HomeMy WebLinkAbout1065 CARLSBAD VILLAGE DR; D; 70-135; PermitCITY OF CARLSBAD^
BUILDING DEPARTMErQ
729-1181 -Ext. 36
For Applicant to Fill In
Owner's Name
Mail Address .
Contractor
Conir Address
To Const & To Add D To Alter D Convert
To Move From .
Type of Const
Frame, Masonry, etc
To Bo Used For
Kind of Foundation-of Stones.
(Sq Ft
Garage Floor Space (Sq Ft Attached-
Detached
Section Township Range
No of Existing Building
Will this cortsfruction include any plumbing installation or alter-
ohon? Yes Q No ffl
Signature of Applicant
( ACKNOWLEDGE THAT !f 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 1 AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE
Application^ ••• Permit
Building Permit Fee # f JZ?
Building Dept. Use Only
Building /
St Near
Set Back
Front PL
Side PL
Rear P L
Group Zone
Bldg Valuation jg~?)4~ ~
Mam Bldg
Garage
Other
Approved by
Contractor City Bus Lie No
Water Meter Sev-aqe Disposal Sys-fem
Inspection Record
Uiility Company Notified
Final
By-
If a check is Tendered For payment for the above fee and the
check is not honore-d when p-esented for payment, your
building permit wil1 bo immediately revoked
City of Carlsbad Building Dept
Permit void if work is not commenced within 60 days of issuance