HomeMy WebLinkAbout1125 CHINQUAPIN AVE; ; 67-9751; PermitCITY OF CARLSMDLSftAD
BUILDING DEPARVENT
729-1181 Ext 36
For Applicant to Fill In
Owners Name
Mail Addres
Contractor \
Contr Address
L
it2$(L
To ConsfSG'' To Add D To Alter D Convert
To Move From
Type of Const
To Be Used For .
Frame Masonry etc
Kind of Foundation.
Floor Space (Sq Ft
No of Stones-
Garage Floor Space (Sq Ft ]
Detached-
Legal De cription
Subdivision
Lot Block
Section Township Range
No of Existing Building
Will this construction include any plumbing installation or alter
ation? Yes D No D
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND 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 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE
Applicant for BUILDING Permit
m Building Permit Fee
m 20-67 !^
Building Dept Use Only
Building Address .
St Near
Set Back
Front P L
Side PL
Rear P L
Group Zone
Bldg Valuation Jigi^3f=£>
Main Bldg
Garage
Other
Approved by
Contractor City Bus Lie No
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified
Final
Date-By-
If a check s t ndered for payment for the above fee and the
check is not honored when presented for payment your
bu Id ng permit w I! be mmediately revoked
City of Carlsbad Building Dept
Permit void if work is not commenced within 60 days of issuance