HomeMy WebLinkAbout2855 CARLSBAD BLVD; ; 61-4006; PermitAPPLICATION FOR BIDDING PERMIT
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9-M8I - Ext. 36
N! 4006
Owner Name .t^^.^r^^U^^S^^^^
Contractor t V^t^urr.jt^^L^i < Mailing Address
Number
To Move FromTo Construct D To Add
Type of Const. ^nleklM***™*-.., Kind of Foundation No. of Stori«..~^TT7.... To Be Used for
(One Family Dwelling, Store, Etc.)(Frame, Masonry, Etc.)
Floor Space of Proposed Construction (sq. feet) - -Const, Valuation $..
attached D
Floor Space of Garage (sq. feet) detached D^onst. Valuation $.
LEGAL DESCRIPTION
Lot Block Subdivision
.Section Township....Range.
Located at Street, Near
Assigned House Number
LAND AREA NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WlLLJHIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION. OR
ADDITION?YES.
I HEREBY ACKNOWLEDGE THAT 1 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
PERMITTEE
Front Yard Set Back
Side Yard Set Back
Rear Yard S«* Back
Distance Between Bldg.
Off Street Parking Spaces
Sewage Disposal System
Zone - Residential ( ) .
Zone - Commercial ( J
Variance
Eng. Check By
Driveway Permit Required Yes ( ) No ( ) Fee
Grading Permit Required Yet [ ) No ( )
Sewer Disposal Plan! CapHal Cent. F»«
Sewer Pumping Station Capital Cont. Fee
Sewer Main Line Corf -
Sewer Lateral Connection Charge
Water Stocked Lands Charge
Water Main Pipe Lin* Fee
Water House Service Charge
Water Meter Charge
Sub Total
Plans Approve Plan Check Fee