HomeMy WebLinkAbout1771 ANDREA AVE; ; 62-4184; Permit.. .... ~.__ ... .... .. .. ~" ~- "" .
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArhey 9-1181 - Ed. 36 ,'
Owner Name ............................................. Mailing Address i)s:...8<.??...?(!
(Please Print] (Middle) Number Street Phone
contracto, ................... ...................................... Mailing Address ...................... s. - ........................................
(Pleare Print) Number Street City Phone
To Construct To Alter 0 To Repair 0 To Convert 0 To Move From
/ ddret
Kind of Foundation~~~.h.! ....... No. of Stories ............... TO Be Usad for ......................... (One Family Dwelling. Store. Etc.)
Floor Space of Proposed Construction (rq. feet) ......... .......... ................................
Fbor Space of Garage (rq. feet) ................. ..............
LEGAL DESCRIPTION .................. ~./..y ~- ........................................
Lot Subdivision
OF ................................................................................................................................. S.~i~" ............... ......................... Range ...........................
Located at ................................... /r.7[ ....... .... atred, Near .... ..................................................................
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ..... /Vi3.@.et?~~ ............. [INDICATE
SIZE, USE AND LOCATION 0 PLOT PLAN]. WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
Assign d ouse umber
ADDITION? YES ..... l/ NO ........... .....,
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCJIOB.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS
If a check is tendered for payment of the above fee and the
not honored when presented for payment, your Building Permit immediateiy revoked. .........
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Front Yard Set Back .............................. 20 I r3.. ................... owsway Permit Required Yes [ ) No ( ) Fee ......................................
Side Yard Sd Bask ........p .!..A ................................................... Grading Permit Required Yes I ) No [ 2 ........................................................ c I
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Rear Yard Sat Back ..... ~~1.2.~ ...................................................... Sewer Disposal Plant Capital Cont. Fee ......................................................................
Distance Between Bldg. .... ../o~~~ ........................................... Sewer Pumping Station Cepital Cont. Fee ...................................................................
Off Street Parking Spacer ........................................................... Sewer Main Line Cat .......................................................................................................
Sewago Disposal System ....................................................... Sewer Lateral Connection Charge ..................................................................................
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Zone - Residential ( / ] &
............................................................ Water Stockad Lands Charge ........................................................................................
Zona . Commercial ( ) .......................................................... Water Main Pipe Line Fee ...........................................................................................
Variance
Eng. Check By ................................................................................ Water Meter Charge .............. ..................................................................
Sub Tofd ............................... q.0 ..............................................
Water House Sewice Charge ......................................................................................... %/ BO
&
plans Approved by ....................................................................................... Plan Cheek Fee ........................................................................................................
Approved by ...... w.~J ...... &.A .......... Building Permit Fee ................. d .... l...... ........................................................
Date .~~.~...~-.-...&&! ..................................................................... Total Charges ..................... 4r( ...............................................................
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