HomeMy WebLinkAbout1720 ANDREA AVE; ; 62-5209; PermitAPPLICATION FOR B u D I N 6 PERMIT N? 5209
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 ~ Ed. 36
.............................................................. To Construct # To Add 0 To Alter 0 To Repair 0 To Convert 0 To Move From
Type of Const. .. y&df... Kind of Foundation .................................... LC. No. of Stories ................ To Be Used for ..&.% ...... k ........ 4 .... &"4- Address
/
(Frame, Masonry. Etc.1 (One - Family Dwelling, Store. Etc.)
Floor Space of Propored Construction [sq. feet) .... d .............................................................
~l~~~ space of Garage [sq. feet) detached OConst. Valuation $
ILd
attached 0 .................................................
LEGAL DESCRIPTION .................... 5 ............................. g-w.; ................................................................
Lot Block Subdivirlon
........................................................................................................................ ;+"Section .................................... Township ............................ Range ......
Located at /?.,T..g..( ..... e..& ...... - .................... I ...... Street, Near ..........
Assigned House umber
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 ...... I .....
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 BUILDING CONSTRUCTION,
7
If E 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
L
Side yard Set Back ........................................................................ Grading Permit Required Yes ( ) No ( ) ........................................................
R~~~ yard Set Back ......................... ............................................... Sewer Dirparal Plant Capital Cont. Fee ......................................................................
Dirtance Between Bldg. ................................................................ Sewer Pumping Station Capital cod. he ....................................................................
off stres+ spacer ............................................................ Sower Main Line Cost ........................................................................................................
sewage ~i~~~~~l System ................................................................ Sewer Lateral Connection Charge ..................................................................................
zone . ~~~id~~ti~l ............................................................ Water Stocked Lands Charge .......................................................................................... ]
.......................................................... Water Main Pips Line Fee ..............................................................................................
.......................................................................................... Variance Water House Sewice Charge
Check ny ................................................................................ Wator Meter Charge ........................................................................................................
Sub Total .....................................................................................
.................................................................................................... Plan Check Fee ........................................................................................................
... Building Permit Fee ..... ..... ~ ....................................................................
....... ........................................................ Total Charger ..... 5 ............... 1 ................................................................. ".- /-