HomeMy WebLinkAbout1769 GUEVARA RD; ; 62-5019; PermitAPPLICATION FOR BOLDING PERMIT -5019
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
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36
~_'-',Hing Addm~.t.,_;.c<_
1_----'&th~/ &
(Please Print} !Last) (First) f (Middle} Number Street City Phone
Contractor ........... ~-----------M,ailing Address ... _____ s~~------.,...--1 Pleaise Print) Number Street City Phone
To Construct~ To Add O To Alter D To Repair D To Convert D To Move From --cc-~-------
Typa of Const~~. Kind of Foundation ... ~ ...... No. of Stories ... / ...... To Ba Used for .... ~~----
{Frame, Masonry, Etc.) !One Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ..... / $!../S::. Const, Valuation $ •· f-/ _5~ 8·t·u·-~
.t/ ::2-0 attached D /
Floor Space of Garage (sq. feet) ----'-······················ detached O~aluation $--==-----------------
LEGAL DESCRIPTION {'p/ ............ .Q.~ .... ~ .. ~--__ _
Lot Block ... Subdivision
or ------------:;------------.......>ection ... ________ Township, _________ Range, ____ _
Located at ......... /.7~ .. ~...--, .. 1 .. ~ .. '..--.U. ~ ... :Z.!': ... a-..'1 .. ..,.(,.b ... , __ ....Straet, Near .. f(._ .'.: .. J.'.l ... .....!~.d.""°':.t'..--------
Assigned House Number /-~
LAND AREA .... ---············· NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ~O
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION,
_ ...... (INDICATE
ALTERATION, OR
ADDITION? YES .... ~ 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 BUILDING CONSTRUCTION,
If a check is tendered for p-oyment of the above fee and the check is
not honored when presented for poyment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE ..
I
Front Yard Set Baek ... ~?>"'--/---'~--'--...:.....:.. ___ _ Driveway Permit Required Yes ( l No ( ~--·-· -----------
Side Yard Set Back ............ 8-.L ............ --------Grading Permit Required Yes ( ) No (p{_ _____ _
Rear Yard Set Back ........ /k._r _____ ...--____ _ --~---~··,,...···(J &..C. Sewer DispoH1I Plant Capital Cont. Fee _ -~
Distance Between Bldg ....... /CJ. r ............... ~----······'"' /..
oo
Sewer Pumping Station Capital Cont. Fee .............. /J"'--_,0::_ ______ _
Off Street Parking Spaces __ ,_/_-, -~-----
Sewage D;sposal System .............. ~-----
Zone • Residential ( / ) -----------
Zone • Commercial ( ) .............. ------
I Sewer Main Line Cost ··········-------f----------
Sewer Lateral Connection Charge ____ ,/. __________ _
Water Stocked Lands Char9e ----f-/ ___________ _
Water Main Pipe Line Fee ..................... ,1. /'--------------
Variance Water House Service Charge ------------------
Eng. Cheek By ---------------
,! /' . .< ,, 0
Water Meter Charge ______ -r--<.._ ,C/"-------------
Sub Totel ___ ,/ 9(1-<" c>
::::o:~;r::•~s.tu:~---~:,:::;:h•;:r~:e Fee ~/'.:: .. :::d:::::O==------
Dale ................. 1/..::= .. .;3 O ~ h 't.---Total Charges .......... .2. .. CL..~/_0
_
0
_______ _