HomeMy WebLinkAbout1080 Palm Ave; ; 65-9078; Permitt CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -·Ext. 36
For A licant to Fill In
Owner's Name (,I) , ,,J: J<oe/2 /~,Q.
Mail Address /tJ?o /Jal m
Contractor..5.hd/fs' t!JurJXJ?.e ~UC.7"/~
Contr. Address /6/J U) , tis~ u_b,;j 'IS,~
To Const. 0 To Add 0 To Alter D Convert D
o Move From _________________ _
Type of Const, _(uu,.,•~=---=(&-'--"""''""'SQ......,.;IU"l-"'£.y_R,"'-'=,j,__ _____ _
Frame:~ry, etc.
To Be Used For ----"ak""""..t<..Ljj/<--s./:c_{!.),_4£ ______ _
Kind of Foundatior,.._ _____ No. of Storie,_ ____ _
Floor Space (Sq, Ft.) c:lW( 1f ,;;j'/
Garage Floor Space (Sq. Ft.)
Attached _______ _
Detached _______ _
f Legal Description Lot Block
Subdivision __________________ or
Section Township Range
No. of Existing Building _____________ _
Will this construction include any plumbing installation or alter-
otion? Yes O No D
I Signature of Applicant
I ACKNOWLEDGE THAT I H AVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I Ct;:RTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM T E LEGAL OWNER
OF THE ABOVE DE CRIBED RESIDENTIA PROPERTY.
Application I or BUil DiNG Permit
Building Permit Fee
5PAf0 . .U. 13-65 -· cc-7129**** •~O ,FEE ::II 0-
Buildin De t. Use Onl
Building Address __ /_O,.::.....:,:~_:o=-..... A'--a--=--=/111c..:...L _____ _
St. Near C<,;J2 a_. '.ld-: ;\
Set Back BldQ. Valuation §~Uz.
Front P.L. Main Blda.
Side P.L. Garage
Reor P.L. Other
Group Zone Approved by
Controctor City Bus. Lie. No. ____________ _
Water Meter Sewoge Disposol Sysfom
Inspection Record
Utility Compony Notified -Date, ______ BY-----
Finol
If o check is tendered for poyment for the obove fee ond the
check is not honored when presented for poyment, your
building permit will be immediately revoked.
City of Corlsbod Building Dept.
if work is not commenced within 60 days of issu1nce,