HomeMy WebLinkAbout1274 CHESTNUT AVE; ; 65-8464; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
For Applicant to Fill In
Application (or BUILDING Permit
Building Pertpit Fee
Ownor's Nflme --^ f f ^^ fsflf^jf*^ & * ^Q *
^ontr. Address ' — •
To Const. fi^ To Add D To Alter Q Convert Q
Frame, Masonry, etc.
To B^ M<H For x^/^^^^"^ S&~^~~*^*^ -^ •"*
S? <?x^Fi™r SP^O CH Ft) i~* £> /
AttachedGarage Floor Space (Sq. Ft.)
Detached
Lot Block
^nMivklnn .._ Or
1^^ Section Township Range
Will this construction ingjude any plumbing installation or alter-
ation? Yes n No^S
J
Signature of Applicant
1 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.
1 CERTIFY THAT 1 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 J \f~T,i£ VrTJ to
Building Dept. Use Only
Biiildinq Across fsyty^f- V ^f!r -4r/r^?1r^'^X^--J f f*^. S /
/
Set Back Bldg. Valuation tf 2?*£tf
Front P.L. Q Ma>" B'dg.
\
Side P.L. / Garage
Rear P.L. ) Other
Group Zone ^ Approved by
Contractor City Bus. Lie. No ,,,,., ..
Water Meter Sewage Disposal System
Inspection Record
Utility Company Notified — Dfltp.. ,,. Ry
Final
If a check is tendered for payment for the above fee and the
check is not honored when presented for payment, your
building permit will be immediately revoked.: C ty of Carlsbad Building Dept.
f-o
Permit void If work is not commenced within 60 days of issuance-