HomeMy WebLinkAbout1012 Home Ave; ; 69-29; PermitApplication I o:.,:jUILDING Permit CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1 181 -Ext. 36 t; f--;i...CJ
Building Permit Fee
•-+69 !'U' ... •••••9.oo
Mail Address L~/)0_~~-]5_~~~~-_.!:_~~~--
Contractor __ .c&«<.&~.l.n(__Ucz,_,,e<l...L"'-----------
Confr. Add,ess '/1/!/n,/
To Con~ To Add 0 To Alter 0 Convert 0
To Move From -------------------
Type of Const. __ p(t"-!.._(}--1.:_.c.....ecl:...==------------
Frame, Masonry, etc.
To Be U,ed Fo, -~:,,,,,,__.uj~=·'-,,,lJ~'-"":£:,4-------
Kind of Foundation_ _____ No. of Storie._ ____ _
Floor Space (Sq. Ft.)
Garage Floor Space (Sq. Ft.)
Attache ,.._ _______ _
Dete1che1---------
legal Description
Lot Block
Subdivision ----------------o,
Section Township Rainge
No. of Existing Building ---------------
Will this construction ~ ony plumbing installation or alter-
ation? Yes O Nor
Sig ture f A
I ACKNOWLEDGE THA THIS APPLICATION
AND STATE THAT Tl-IE A OVE IS CO ECT AND AGREE TO
COMPL y WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DE;SCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE -----------------
Set Bock Bldg. Valuation
Front P.L. Main Bldg.
Side P.L. Gara e
Rear P.l. Other
Group Zone Approved by
Contractor City Bus. lie. No. ____________ _
Water Meter Sewage Disposal Sys+em
Inspection Record
Utility Company Notified -Date ______ BY-----
Fina\
If a check is tendered for payment for the above fee and the
check is not honored when presented for poyment, your
building permit will be immediately revoked.
City of Carlsbad Building Dept.
Permit void if work i5 not commenced within 60 days of issuance,