HomeMy WebLinkAbout2690 ROOSEVELT ST; ; 65-8293; Permit,Q..
CITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
8293
F A 1· t t F"II I or ,pp ,can 0 I n
d~ Owner's Name 1.Va~_D ,n..,e b
-? ,f.4 ri ~/ d« Mail Address . . ,
,
Contractor {)----,P7,,c1 g " /
Contr. Address
To Const. 0 To Add □ To Alter D Convert D
" lr.e.~~ 4,. ~ ·o Move From ..
Type of Const. .,2~d.~ .
Frame, Masonry, etc.
D /4, -tL ·4;,<'?C -To Be Used For '
Kind of Foundation ~ C::-No. of Storie" I
,,,?£,f-:
,
Floor Space (Sq. R.)
G<!lrage Floor Space (Sq. Ft.) Attache.J
Detache,.,
Legal Description
Lot Block
S,bdivisioo ~.Z: I/ or ,:z {I 1::--,,,:e /' .,/ _: '/_ (/ 2 -c.2 -... Section Township Range
No. of Existing Building
Will this construction include any plumbing installation or alter-
ation? Yes D No □
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.
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 :t: ~ ~
OF PERMITTEE --~e.a; &u.d.-,g~~L
Application for BUILDING Permit /Vi (!, Building Permit Fee
. ==:=,--
"' Building Dept. Use Onlv
:;2/v~ -".%. . /?'. Building Address .
X~-=~ .. J6-St. Near 4
Set Back Bldg. Valuation
Front P.L. / Main Bldg. r"
Side P.L. <.., Garage \
Rear P.L. Other <
Group Zone Approved by )
Contractor City Bus. Lie. No.
Water Meter I Sewage Disposed System
Inspection Record
Utility Company Notified -Dat-
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 immediately revoked.
City of Carlsbad Building Dept.
Permit v01d 1f work 1s not ccmmonced within 60 days of issuance,