HomeMy WebLinkAbout1720 ANDREA AVE; ; 62-4127; PermitCITY OF CARLSBAD - BUILDING iNSPECTlON DIVISION As 3
PHONE PArhy P-ll8l - M. 36
owner ~ame &!>..f Mailing Addnrr ........ ~Zflt ....... 71! .............. %$: .............
(Pieare Print) (Middle) Number Street y Phone
Contrastor ........................ $.a/ryp ........................................................ Mailing Address .............................. (Pieare Print) Number Street City Phone
To Conrtrvst /To Add 0 To Alter 0 To Repair To Convert 0 To Move From ..............................................................
T~~~ of Conrt. y!nd of .... o Be Used for ........................
............................................
(Frome. Masonry. Etc.) [One Family Dwelling. Store. Etc.)
Floor Space of Proposed Conrtruetion (sq. fed)
Space of Garage (rq. feet) .................
LEGAL DESCRIPTION .............. 3~ ........................... ......
Lot
or ................................................................................................................................. Saction .................... L/ ...... Township ............................ Range ...........................
Losated at ...... /.7&% .......... ~Rlk!.dx.E.h ....................... Street, Near ................ %!!l?y ..................................................................
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ....... N@...wc ............. [INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES ................ NO ................. L/
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLiCATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Assigned House Number
- n
if a check is tendered for pyment of the above fee and the check is
immediately revoked. not honored when presented for payment. your Building Permit wili be SI
./'
~~~nt Yard Set Bask ......................../;t.................... Driveway Permit Required Yes ( ) NY Fea
Side Yard Set Back ............. 6.d ................ 4 ................ Grading Permit Required Yes 1 ) No ( ) .......................................................
Rear Yard Set Bask ......... ~..LJ .................. ~..< .................. Sewer Disposal Plant Capital Cent. Fee ....................................................................
Distance Between Bidg. .... ~.~.i..Q ............................................... Sewer Pumping S4ation Capital Con+. Fee
off Stras+ Parking Spaces ............................................................ / Sewer Main Line Cod ......................................................................................................
sowags ~i~~~~.l Syrtsm Sewer Lateral Conneetion Charge .................................................................................
zone Rsridantial [ 1 J ............................................................ Water Stocked Lands Charge .........................................................................................
zone Commercial ( 1
Variance Water Hours Service Charge
I .....................................
/
!rl ...................................................................
.......................................................... Water Main Pipe Line he .........................................................................................
........................................................................................
00
Check By ................................................................................ Water Meter Charge ..................... q..Q...- ......................................................
Sub Total .....................................................................................
Plans Approved byTs ....... a--L ....... plan Chest Fee ....................................................................................................... - so
Approred by .................. ~l ....... .> ...... ................................. Building Permit Fee .......... 6~./ ..........................................................................
Data ................. ~~L.-.../.L..& .... ............................................. Total Charger ..................... %..- .................................................
00