HomeMy WebLinkAbout1235 PINE AVE; ; 66-0967; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -·Ext. 36
Application for BUtlDtN6 PermH
0 Cj', 7 Building Permit Fe~ 4 S-o
For Annlicant to Fill In
Owae,s N•me L, /Joo e,he,&,
M•;J Addrnss /.,:1,3:T" A·11e-<!.o ·
Contractor __ .:(1,_,'-'W""'-'AJ,""~=.,,__ _________ _
Contr. Address -----------------
To Const. 'pt To Add 0 To Alte, 0 Convert D
/'),., ,I To Move From _____ 7.41,(2'_;.c_ __________ _
Type of Coast. _,,{!)z..e.catALJ=· -=--"--~-"==· =----'~'-"t,/?e"---'--=~€.,~-/J Frame, Masonry, etc.
To Be Used For -----'"h.._,,f-/1:=J_>,e&,"°"~----------
Kind of Foundation,------No. of Stories _____ _
Floor Space {Sq. Ft.} -----------------
Garage Floor Space (Sq. Ft.)
Attached _______ _
Detached ________ _
Legal Description -----------------Lot Block
Subdivision -------------------o,
Section Township Range
No. of Existing Building ---------------
Will this construction include any plumbing installation or alter-
ation? Yes D No D }I Signature of Applicant
~ I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
l 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
NOV 17·66 ~P~;01751f*******~.50
BuildinQ Dept, Use Only
Building Address
St. Nea, Ro &o
,.
Set Back Bide. ValuaHoa "'/3 / '<Wo
Front P.L Main Bldo.
Side P.L. Garage
Rear P.l. Other
Group Zone Approved by
Contractor City Bus. lie. No. -------------
Water Meter Sewage Dispou1l System
Inspection Record
Utility Company Notified -Date ______ BY-----
Final
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 imm~tely revoked,
lY of Carlsbad Building Dept.
Permit voilP'ff work is not commenced within 60 days of IJSuanee. _______ ,_ ...... ··-·-.. --