HomeMy WebLinkAbout1120 CHINQUAPIN AVE; ; 62-5105; PermitAPPLICATION FOR PERMIT
5105
CITY OF CARLSBAD — BUILDING INSPECTION DIVISION
PHONE PArkway 9 1181 Ext 36
Owner Name
(Please Print)(Last)(First)
Contractor
To Construct
(Middle
Type of Const
(Frame Masonry Etc
(Please Print)
To Add D To Alter D
of Foundation
Floor Space of Proposed Construction (sq feet) / V ' *^
Floor Space of Garage (sq feet) jT / jf
^L,J T^-L
LEGAL DESCRIPTION
Mailing Address
Mailing Address
To Repair Q To Convert D
No of Stories f
Const Valuation $
><yx7/,
Number Street«s?.
Number Street
To Move From
City Phone
Phone
Address
To Be Used for l\s^'^tr~ I /
(One Family Dwelnnq Store Etc )
attached
detached CD Const Valuation $
, r«t
Lot Block
Located at / /
Subdivision
Township
LAND AREA
Section
Street Near
Assigned House Number / /
NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE
Range
(INDICATE
SIZE USE AND LOCATION ON PLOT PLAN) WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION ALTERATION OR
ADDITION? YES £^"^ NO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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 PERMIT
^- '
Front Yard Set Back £?C 0
Side Yard Set Back /
Rear Yard Set Back / £>
Distance Between Bldg / O
/
Off Street Parking Spaces
Sewage Disposal System
Zone Residential ( )
Zone Commercial ( )
Variance
Eng Check By
Dnveway//'Perrjii*-*Kequired Yes ( £•)• No
Grading Permit Required Yes ( V) No
Sewer Disposal Plant Capital Cont Fee
Sewer Pumping Station Capital Cont Fee
Sewer Mam Line Cost
Sewer Lateral Connection Charge !j^ ,?/V?/C./ /F £fi
Water Stocked Lands Charge
Water Mam Pipe Line Fee
/ ,.
Water House Service Charge x ,-J-'/ " ^
Water Meter Charge
Sub Total
Plans Approved by
Approved by
Date
I
Plan Check Fee
Building Permit Fee «P<a<
Total Charges