HomeMy WebLinkAbout1740 ANDREA AVE; ; 62-4129; Permit/-
APPLICATION FOR B u , ,, IN PERMIT
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CITY OF CARLSBAD - BUILDING INSPECTION DIVISION 4t-C” -N? 4129
PHONE PArhay 9-1181 - M. 36
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Owner Name ......................... ‘G m8.@../ ....... .&?../l.s ............... Mailing Address ........................................................................................................ Po* 7/
(Pleare Print) (Last) (First) (Middle) Number Street City Phone
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Contractor ..................... -L:&r/;. .... ........................................... -Msiling Address ................... 6.@.MG- ................................................. (Please Print) Number Street City Phone
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Floor Space of Proposed Construction (sq. feet) ....... /!as ..?’.......... Const. Valuation $ ..................................................
Floor Space of Garage (rq. feet) .............................. qQ.d ...... detachod_OConst. ValuaAn $ attached 0
LEGAL DESCRIPTION ...................... ....................................... /&- .............................................................................. Lot Block Su division
or ................................................................................................................................ Section .................................... ............................ Range ...........................
Located at ......... /7#d .... ~..h?!&?fiA ................................ Street, Near .. Assigned House Number
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ....... N-..~~~~ ....
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR (INDICATE
ADDITION? YES ...... err( 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 WILDING CONSTRUCTION. A
if D check is tendered for payment of the above fee and the check is
immediately not honored revoked. when presented far payment, your Building Permit will be SIG- PER, ....................... 6 -’& ....... ........................
.” I
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Front Yard Set Bask ...& ............... 6 ....... Driveway Permit Required Yes ( ) No ( eFee ......................................
Side Yard Set Back ..............? 6- ......................................................... a” Grading Permit Required Yes [ ) No (w ....................................................
Rear Yard Set Back ...... /3 ....................................................... Sewer Dirpossl Plant Capital Cont. Fee ......................................................................
Distance Between Bldg. ~~~/d ................................................. Sower Pumping Station Capital Cont. Foe ....................................................................
Off Street Parking Spacer ............... , ........................................... Sewer Main Line Cost ........................................................................................................
Sewage Dirporal System .................................................... Sewer Lateral Connection Charge ..................................................................................
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Zone . Residential ( / ) ............................................................ Water Stocked Lands Charge ..........................................................................................
Zone . Commercial ( ) .......................................................... Water Main Pipe Line Fee ...........................................................................................
Variance Water House Service Charge ......................................................................................... QQ
.................... .................................................... Eng. Cheek By ................................................................................ Water Metor Charge 4~Q...<
...................................................................................... 1, ac 1497 Sub Total
Plans ApprovT5 ~~&A ............. Plan Check Fee ........................................................................................................
Approved by ........ .C .................................................................................... Building Permit Fee .......... ....{g...+... ................................................ I 0
Date ......... /-.//.-..6 .... 7 ..................................................... TA charges ..................... Fa..: ........................................................... 00