HomeMy WebLinkAbout2010 CHARLEEN CIR; ; 69-1104; PermitCITY OF CARLSBAlW
BUILDING DEPARTME^
729-1181 -Ext. 36
For Applicant to Fill In
Owners Name -P/W /?
Mail Address 2 #/ 0 0 ^fi ^ /
Contractor
Contr. Address 2 O/O
To Const. D To Add
To Move From .
Type of Const. .
Alter D Convert
To Be Used For .
Frame, Masonry, etc.
Kind of Foundation 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 con
ation? Yes
Signature of Applicant
Will this const™cti*fi include any plumbing installation or alter-
QK^ No D
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.
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
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE
Applkalion**BUILDING Permit
Building PermiK^ej
Building Dept. Use Only
Building Address
St. Near
20/0 C/t
Set Back
Front P.L.
Side P.L.
Rear P.L.
Grou Zone
Bldg. Val //-?sxuation / / VJ O
Main Bldg.
Garage
Other
Approved by .,
^-f ^^
Contractor City Bus. Lie. No.
Water Meter Sewage Disposal System
/= y
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 v/il! be immediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not .commenced within 60 days of issuance.
INTERDEPARTMENTAL INFORMATION SHEET
DATE:
Owner's Name
Address •
Contractor.
Address -
' BUILDING DEPARTMENT
/
-"— " /O-J f<£f ots^c '• Permit No..
£ Lot No.
Legal Description,
Approval to Issue Permit_Certificate of Occupancy_
PLANNING DEPARTMENT
Parking^Jipa-ces Provided
i / ••Setbacks
Required_
Date
Approval to Issue Permit^Approval for Occup,ancy_
ENGINEERING DEPARTMENT
Easements
Improvements^
Driveway Locations_
Industrial Waste
REMARKS:
Date
Approval to Issue Perrait_
Sewer Connection
Water Connection
Date
Approval for Occupancy_
I have read the above information and agree to comply with the requirements
set forth.
Signature_Date
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