HomeMy WebLinkAbout265 CHINQUAPIN AVE; ; 64-7750; PermitCITY OF CARLSBAD
glDING DEPARTMENT
729-1181 Ext 36
For Applicant to Fill In
Owners U—fit»Pj) A^
Mail Add ess
Contractor
.,.
<4L«*^S
Contr Address ___ .
To Const O To Add D To Alter D Convert
jo Move From .
Type of Const
Frame Masonry etc
To Be Used For
Kind of Foundation Stories-
Floor Space (Sq Ft ]
G rage Floor Space (Sq Ft ]
L go! Descr ption _
Attached-
Detached
Lot Block
S bd>
Sedion Township Range
No of Ex s ing Building
n in
No
Will th s cojutMiction include any plumbing installation or alter
a ion' Yes H
Signatu e of Applicant
I ACKNOWLEDGE THAT [ HAVE READ THIS APPLICATION
AND STA~E THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING
BUILDING
I CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY CITY OF CARLSBAD ANJD
STATE OF CALI~ORNIA OR THAT I AM THE LEGAL OWN
OF THE ABOVE DCSC.RI BEDf^ESIDENTI^L PROPERTY
SICMA-URE
OF PERMITTEEU
Application for BUILDING Permit
Building Permit Fee
Building Dept Use Only
St Near
Building Address
,.rf£X/f
Set Back
Front P L
Side P L
Pear PL
Group
/
y
(
Zone j
Bldg Valuation _$ '7't\O'Of f f vjf V
Main Bldg
Garage
Other
Approved by
Contractor City Bus Lie No
Water Meter Sewage Disposal/Systejri
Inspection Record
Utility Company Notified — Date-
Final
By-
If a cheat is tendered for payment for the above fee and the
fheck X/ n°t honoied when presented for payment your
/permit will be immediately revoked
City of Carlsbad Building Dept
Permit void if work is not commenced within 60 days of issuance