HomeMy WebLinkAbout2165 CHESTNUT AVE; ; 69-862; PermitCITY OF
BUILDING DEPART
729-1181 -Ext. 36
CONSTRUCTION LINDER INFCiKafidHbr I II
Building Permit Fee
IVERJ
For Applicant to Fill In
Owner's Name
Mail Address -
Contractor
Contr. Address •=^ v/ f /*'#/*
To Const. rJrTo Add D To Alter D Conve'rt LX "
To Move From ___ : :/o -«-.- -/-••- -
Type of Const. . <J> &*/** 7~£ _, S J &* f
To Be Used Foi
Kind of Fonni-latinn \JCJJstiJI J'r No. of Stories-
Floor Space (Sq.'Ft.)
--J.—£-. -i —» ^—^ ~
Frame, Masonry, etc.
r n i ji I Innr ""ifinrr Ciq Ft.
Ss
Attached-
Detached-
Legal Descriptio
Subdivision
Section Townsfiip Range
No. of Existing Building
Will this consl/ucjdo'n include any plumbing installation or alter-
ation? Yes^T 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
Builciing.pepT..Use'Only
Building Address
'St. NI-'»
Set Back""..'.'
Front P.L
Side P;L.--
Rear P.L.
Group Zone/J V
'Bldg.'Valuatioru^~\
Main Bldg.
y Garage
Other
Approve
Contractor City,Bus. Lie. No.
Water Meterit-Sewage Disposal System
Inspection Record
Utility Company Notified — Date__
Final
By-
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 bo immediately revoked.
City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance.