( ) No NUMZ ...................
Sewer Disposal Plant Capital Cont. Fee ......................................................................
Off Street Parking Spaces ......../1................................................
Sewage Disposal System
Zone - Residential ( ) ............................................................ I
Zone . Commercial ( )
Eng. Check By .... ........................
Variance
Sewer Pumping ...............................
Sewer Main Line Cost
Sewer Lateral Connection Charge ............................................................................. =ame “rz6.50
Water Stocked Lands Charge ..........................................................................................
Water Main Pipe Line Fee ..............................................................................................
h
............... .... ........................................ Water House Service Charge 1 f.f&?& .A
Water Meter Charge
Sub’ Total ................................-...................... 23”6/
Plan Check Fee ........................................................................................................ - 00 Approved by .................. Building Permit Fee .& .... g.C .................................................................
Total Charges ....................6.. 0 a.................................................- d -1 .. ... I Date ........... 8 ..-.......-............................................................