HomeMy WebLinkAbout1740 ANDREA AVE; ; 63-5412; Permit_" N? 5412 ~~
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION 1
ay 9-1181 . M. 36
Owner Name .... Mailing Address ................
[Pleare Print) Number Street City
Mailing Address ........................................................................................................ Number Street City Phone
To Qonrtruct &Add 0 To Alter 0 To Repair 0 To Convert To Move From .............................................................. - A
...... ................ ................................ ind of Foundation .... No. of Stories To Be Used for ...!h?q
(One Family Dwe ing. Stare. Etc.)
(sq. feet) ka.o.a..- ............ Const. Valuation $ .......& 3.4 -SILL ................... ! ............................................
~l~~~ Space of Garage (sq. feat) ..... T .......................... : ............... detached UConrt. Valuation $ ........ \ ....................................................... attached
LEGAL DESCRIPTION ......... Lot Block Subdivision
................................................................................................................................ Section Township ............................ Range ....
Located st ..L..Tgd ..... &.& .......................................... Street. Near
Assigned House Number
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .................................................... (INDICATE
SIZE, USE AND LOCATION ON PLOT IS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES ................ NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
If a check is tendered far payment of the above fee and the check is immediately not honored revoked. when presented for payment. your Building Permit will be SIGNATURE PERMITTE 4ld+< ... ....~..... ..... .. .Q
Front Yard Set Bast .................................................................... ......................................
Side Yard Set Bask Grading Permit Required Yes 1 ) No 1
Roar Yard Set Bask Sewer Disposal Plant Capital Cod. Fee
Distance Between Bldg. Sewer Pumping Station Capital Cod. Fee
Off Street Parking Spacer .......................................................... Sewer Main Line Cost
sewage D~~~~s~I system .............................................................. Sewer Lateral Connection Charge
zone . Residential ( ) .......................................................... Water Stocked Lands Charge
zone . commercial ( ] ........................................................ Water Main Pipe Line he
Variance Water Hours Service Charge
hg. Check By .............................................................................. Water Meter Charge
......................................................................
...................................................
..............................................................
Sub Total
Plan Check Fee
Approved by .............. ............................................................................
.............. ................................... Total Charger ..................................................... "-
~ ~~ ~~ ~ ~~