HomeMy WebLinkAbout1065 CARLSBAD VILLAGE DR; F; 64-7828; PermitCITY OF CARLSB
BUILDING DEPARTM
729-1181 -Ext. 36
For Applicant to Fill In
A DOwner's Name faf.
Wail Addr.
Contractor
Contr Address
To Const S^ To Add D To Alter Q Convert
Move From _
Type of Const _
To Be Used For
Kind of Foundation-
Frame, Masonry, etc
No of Stories^
Floor Space (Sq Ft
Garage Floor Space (Sq Ft Attached-
Detached—
Legal Description
Subdivision
Lot Block
Section Township Range
No of Existing Building
Will this construction i.ncljde any plumbing installation or alter-
ation' Yes D No
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING
1 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 DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE!-
Applicatiof for BUILDING Permit
Building Permit Fee
DEG-3-6M
Set Back
Front P L
Side PL
Rear P L
Group
9
(
\
I
Zone ,
Bldg Valuation ^£- &~&
Main Bldg
Garage
Other
Approved by
Contractor City Bus Lie No
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified — Date-
Final
By.
If a check is Tendered for payment for the above fee and the
check is not honored when presented for payment, your
building permit will be immediately revoked
City of Carlsbad Building Dept
Perm t void if work is not commenced within 60 days of issuance