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HomeMy WebLinkAbout1110 CHINQUAPIN AVE; ; 62-5104; PermitAPPLICATION FOR BIlftDING PERMIT 5104 Owner Name (Please Print) Contractor CITY OF CARLSBAD — BUILDING INSPECTION DIVISION PHONE PArkway 9 1181 Ext 36 • Mailma Address /C/ (Last)(First)(Middle) (Please Print) To Construct |£r To Add D To Alter Q To Repair LI Mailing Addr Mailing Address To Convert [ Number Number 7/xStreef Sk. Street City City Phone Phone To Move From Type of Const (Frame Masonry Etc , of Foundat.on No of Stories f To Be Used for (One Family Dwellmq Store Etc ) Const Valuation $Floor Space of Proposed Construction (sq feet) /^rf Cx /•/«;—*/N attached Floor Space of Garage (sq feet) f^ ^ detached QConst Valuation $ LEGAL DESCRIPTION Lot Block Located at ) / J & Assigned House Number Section Street Near Subdivision Township Range LAND AREA NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE (INDICATE SIZE USE AND LOCATION ON PLOT PLAN) WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION ALTERATION OR ADDITION? YES // NO ^Z COMPLYI HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AG WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION If a check is tendered for payment of the above fee and the check is not honored when presented for payment your Building Permit will be immediately revoked tz: Front Yard Set Back Side Yard Set Back / Rear Yard Set Back / O Distance Between Bldg / ^ Off Street Parking Spaces ' Sewage Disposal System L^ L*4 Zone Residential ( / ) Zone Commercial ( ) Variance Eng Check By a r Iveway^Eefmit Required Yes ( **J No ( ) Fee / Grading Permit Required Yes (i/J No ( $^Sewer Disposal Plant Capital Cont Fee '^ ' Sewer Pumping Station Capital Cont Fee Sewer Mam Line Cost /*-/// Sewer Lateral Connection Charge Water Stocked Lands Charge Water Main Pipe Line Fee Water House Service Charge Water Meter Charge Sub Total / V/ 7% t. / Plans Approved by Approved by Date Plan Check Fee Building Permit Fee Total Charges O o