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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 .............. - $? ......... - & ..................................................................... u Total Charger ../a..% .. 4 ~~~~ CITY OF CARSBAD BUILDING DEPARTME,NT 729-1 181 -€X+. 36 For App1ica.n) to Fill In Contr. Address - <I< & , .o Conrt. WTo Add To Alter 0 Convert 0 'O Move From To Be Used For Kind of Foundation No. of Stories *Space (Sq. Ft.) Garage Floor Space (Sq. Ft.) , &r /M Attached Detached Legal Description z Lot Block Section Township Range No. of Existing Building Signature of Applicant AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BUILDING. I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY CITY OF CARLSBAD AND Applicaiicn for M1W'NG Permii 531 Building Permit Fee SEP-8-64 ?$~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.