HomeMy WebLinkAbout1000 CHINQUAPIN AVE; ; 77-9579; PermitBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008^ ~o
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CONTRACTOR MAIL ADPRESS * PHONE STATE LIC NO CITY LIC NO3 Ow /VC F"
ARCHITECT OH DESIGNER . MAIL ADPRESS f/ ff PHONE LICENSE NO
ENGINEER MAIL ADDRESS PHONE LICENSE NO
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COMPENSATION 1 N £ CARRIER , , MAIL ADDRESS BRANCH
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8 Class of work D NEW d ADDITION
NO RDRMS ND PATHS
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SPECIAL CONDITIONS - >
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APPLICATION ACCEPTS D'BV PLANS CHECKED 6V AF* / i
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DATE ^ 1**r'* Jr _^, D
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PROVED FOR ISSUANCE BYV
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SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB^
ING HEATING, VENTILATING OR Al R CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED JS NOT COMMENCED WITHIN 120 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION A.ND KNOW THE SAME TO BE TRUE AND CORRECT
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO O.IVE AUTHORITY TO VIOLATE OR CANCEL THE
PROYISIONSpF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCT,! ON OR THE PERFORMANCE OF CONSTRUCTION
S15UATURE OF CONTRACTOR OR AUTHORIZED AGENT
SIGNATURE Of O^flEH (IF OWNER BUILDER}
(DATE]
(DATE)
Xj*** »^™ F ' ' -
PLAN CHECK FEE S *f """ PERMIT FEE S w^ V*
MICRO FILM FEEType ol Occupancy
Const Group
Size o( Bldg No o( Max
(Total) Sq Ft Stones Occ Load
Fire Use Fire Sprinklers
Zone Zone Requ red Qves DNO
OFFSTREET PARKING SPACES
DW*».n9Uim5 N°vered Sq Ft j^en
Special Approvals Required Received Not Required
\PLANNING DEPT
HEALTH DEPT
FIRE'DEPT
SOIL REPORT
OTHER (Specify) ,
ENGINEERING DEPT
WATER DEPT \
\ 1
\
\
\
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WHEN PROPERLY VALIDATED (IN THIS SPACE! THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
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TOTAL FEES £ -*S
INSPECTOR
FOUNDATIONS
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
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