HomeMy WebLinkAbout1778 GUEVARA RD; ; 62-5005; PermitAPPLICATION FOR BUQDING PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
5005
?r:r::;. ~~;~;) .CK~~··· fF;;~· .. ·c;;;i-dd-1-.J--Mailing Address~}}:~./._7 ~ ~ti.. ... ~.Q.. ....... ~./
Number Street City Phone
Contractor ...... !,.. ~ ... 'c .. ~ ... e'. ••• "-.1:: .. :'.'. .. &,,,,,e.A._.. ____________ ,Mailing Address ............... s. .. ~C,~,c ... ,e, ••• ,e, •• ~ •.• ~ •.• ------,--
( Please Print) Number Street City Phone
To Construct ~o Add D To Alter D To Repair D To Convert D To Move From
Type of Const ... ::f,a,~nd of FoundaHon ... ~ ....... No. of Stor;e, .... / ..... To Bo Used for ····~·····-----
(Frome, Masonry, Etc.) (One Fomily Dwelling, Store, Etc.)
Floor Space of Proposed ConsfrucHon (sq. feet) .... /.9'.(~~:~~~··~· VoluoHon $. ·······fi····· 7s:;·9;r_·······g·········· .. ·····6· ·············-·-···-···-·
Floor Space of Garage (sq. feet) ....................... ~~-2 ........ detached OConst, Valuation $.
LEGAL DESCRIPTION ................. L/~2---·---~--~···· .~C1/k-1... ... ~2 ................... _____ _
Block Subdivision Lot
::c,ted at ........ /2;9~~;;~.a?J. .... S::::~ Ne,:. ~~::::::: .. _Ra_n_g_e ____ _
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 .... ~0-__ _
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 obove fee and the check is
not honored when presented for poyment, your Building Permit will be
immediotely revoked.
SIGNATURE OF
PERMITTEE ........ .
Side Yard Set Back ...... 6._I" ______ .___. _____ _
Rear Yard Set Back ... /P. .. ~ ........... __ c___-_____ _
Distonce Between Bldg. /(} .... ~ ........ .
c.l---·
Off Street Parking Spaces --'-/-c---------
Sew,ge Disposal System ·······~······-----
Zone • Residential (/ } ··········---------
Zone • Commercial
Variance
Eng. Check By ----------------
Driveway Permit Required Yes ( No (....,...-Foe
Grading Permit Required Yes ( ) No (ly: ........ ______ _
Sewer Disposal Plant Capital Cont. Fee ................ ~~,__,.._
0
_____ _
.. 0
Sewer Pumping Station Capital Cont. Fee ·······-'/-'d'_O _________ _
Sewer Main Line Cost
Sewer Lateral Connection Charge ·········-----J----------
Water Stocked Lands Charge __ _
Water Main Pipe line Fee ······--···-----'-----------
Water House Service Charge ---------·--------
1/' tJ Water Meter Charge ... •···-----~'-'"--------------
9" """ Sub Total ...... ---L/~~l'l~==-·-----
::::o::;r::e0.t;::::£:::ca~,-------. --.-.. -... -... -.:::1:,:hep::~:e F~e
.. ~"/..~~··········
Dote ....... "7".::::_.3=-Cf'_-_6 __ ?'_ ................ ____ _ ----'·...., // / ,C> Total Charges c;::::,,,,I& LJ ·