HomeMy WebLinkAbout1150 TAMARACK AVE; ; 65-8339; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
For A licant to Fill In
Application for BUILDING Permit
Building Permit Fee y .S 0
Owner's Nome 2 A 8 n. d s.S, Q_,S DU A ,./ ,,. ~ .-~ n I I J Buildin Moil Address {"':'Q, l;:10 X .,.~/"'Z-,\:'l:3e .t lJJ4 ..,._ ____ _.... ______ __., ___ _
(Q ; _ __... L
Building Address / / .,") () fart n?A£-?.4t ~ ~~r -~~~~~~~-=-=-------/)~
St. Neor _.::C--f::.....1.J.(...,1(::a...1.Lf2A-<4=J,..., ..ak,:.,i""-~\,l._ ________ _
Contr. Address ----------------
To Const. To Add □ To Alter 0 Convert D
To Move From ------------------
Type of Const. tl!L.JSo/JI.L:f;_,✓ ~ 9• ~osont(}tc.
To Be Used For ~~t:/1 ,4() /
Kind of Foundotion ~ t No. of Storie,.__._ ____ _
I ( ;,. tN, 1-~ I ~or S~ca (Sq. Ft.) _,_~_.C!:!:::LJ_""""...,__ _________ _
Goroge Floor Spoce (Sq. Ft.)
Attoched _______ _
Detoched _______ _
Legol Description ________________ _
Block Lot
Subdivision ------------------or
Section Township Ronge
No. of Existing Building --------------
Will this construction include ony plumbing instollotion or olter-
otion? Yes O No D
Signature of Applicont
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE T O
COMPLY W ITH ALL CITY AND STATE LAWS REGULATING
BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED A S REQU IRED BY CITY OF CARLSBAD AN D
STATE O F CALIFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE~r [J;R , ENf lAL PROPERTY.
SIGNATURE ~ OF PERM ITTEE +.:.µ'--""L..:oe:.,,o..__~---------
Set Bock Bldq. Voluotio~ ~/./\ &_
Front P.L. I Moin Blda.
Side P.L. I Goroao
Reor P.L. I Other
Group ZK-t.. Approyed by
Controctor City Bus. Lie. No. ____________ _
Wote r Meter Sewage Disposol System
Inspection Record
Utility Company Notified -Dote, ______ By·-----
Finol
If o check is tendered for payment for the above fee ond the
check is not honored when presented for poyment, your
building permit will be immediately revoked.
City of Corlsbod Building Dept.
Permit void if work is not commenced within 60 d•ys o, iuu1ne1.