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HomeMy WebLinkAbout172 SEQUOIA AVE; ; 64-5437; Permit• APPLICATION FOR BUftDIIG PERMIT -- 5437 CITY OF CARLSBAD -BUILDING INSPECTION DIVISION PHONE PArkway 9-1181 -Ext. 36 Owoer Name~4 ./r./../2Z;.M .._.l!.e.e./1./ Co • Mamng Address 122... ..... . ........ ~ ..... . (Please Print) !Lost) ' (First) {Middle) Number Street (' Cit~hone Cootractor ····· · ····· · ;··{Pie·~·,~ P~io+j('.l.. ________ -.JMam,g Address · Number Street Q_'ity Phooe To Construct 0"' rf° Add D To Alter D To Repair D To Convert D To Move From ·······rv-ddi;,ij··· ,, .. ~1,;~ . .--• . ·-··7q~, .. ~-Rz11:/1::i;:¥~,.,_ .. ~., ,, Floor Space of Proposed Construction {sq. feet) ...... . . .............. Coost. Valuation $...... ~· '!:! ~ .. % .... iM .. A ..... ::-- Floor Space of Garage (sq. feet) ............. £.:,f..~ .. d~==~=~8Const. Valuation $ ... ;,g;;~f'#s,:~,...~···?.".'~~(,/'~OC• LEGAL DESCRIPTION . ~ ~ ... $. . . .. .... ... .. ... . . . ........... ~ {J"---- Lot Block Subdivision ::cated at :;:.;e::_········P.J. S:::::~ N .. :·:~.:· .•. ·=1-r.:.~~n.:.hi·~····-Ra-nge--- Assigned House Number r·~ LAND AREA ········•··---···· ..... NUMBER OF EXISTING DWELLINGS ON PROPOS BUILDING SITE .. ········------·· (INDICATE SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR ADDITION? YES .... ~ NO•--- 1 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"J not honored when presented for payment, your Building Permit will be SIGNATURE OF /',, _ If o check is tendered for p-ayment of the above fee and the check is ~ immediately revoked. PERMITTEE ............ ········~·-······ ..•. . . __ _ r-------------------,,---::-::----,'."="-::-:-:::---:Co,..,,..,..,,---,D,,..,,.,,---,,-:,~-,.,.-,.,,..,..,,,,_.,....,.....,.....,,..,..T"'{, Cvl<G O,r ovr ) I.IC.., .,,y, S€ E W<:.1Tl£E Permit Requked Yes ( VJ No ( J Fae :! . ./.'..?..~ ..... .f .. ::-J .... ' Front Yard Set Back .......... J.:t.? ... _____ _ Driveway , Side Yard Set Back ... __ ...,,&,c_ _________ _ Grading Permit Required Yes ( ) No I !,. _ _:.::.A/9_.'v..f;.~--- / Rear Yard Set Back __________ /~·········--------Sewer Disposal Plant Capital Cont. Fee .............. .N...a.AJ._E,_ _____ _ /.~ I Distance Between Bldg •........................................................ Sewer Pumping Station Capital Cont. Fee __ ..,Nc.:c.oO:..Al.....:E::..... _____ _ Off Street Parking Spaces _,P='----------- Sewage Disposal System ....... ~------ Sewer Ma;n Line Cost ....... /#A/ . .\!.C.g-~ /3 Y :S v~OIClll)t"K,,. ..... . Sewer Lateral Connection Charge ..... ? .. 0.J.J .. J. ... .l ... f2. .. 'l..2.6. .. 1...S. .. Q Zone -Residential ( / } --------·---Water Stocked Lands Charge ________________ _ Weter Mein Pipe Line Fee .................. _____________ _ Water House Service Charge --------···········.t1··~~----d.9""..,. I'~ .,---~ 'mt,~ Meter Charge _____ __,/ / 0 --~- Sub Total ........... .2.5..J".,~, ~~-S-____ _ Plans Approved by ------------------Plan Check Fee···················---~--C- _44,..;,.r ...,,es~» ""i97 C. ,£Q_ (1 ~ I Approved by --------------------..lluild;ng Permit Fee ......... 1F..J • :: ... J Date ············•·················---------------Total Charges ... .I. tr ==~~./.'f 2._£