HomeMy WebLinkAbout2828 Highland Dr; ; 66-9342; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
For A00licant to Fill In
Application for BUILD1'NG Permit
Building Permit Fee
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Owner', Nome#,.£~ ~ ....f)_ ,
M,H Address 2£2f ~~ <d L ~ ..,. _____ B_u_il_d_in..,19'-,;.D..;e.,;pt,;. • ..;U,_s..;e_O=n.;.lv'-_,. ___ __
B,;ld;ng Address :Z §2 J' ):/4+.J.. /4, ,Q
\ Contractor -----{FP-"'''--~~"'y=-t--,_~l,c,..c;_-./,_ __
Contr. Address --~=--------------
To Const. D To Alter 0 Convert D To Add,
To Move From ___ :__ _____________ _
Type of Const. _________________ _
To Be Used For /d;me, N •
Kind of Foundotion ~ ~o. of Storie,,__8 ____ _
Floor Spoce (Sq. Ft.) _ _.JC,_,,..,..__-"',,_.~,_,f..,__,,O:_, ____ _
Attoche<L.J _______ _
Goroge Floor Space !Sq. Ft.) Detoche.Jc,_ _______ _
legal Description
Lot Block
Subdivision
__________________ or
Section Township Ronge
No. of Existing Building ______________ _
Will this construction in~de ony plumbing installation or alter-
ation? Yes □ No r
I Signature of Appl1cont
I ACKNOWLEDGE THAT l HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
~
llf/ COMPLY WITH ALL CITY AND STATE LAWS REGULATING
'/ BUILDING.
I CERTIFY THAT I AM PROPERLY REGISTERED ANb/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 \ .,__,# ,,/.JS £'.2-. _ _
OF PERMITTEE~ ----1 ._,
St. Near
Set B.sck Bldg. Valuation .c:il L ,t-6 -
Front P.L. ( Main Bldg.
Side P.L. ) Garage
Rear P.l. \ Other
Group Zone Approved by
Contractor City Bus. Lie. No. ____________ _
Water Meter Sewage Disposal Sys<tem
Inspection Record
Utility Company Notified -Date ______ By, ____ _
Final
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 ba immediately revoked.
.. City of Carlsbad Building Dept.
Perriffl"'" void if work is not commencad within 60 day,; of i:fflrance.