HomeMy WebLinkAbout1780 ANDREA AVE; ; 62-4152; Permit. - P I I_
APPLICATION FOR B rf;l I) IN 6 PERMIT ,/?
"" I?? 4152 /'
CITY OF CARLSBAD - BUILDING INSPECTION DIVIZIO&
PHONE PArhvay 9-1181 . M. 36
Owner Name ................................................ Mailing Addnss .......... ......................... ...................................
(Please Print) (Last) (First) (Middle) Street City Phons
Contractor ....................... k%...!?'?.&... % ......................................... -Mailing Addnu (Please Print) Street City Phone
To Colntrvtt &To Add IJ To Alter To Repalr To Convert II1 To Move From ..............................................................
Type of Const. .?-... Kind of Foundation .......... c.%/No. of Storisr ...... /! ...... To Be Used for ................................
(Frame. Masonry. c.)
Floor Space of Propored Construction (rq. feat) .... 13.6.A ......... .Const. Valuation $ .................................................
Floor Space of Garage (rq. fd) ............................................. bd
LEGAL DESCRIPTION ......................... 9 ................................................ Lot Block
or ................................................................................................................................. i io ..................................... Townrhip ............................ Rlog. ...........................
......................... ........ .................................................................. Located at ........ l..?..p.o ........... /k.&..e..A Stred, Near U.a...!.!.e.y Assigned House Number
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDIN6 SITE ......&?..!...e ...................... (INDICATE
SIZE, USE AND PUN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? .................
Front Yard Set Bask ... d.~ ..........'7. r.................................. Drive* ...................................... Gd Yes ( 1 No (4 he
Side Yard Set Back ..... k?@ ................ < ............................... Grading Permit Required Yes ( ) No ( 4 ........................................................
Rear Yard Set Bask 2.o Sewer Disposal Plant Capital Cont. he
Dirtsnse Betwean Bldg. ..L~o .............. 6 .............................. Swar Pumping Station Capital Cont. he ....................................................................
Off Street Parking Spasas ............................................................ I Sewer Msln Llne Cost ........................................................................................................
Savage Disposal System Sever lehral Connection Charge ..................................................................................
zone . Reddmtial ( I ............................................................ W4.r Stodnd Lads Charge ..........................................................................................
Zone . Commercial ( ) .......................................................... Water Main Pip Line Fee
Variance Water Houu Senics Charge .........................................................................................
Eng. Check By .. .......................................................................... Wahr Meter Charge ........................................................................................................
Sub Total ......................................................................................
I
I
... tw ........................................................ ......................................................................
I
..............................................................................................
Plans Approv.Ts a.~ ................ Plan Check he ........................................................................................................
Approved by ..... .L > .... ............................................................................ Building Permit Fee ........ ..............................................................................
Data ........ ~..-..8-.6...~ .................................................... Total Charges ................................................................................................ m"