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HomeMy WebLinkAbout1710 MAGNOLIA AVE; ; 61-4033; PermitAPPLICATION FOR B DING PERMIT 4033 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkway 9-118 1 • Ext. 36 ,?o, lSo)( .:rl./f?' Owner Name ....... J... .. u. .. J,...L .................... M.!.. ......................................... Mailing Address ..... :3..9.g/ .............. G./7..R....ft.~!L ......... . ( Please Print I (Lost) ( First) (Middle) Number Street City Phone Contractor ··········D..··W ... N...e.R ................................................................ Mailing Address ········································································································ ( Pleose Print) Number Street City Phone To Construct ✓To Add O To Alter O To Repair O To Convert O To Move From ............................................................. . Type of Const.~.~ Kind of Foundation ..... ~/. ....... No. of Stories ................ To Be Used for ...... ~4 ••••••••••••••••••••••••••• (Frome, Masonry, Etc.) _3 (One Fomily Dwelling, Store, Etc.I Floor Spoce of Proposod Construction (sq. feet) ....... /:3...6.. ..................... Const. Valuation $ ... F ·····?············s~·········•··••··············••···················· Floor Space of Garage (sq, feet) ................... 4.~:?>.. ........... l::~t=~ ~st. Valuation $.{ ... /~!....~./ ..................................................................... . LEGAL DEscR1PT1ON ................................... 3.8., ........ 7.ii. .... 9< . .S...(:J ........ T.lluNt. .... i.AA!..a'..s ..... !2.-9.p. .. 16.'if...L ......................... . ?~ 11 Lot 11 Block Subdivision or .......................................................... ?... ................................................................... Section .................................... Township ............................ Range .......................... . looolod ., ...... L7,_{;e;a'23'.'1.:l:?i,A ................................. , ...... N, ............ U~····--··············································· LAND AREA /7J .. ;!).=4/_)._ ....... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ................................................ (INDICATE SIZE, USE AND 1OCATION 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 AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUIL0ING CONSTRUCTION. If o check is tendered for r::·oyment of the obove fee ond the check is )AA // ~ ~ ~ /Jc t:::di~~;i; r:;;k:resented for payment, your Building Permit will be SIG~t:~~fT~F "1_//~ ..... t.:. ..... ~: ............. . Front Yard Set Back .......... ~.0.~ ......... ./.'1.LI.V..L. ............... . Driveway Permit Required Yes ( ✓ No (jf Fee ... J.~ .. ?.:.S ................. . Side Yard Set Back .............. ~./ .......... .1.!'.1!.N..,. ................... . I I Rear Yard Set Bae\: .......... /.~ ............ /'2./..N. ........................ . !:,Ee tt-.lt"l'fiV<-TIOV~ Grading Permit Required Yes ( ) No !' ...... O.U. .... P..\. . .._T. ..... ~.~~··· Sewer Disposal Plant Capital Cont. Fee .......... 5. .. Q .. ~ ... 9 .. 0. ........................... . I Distance Between Bldg ..... /.P.. ... 1 ......... /C:1./..N.. ....................... . Off Street Parking Spaces ........................................................... . Sewage Disposal System ...... ~ .... ~4 ............ . Sewer Pumping Statioj Capital Cont. F~e ........ ~O..~ .. ~ ..................................... . Sewer Main Line Cost .. 1 . .c~~~f )o:P~~3..~kr••··&o1i·:············· Sewer Lateral Connection Charge .................. ~ .. .l'l..b., .. S.O ............................. . Zone -Residential rR-1 l ···························································· Water Stocked Lands Charge ......................................................................................... . Zone • Commercial ( -) ......................................................... . Variance Water Main Pipe Line Fee ................................ c:2········•················································ ,,~ Water House Service Charge ···-;,······o···-;,·······················································•············ o· »1 Eng. Check By ............... tc.\<....................................................... Water Meter Charge ....................................................................................................... . ~• f>(jDffo81 SubTotal ................. ~b.0 .. ~ .... ~ .............................. . :::r:::r::e~···~·s:.·.·.· .. ·.·a .·.·~·.·.·.·.·.·.·.·.·.·.·.·.·.·.·.·.·.·.·.:~~~di~:e::r::e F~~··:::·:::·.::::¥.i.:::~~:::::::·.·.·.·.·.·.::·.·.·.::::::::·.::::::::::·.·.·.·.::·.:·.·.::::::::::::·. ,,It. -~-9 Date ..................... 8...= .. / .. 2.= .. b.. . ./........................................................ Total Charges .................... b. .. ~ .... ~ .................................................... .