HomeMy WebLinkAbout1245 BASSWOOD AVE; ; 62-5067; Permit.. _- ................
APPLICATION FOR B u D 1 G PERMIT N? 5067
CITY OF CARLSBAD - BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 - Ex). 36 - .... .... ......................... Number Street Phone
I
Owner Name !b..k$.u p.E..w.c..&f Address (Please Print] (Last] (First)
Contractor .............. .................................. Mailing Address .............. ................................ Phone tY
To Construct 0 To Add /' To Alter 0 To Repair 0 To Convert 0 To Move From ........................................
Type of Consf. 7 ......... Kind of Foundation ...& .! ........ No. of Stories ....... l..... To Be Used for .......................
(Fr-c.1 ( welling, Store, Etc.)
Floor Space of Proposed Construction (rq. feet) ................................. L-sj ..... Const. Valuation $ .................................................................................................... 6aqL
, attached 0 Floor Space of Garage (sq. feet) ................................................. detached UConst. Valuation-; ................... =:> ..............................................................................
_cL- LEGAL DESCRIPTION ................................................................................ L .................................................... ............................................................................................... Lot Block Subdivision
.................................................................................................................................. .................. or Section ..... Township ............................ Range .................. ._ .......
Located at .___ i.J..$/&I.u ........................ .......................... Street, Near ....... vn ...- ................................................... .....-..-... Assigned House Number
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ............ /. ................................... (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? . YES ................ NO ............. /."
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION,
If a check is tendered for payment of the above fee and the check is not honored when presented for payment, your Building Permit will be immediately revoked. PERMITTEE d... SIGNATURE OF
Variance
Driveway Permit Required Yes ( ) No ( /I Fee ......................................
Grading Permit Required Yes ( ) No ( ........................................................
Plans ApprovTs :...a- ................................... Plan Check Fee ........................................................................................................ -
Approved by ...... .c ....................... ................................... Building Permit Fee .... dw .....................................................................
Date .......... 7 ........ /...g......6....._........... w Total Charges .....................................................................................-.. pv - - ........................................................