HomeMy WebLinkAbout1125 CHINQUAPIN AVE; ; 66-8984; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 Ext 36
For Applicant to Fill In
To Const SC To Add LI To Alter E Convert Q
To Move From __ .
Type (
Frame etc
Kind of Foundation-of Stories-
Ft]3SQ
Garage Floor Space (Sq Ft )Attached
Legal Description
Section Townstiip Range
No of Existing Building
Will this construction inclu^a'any plumbing installation or alter
at on? Yes D No ~~
' ACKNOWLEDGE THAT I HAVE "READ THIS APPLICATION
5D 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 CALIFQBKTS~QR THAT 1,AM THE LEGAL OWNER
OF THE ABOVE t
SIGNATURE
OF PERMITTEE
Application for BUILDING Permit
Building Permit Fee
5 PA ID
- CC 6mfcaacrafil800
Building Dept Use/Pnly
Building
St Near
Set Back
Front P L
Side PL
Rear P L
Group
/
/
/
2IT~/
Bldg Valuation£>CK' &fi£2-
Main Bldg
Garage
Other
Approved by
Contractor City Bus Lie No
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified — Date-
Final
By_
If a checlc s rendered for payment for the above fee and the
check is not honored when presented for payment your
building permit will be immediately revoked
City of Carlsbad Building Dept
if work i not commenced within 60 days of u4