HomeMy WebLinkAbout1710 ANDREA AVE; ; 62-5137; Permit.. ~. .............. - .L -.
APPLICATION FOR B 1 I G PERMIT NO 5137 .~
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArhay 9-1 181 - Ert. 36
Owner Name ...... G&!.%:/4. ...........&.. !..........Et .................. Mailing Address ....... /.7%? ....... hk&&..& ............. e'?$ 1.
I?/ (Please Print) st) First) (Middle) Number Street cift P ne
Contractor .... $.&.&.&!& .......... e.. e... ..s* ................................. ..Mailing Addreso &?&d/:.d& .... .//!L&d...J&C.<! ..... $..& (Pleare Print] Number Street City Phone
To Construct d To Add 0 To Alter 0 To Repair 0 To Convert 0 To Move From ............................. ~ ............................
Addre6
Type of Const.~UA(I~k.€? ...... Kind of Foundation ......... ?X ................. No. of Stories ..... L- .... To Be Urd for&..f.fi ....... &O...d ..........
(Frame, Masonry. Etc.) (One Family Dwelling. Store. Etc.)
y1 Space of Proposed Construction (rq. feet) ........ qC?.o ...................... Conrt. Valuation $ .......... 28d..fi ..................................................................... Po
attached 0
Floor Space of Garage (rq. feet) ................... c- .......................... dstXehod Oconrt. Valuation $ .................. 5 ........... ~ ...................................
.................. .................. LEGAL DESCRIPTION ...................... 2- ................................................................................................ 0. 4.7
Lot Block 9 Subdiviri
or .................................................................................................................................. Section .................................... Township ............................ Range ............................
Located at ...L.2.& ...... A&..-d&E.fi ............................................ Stmet. Near ................ 1/ &..d.!e..\/ .
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 .................
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUlLDiNG CONSTRUCTION.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Assigned Houre Number
If D check is tendered for payment of the above fee and the check is
not honored when presented for payment, your Building Permit will be SIGNATURE OF immediately revoked.
Front Yard Set Bask
Side Yard Set Bask ....................... 2 ......... 0 .......... 7'
Rear Yard Set Back
L__ ................................................................
Distance Between Bldg.
Off Street Parking Spacer
Sewage Disposal System
Zone . Residential ( )
Zone . Commercial ( )
Variance
Eng. Check By
Driveway Permit Required Yes ( 1 No ( ......................................
Grading Permit Required Yes ( ) No I,!?-/ ..................................................
Sewer Dispose1 Plant Capital Cont. Fee
Sewer Pumping Station Capital Cont. fie
Sewer Main Line Cost
Sewer Lateral Connection Charge
Water Stacked Lands Charge
Water Main Pipe Line Fee
Water House SWviCe Charga
Water Meter Charge
Sub Total
Plans ApprovePC .~ ..................................................................
Plan Check Fee ........................................................................................................
Approved by ..... C ........... L.. ....... Z ................................................................. Building Permit Foe ....... /&?..- ....................................................
Date ......... /.o .............. - $? ......... - & ..................................................................... u Total Charger ../a..% ..
4
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CITY OF CARSBAD BUILDING DEPARTME,NT
729-1 181 -€X+. 36
For App1ica.n) to Fill In
Contr. Address - <I< & ,
.o Conrt. WTo Add To Alter 0 Convert 0
'O Move From
To Be Used For
Kind of Foundation No. of Stories
*Space (Sq. Ft.)
Garage Floor Space (Sq. Ft.)
, &r /M
Attached
Detached
Legal Description z Lot Block
Section Township Range
No. of Existing Building
Signature of Applicant
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
Applicaiicn for M1W'NG Permii
531 Building Permit Fee
SEP-8-64 ?$~1148******18.GO PtlO
Building Dept. Use Only
Building Address /aA & J!k%*
St. Near
Set Back Bldg. Valuation .,2,?5d .- z c.
Front P.L.
Garage / Side P.L.
Main Bldg. /
I Group
Rear P.L.
Contractor City Bur. tic. No. __
Water Meter I Sewage Disposal Sysbem
Inspection Record
Utility Company Notified - Date Final BY -
If o check is tendered far payment for the above fee and the check is not homrod when presented for payment, your building permit will be immediately revoked.
City of Carlibad Building Dept.
-
Pcrmir-void if wart is not cornrnsnced within 60 days of issuance.