HomeMy WebLinkAbout2858 CARLSBAD BLVD; ; 64-7541; PermitCITY OF CARLSB^O
BUILDING DEPARTK -M
729-1181 -fcct. 36
For Applicant to Fill In
Owner's
Mail Address
7v:i Applicat; i for BUILDING Permit
I (J :t JL t. .. _Building Permit Pee
Contr. Address
To Const, SI To Add Q To Alter O Convert
To Wove From
Type of Const.^4*~^ j-^^^^^Frarrte, Masonry, etc.
^^Kind of Foundation-
Floor Space (Sq. Ft.)
No. of Stories,
tf-o
Garage Floor Space (Sq. Ft)
Legal Description
Attached.
Detached__
Lot Block
Subdivision
Section Township Range
No. of Existing Building , —
Will this construction include any plumbing installation or alter-
ation? Yes D No D
Signature of Applicant
1 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.
1 CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQU1REP BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDEtOI AU_PROPERTY.
SIGNATURE
OF PERM ITT*fg&
Building Dept. Use Only
Building
Set Back
Front P.L.
Side P.L.
Rear P.U
Group Zone
Bldg. Valuation JS&?£> ^2
Wain Bldg.
Garage
Other
Approved by
Contractor City Bus. Lie. No.
Water Meter Sewage Disposal System
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 will be immed ately revoked.
City of Carlsbad Building Dept.
.00
/
Permit void if work is not commenced within 60 days of issuance.