HomeMy WebLinkAbout1768 BUTTERS RD; ; 63-5403; PermitCITY OF CARLSBAD - BUILDlNG INSPECTION DIVISION
PHONE PAbw 9-1 18.1 - M. 36
Ownor Namo ... flES ................................... _....... d ..........-....... ..: ......-..,...-.- .a.knr Addnn .+?..zd /..-...-
(Please Print) (Last) (First) (Middle) Number Street crty
.. .... .............. s-- PhOllO Con)tador ,. -... .--.--....-.-. “Mailing Address ........................................... ”. *,.-.. ..-.. ....-..-......-----L
Numbor Sfroet CitY
To Constndpf; To Add 0 To At).? 0 To hplr 0 To Comrrt 0 To Mow Prom ........ ............................................. ....- Addm
Typo of Con of Foundation .........&.. u. of Storios ................ To . Bo Used for .....~~..-.~..-...~.- (One Family Dwelling, Storo, Etc.) [Frame, Masonry, Etc.
................. ” -............-.--. ...“
Hoar 5p.o of 6arago (q. fd) ........ ..-......... .....
-..- ..................... ....
.... ........... Rang8 ..........-....-... .............- ...--..“--.G*ulur ^.
................. . Stroot, Noar
LAND AREA ._-__.._. ............................ NUMBER OF MISTING DmKINGS ON PROPOSED BUILDING SITE . ................................................... (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WlU THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTAUTION, ALTERATION, OR
ADDITION? YES. ..._...-.-- NO..& ..-._ .. I
I HEREBY ACKNOWLEDGE THAT I HAVE READ WiS APRlCATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH AU CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
If a check is tendered for pymnt of the above fee and the chek is
not honored when resented for payment, your Building Permit will be
immediately rovohec!
SIGNATURE OF
Front Yard Sot Back .....................................................................
Sfdo Yard Sot Bad .. ........_.......... .-.... . ........................................
Rear Yard Sot Back . .............................................................
Distaneo Bot~& Bug. ................................................................
ofi Stroot Parking Spaccr ....................... .-.- .........-. ........ -........
Swag. Disposal Systam ..................................... -.-.. _..-..- .....
&no - Rosidontial ( ) ........................... .....-.....__........-..
Zono . Commercial ( ) _.-.-l.-_..._....-..-....-II..- -.-.-.-.....--
Varl.IlCb
Enp. Chock By _ ........................................................................
Driveway Permit Raquind Y.r I ) No ( ) % .............................
Grading Pormit Roquind YO~ ( ) No ( ) ................................................ .
Sowor Dirpoal Plant CapHal Con). ko ............ .. ................................................ .
Sowor Pumping Siotion Capital con). ko ......................................................
Swot Main Lino Cost ................................................. .............................. ”..--- -
kwor !.&oral Conmttion Chargo ..................................................
Wator Srwkod Lands Chargo ....... :: ............................ ......................................
Wotor Main Pip. .Line k. . ...............................-.....................-.........-..-.-..-..
Wator Hour knlo Chargo -_..-...._.-..... .............. ....................................
Wator Moter Char90 .............................................................................
Sub Totat ................................ ..._--.._,..-____
TI - ........................... : ,. ......._..._....._._..-
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Dah ............._.. .... s&.-.- .-- ...---........_._.--.... ----”..---
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