HomeMy WebLinkAbout1779 Guevara; ; 62-5018; PermitAPPLICATION FOR B UC DING PERMIT
5018
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
Owne, Nam~.C~E.~:~:;;;I ~Erl_._
3
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6
---JMa;1;ng Add, •• ,j'.J".3 .. :::£. . ./Z~.~tt .. ~/!./····f.k/l.. ..
{ Please Print J ( Last) ( Firs+r"-'··-~ Middle) Number Street City Phone
Contractor ........... \...:i?<t.-lLL--::.J,'.k~~.....,----------..Mailing Address .... ---~·===--------:,:--
(Please Print) Number Street City Phone
To Construct~ Add D To Alter D To Repair D To Convert D To Move From············•········-------
Type of Const. -~ind of Foundation .... ~.-1 ...••.• No. of Stories ..... / ..... To Be Used for ____ Q.;:;p_, ... _____ _
(Frame, Masonry, Etc.) (One Family Dwelling, Store, Etc.)
Floor Spac• of Propos•d Con•trucHon (sq. feel~ .... /.~/~!:~·~~··~Const. ValuaHon $ ··f j;.;CJ:;;1·";?~·······
Floor Spece of Garage (sq. feet} ................ ~ ...... 2 ............ detached OConst. Valuation $ ......... .
-~.C> 4 '5~-#e---LEGAL DESCRIPTION
Lot Block Subdivision
or _ ... ... . . . . ... . ....... ection........... 0 /w0.~ Range, ____ _
Local•d at 1z.1~r~----...>lr••I, N•ar ..... /~---------
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 ..... ~O __ _
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 o check is tendered for p·ayment of the obove fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
r ,.
Front Ya,d S•I Bae! ....... 52. ... tJ. .......... ~ Driveway -
SIGNATURE OF
PERMITTEE ..
Permit Required
Side Yard Set Back ............. z..~ / Grading Permit Required Yes
Yes ( ) No ,<.. .......
( ) No ,✓-
Rear Yard Set Back .......... /..~·=·~ -~::o ~ Sewer Disposal Plant Capital Cont. Fee
/tJ,. ,__... •O Distance Between Bldg. ·····•······· .... Sewer Pumping Station Capital Cont. Fee ........... ./. ... P... 0
Off Street Parking Spaces I Sewer Main Line Cost / ··················•· .....
Sewage D;sposal System ............. .&.,.z,;, Sewer Lateral Connection Charge ......................
Zone -Residential ( / ) .................. Water Stocked Lands Charge /
J Zone -Commercial ( ) ............... Water Main Pipe Line Fee ...
Variance Water House Service Charge ...........
(
Eng. Check By .. Water Meter Charge 1/0 o()
Sub Total 1..9..t:1. c:!=.0
Plans Approv•~····r:·••77ri••··-r---Y"---------Plan Check Fee --------·····················-----
Approved by ...... ~.cJ .. t. ...... ~--~ B11ilding Permit Fee ............. ~.2-"_0 __________ _
Dal• ................ '..'7< ..... -2. .. 0. ... '.'.:.b....2=:::.______ Total Charg•s <¥ ~/_-0_-_ZJ:: _____ _