HomeMy WebLinkAbout1751 ANDREA AVE; ; 62-4186; Permit~- .. .. P
APPLICATION FOR B 1, ,, J) IN G PERMIT
F
-. ." N? 4186 L,
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArhay 9-1181 - Ed. 36 /6
Owner Name ............... le/lom.&.g~... ................................................. Mailing Addnrr %& .,..-.....I .. &@ ..... p./ (Pleare Print) (Last) (First) (Middle) Number Street Phone
contractor ...................................... ....................................... .............. .............................. -Mailing Address (Please Print) Number Street Phone /
To Construct &/To Add 0 To Alter 0 To Repair 0 To Convert 0 To Move From .............................................................. ?ii&w+&& f Foundation ...-.. t .... No. of Stories ..... /.~ .... To Be Used for ............................... u .L.~ .......................
ddrerr
Typ* of Const. (Frame. Masonry. Etc.] (One Family Dwelling, Store. Etc.)
Floor Space of Proposed Construction (rq. foot) .... ..................... Const. Valuation $ .............................................................................
Floor Space of Garage (rq. fert) .............
LEGAL DESCRIn10N ..................... .......................................... .............................................. , ............ Lot Subdivision
or .................................................................................................................................. Section .................................... Township ............................ Range ...........................
........ BNJPS~ ....... e, ......... stnet, Near .. .............................................................. Assigned House Number
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .. /Y-...~~ ...... (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES .... / NO .................
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUI
If a check is tendered for payment of the above fea and the check is
immediately revoked. not honored when presented for payment. your Building Permit will be
Fee ......................................
...................................................
Zone . Residential ( /] ............................................................ Water Stocked Lands Charge .........................................................................................
Zone - Comrnareial ( 1 .......................................................... Water Main Pipa Line Fee ...........................................................................................
Water Hour4 SeNic. Chargr .........................................................................................
Eng. Chect By ............................................................................... Water Metor Charpa ........./g................................................................................... d - +u 2?%
Sub Tot41 .................... s .........................................................
*
Plan Chest Fee .......................................................................................................
Approved by Building Permit Fee ........... 5/ .... L. ..................................................................
Date .......... a..-~..& ...... - ..... @ .... "rr: ................................................. Total Charger ................ qJ .... .......................................................
00,