HomeMy WebLinkAbout1767 BUTTERS RD; ; 63-5249; PermitCITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 - M. 36
a ..... Mailing Address
(Please Print) Number Street City Phone ud..m.v Mailing Address ...- Street .! City Phone Contractor -..-..- --
(Plea rint) Number .......... ................. ..... ................................................. ...................
To Alter 0 To Repair 0 To Convert 0 To Move From ..............................................................
of Foundation .........k .uo. of Stories ....../!..... To Be Used for
F
noor Space of Proposed Construction (sq. feet) ...#.sq ........ - ....... Const. Valuation $ ....... #.dz+ .......
Floor Space of Garage (rq. feet) ................................................. detached UConst. Valuation $ ............................................................. ....._....... . ._-......-.- -.-...
LEGAL DESCRIPTION ................................................................... ................... ...._..............._.______________.___.... ............................................................................. ........._..- .... Lot Block Subdivision
.....................................................
attached
or ................................................................. ..................... ...................................... Section .................................... Township ............................ Range ..........................
Located a) / ......................... 7 k 7 &e. ..//%..Street, Near ............................................................................................. .........._..-...
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 HEREBY ACKNOWLEDGE THAT I
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
If a check 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 f7 C1-B immediately revoked.
Assigned House Number
THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
PERMITTEE ,.# ../%.......... .......&..
Front Yard Set Back
Side Yard Set Back
Rear Yard Set Back
Distance Between Bldg.
Off Street Parking Spaces ..........................................................
Sewage Disposal System ..............................................................
Zone . Residential ( ) ..........................................................
Zone . Commercial ( ) .........................................................
Variance Eng. Check By i ................................................................................
Driveway Permit Required Yes ( ) NO (
Grading Permit Required Yes ( ) NO ( )
Sewer Disposal Plant Capital Cont. Fee .............
Sewer Pumping Station Capital Cont. fie ...........
Sewer Main Line Cost ...............................................
Sewer Lateral Connection Charge ................... .-...
Water Stocked Lands Charge .................................
Water Main Pipe Line Fee .....................................
Water House Service Charge .................................
Water Meter Charge .......................................................... .............................................
Sub Total ................................................................................... .-
2'
I
I
......... ................. .......................... Plan Check Fee F"b'.-- - ....................................
/ Permit Fee ...c ................................................................................... 6-Q Approved by
/ ................... .................................... Total Charges .s ........................................ ..-