HomeMy WebLinkAbout1099 BUENA VISTA WAY; ; 64-6166; PermitCITY OF CARLSBAD BUILDING DEPARTMEmNT 729- I I8 I - fxt. 36 ..
For Atmlica,n+ to Fill In
Aoplicafion for MILDM Permif F 61€C Building Permit Fee
1 Owner's Name
Mail Address -I-- ,fld
Contractor --- d7
Contr. Address
To Const. 0 To Add To Alter 0 Convert
LTo Move From
Type of Const. -2--2?- '
Frame, Masonry, etc.
To Be Used For
Kind of Foundation
Floor Space (Sq. Ft.) a
Garage Floor Space (Sq. Ft.)
NO. of StoriesL
Attached
Detached
Legal Description Lot Block
Subdivision - or I.
Section Township Range
No. of Existing Building
Will this construction include any plumbing installation or alter- ation? Yes'O No 0
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO I COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. d,
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 I OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
St. Near
Set Back 1 / Blda. Valuation
@-Q "E 10 -
Front F.L.
Side F.L.
Rear P.L. I / I Othrr
Approved by I Group
Contractor City Bus. Lic. No. ___
Water Meter Sewage Disposal Sydeq I
Inspection Record
Utility Company Noiified - Date BY Final
SIGNATURE OF PERMITTEE
If a check is tendered for payment for the above fee and the check is no: honored when presented for payment, your building permit will be immediately revoked. City of Carlsbad Building Dept.