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HomeMy WebLinkAbout185 CHINQUAPIN AVE | 187 CHINQUAPIN AVE | 195 CHINQUAPIN AVE | 197 CHINQUAPIN AVE; ; 87-159; PermitDECLARATIONS LENDER WORKER'S COMPENSATION OWNEfUBUILDER CONTRACTOR While - Inspector Green — (1) Finance Yellow — Assessor Pink — Applicant Gold — Temporary File DEVELOPMENT PROCESSING SERVICES DIVISION 2075 LAS PALMAS DRIVE CARLSBAD, CA 92009-4859 (619)438-1161 MISCELLANEOUS FEE RECEIPT Applicant Please Print And Fill In Shaded Area Only K ASSESSOR'S o /")/ r-v -, n ~ , / * PARCEL NO. JL t/O ~ O 7O ~ O i ' OWNER n £t^l~ f~o£&£iQ*>J OWNER'S MAILING ^ 0 . / - . . VM= ftO T>A,ADDRESS «/O't> (_, A^-^ '-> - C1TY dcx 's k<a<:/ ZIP 9<i^? TEL y3$~ &2£^ CONTRACTOR j/ / , / / ' ^ CONTRACTOR'S J MAILING o O// - -^ - r> -^ AADDRESS cr~ ^ '-J *^_ /*T^ ^ 1 -J t, K O /^ *^ • CITYGAft. /S ^Ar D> ZIP^^?^^)? TELvV^S ""O?ay STATE . . rt , _ . / BUSINESS LICENSE NO. Y £Ji 6 i 7 LICENSE NO. SURPIVIRION 1 OT{R} LEGAL DESCRIPTION fl^sce-i / o J. p«^ro^( /^c^p »* /O t>->t> ,o T/^ c'i4< o(? Car^^J, accorJl.'ooto /H«prL*'«0£ o^ f/'/c . ^ t J* L ^ y1* f PsA ^ ,«. i* /*" X*if . h 1 1' \f f t C,/"^^^"ltf* *^ tly*l 4»l l_y i ^r^\ U1 A—* W "*C— v l^ f^ f^-* x_ O r^ \^ i_j*-*- "-* i "\ »- ^" ~-*_'" v-* •*-- Jtn ^" * DESCRIPTION OF WORK 1 / LB f 1 CONTACT PERSON l^ C -^» T /"O r<^ t O *-> ADDRESS ,2. S * U (SO ^<S-d^e.''O I-)**. CfTY^isb^/ ZtP 920^)9 TELV3g-8-2Sy 7&^cr*«^~7 *$/**/# 7 ^PLAN ID NO. -75 ^ /tr*7 0013 03/30 0101 OSHisr WIA AA VALIDATION AREA FSTMATFR UAI IIATION rf.^ PI AN rNFrK FFF 001-810-00-00-8821 OV" IF THE APPLICANT TAKES NO ACTION WITHIN 180 DAYS, PLAN CHECK FEES WILL BE FORFEITED. ^^ *y£ - }^00£fa44*wfw * — ^ ' >/ CHECK IF SUBMITTED: [5 2 ENERGY CALCS pi / 2 1987 ENERGY CALCS ^ / FOR NON RESIDENTIAL BLDGS ^ /Z STRUCTURAL CALCS $f /2 SOILS REPORTS [Vf 2 SELF ADDRESSED ENVELOPES DATE GIVEN/ nATF SENT TO APPLICANT LA COSTA LETTER A* ) ^ SCHOOL FEE FORM 3/30 P & E CORRECTIONS LIST CERTIFICATE OF OCCUPANCY ^/%Q APPLICAN/S SIGNATUREVN/DATE White - File Yellow - Applicant Pink - Finance Gold - Assessor