HomeMy WebLinkAbout1303 CHINQUAPIN AVE; ; 65-8801; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 -Ext 36
For Applicant to Fill In
Owners Name J^.
Mail Addre
Contractor
E 'V
4 -
Contr Address
To Const ^ To Add D To Alter O Convert
Moj
Type
Frame Masonry etc
To Be Used For
Kind of Foundation-of Stones-
Floor Space (Sq Ft ]
Garage Floor Space (Sq Ft]
Legal Description _
Attached-
Detached—
Lot Block
Subdivision
Section Township Range
No of Existing Building
Will this construction include any plumbing installation or alter
ation' Yes Q 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 I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE
Application for BUILDING Permit
Building Permit Fee
OFC21 65 H
Building Dept Use Only
Building Address
St Near qL/-*' ?^ ^CS
Contractor City Bus Lie No
Inspection Record
Utility Company Notified — Date-
Final
By-
Set Back
Front P L
Side PL
Rear PL
Group Zone
Bldg Valuation £^£ ^-~
Main Bldg
Garage
Other
Approved by
Water Meter Sewage Disposal System
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
City of Carlsbad Building Dept
Permit void if work is not commenced within 60 days of issuance