HomeMy WebLinkAbout1821 GUEVARA RD; ; 62-5013; PermitAPPLICATION FOR B~DING PERMIT 5013
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
~ PHONE PArkway 9-1181 -Ext. 36
~i::;. ~~;~;) Kaci~ I First) ~T ......... Mailing
Contrac:.tor ...... ~'-------------Mailing Address ...... s...~-------------( Pleose Print) Number Street City Phone
To Convert D To Construct ~To Add • To Alter O
Type of Const. -~ Kind of Foundation
{Frame, Masonry, Etc.)
To Move From--~--------
~/ ... No, of Stories ..... / ...... To Be U5ed for ~.,_ ____ _
To Repair D
(One Family Dwelling, Store, Etc.)
Floor Space of Proposed Coostruclion (sq. feet) ......... / .. $1..<.'. .. /i'::. ...... Const, Valuation $. ...~ ...... _.9 ..... C)'(i"
Floor Space of Garage (sq, feet) ............ 41.~ 2 .... d~::~:~ irc:::t. Valuation $ :I'~/ ,,;jg... . ........ .
LEGAL DESCRIPTION .................... ~ ... ~-----~· 13~ .. ~.& ___ _
Lot Block Subdivision
or ___ ..... -~ s .. c:.tion. . ................ Township ............................ Range
Located at ....... _/.8, . .;z./. ... ~ tree!, Near .... M-:Al.~---------Assigned House Number .,r.--r--77-
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? YEL .. ~ 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·ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
SIGNATURE OF
PERMITTEE ...
->o I ,
.,,..c.. J ---<~2:'.!:::\,,:,<-~ ... ::~=-Front Yard Set Back ................ ~ ~ '
Side Yard Set Back ............ ~.. ~
Driveway Permit Required Yes (
Grading Permit Required Yes { )
No I,( Foe
No ,.i.r::::: ______ _
Rear Yard Set Back ...... /g_ .. ~·······----------o. Ill Sewer Disposal Plant Capital Cont. Fee ----~-0..,__ _____ _
Oistance Between Bldg ...... /.:.Q ....... . / &0> ✓
Sewer Pumping Station Capital Cont. Fee ............ £. .•.. ($. ... 0~------
/~;·~-
Sewage Disposal System ---'~
Zone -Residential ( / )
Off Street Parking Spaces
Zone -Commercial
Variance
/ Sewer Main line Cost ······--------,'----------
I
Sewer lateral Connection Charge ------1-----------
Water Stocked Land, Charge ....... ____ ..,,/~---------
/ Water Main Pipe line Fee ...... ----r------------
Water House Service Charge ____ ,! ____________ _
Eng. Check By ______________ _ Water Meter Charge .......... _____ 7"4' __ ~_o=--------
/'Yf' Sub Total
Plans Approve~--··n··--------71")------Plan Check Fee .................. -CJO
Approved by ....... ~ ..... .;>, .. L ..... {,L# ~--Building Permit Fee ..... . .. ~ ... L .. ----------·----
Dalo .............. d-_;;j O ,-~ .... Z--=::____ Total Charge, ___ 62 «~~1/ __ 0
_
0
______ _