HomeMy WebLinkAbout265 CHINQUAPIN AVE; ; 71-652; Permit2
KLUMblINU rtKMI 1 AtTU^A! IUIN
<7A^S :2_ City of CARLSBAD, CALIFORNIA ^wi s^iom**
Applicant to complete numbered spaces only
JOB ADD S . .
Ab^d/i-Hf** /-H A^e
I LOT 0 ff / BLK TRACT - . .
1°"" £i 1, A f/ T~ £> /I1 / „*/, OSEE ATTAC ED SHEET, ,| fe t- <o 1 (p f /-> / f Cx> J^ <; /f- *?
OW ER MAIL ADDRESS "' ' f 1 P PHONE
CO TRACTOR 'MAIL ADDRESS "~ P ONE LICENSE NO
3 jk ^^*~~
ARC ITECT OR DE IG ER MAIL ADDRESS PHO £ LICENSE NO
ENGINEER MAIL ADDRESS HONE LICENSE NO
LENDER MA L ADDRESS BRANCH
USE OF U LDI G
1
8 Class of work D NEW D ADDITION ^A^TE RATION D REPAIR
9 Describe work C"~* _ J
L ) f1 i~*3 C f (7 0 1j 11 *> (• ^//j-*i
SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PLANS CHECKED BY APPBOveB ^OR ISSUANCE BY
^f~
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS OR IF
CONSTRUCTION OR WORK 13 SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT j ANY TIME AFTER WORK IS COM
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
S i G NAJ*ffTfr-«lF CONTRTVCT^R OR AUTHORIptD AGENT (DATEJ
(*~*°tf^ -rr~^~// >^-^7^-2_^^-»XV_^ jf/ 3 /V -jf)~^^t -rlS jr S ^^ ^**^ f <— v\, — v / fj / j^s^jff f/
G AT\} E O OW f*-"f OW R DER) (P' TE> /
o
zF1
r*f
J^"X
, 4
F
^
t
V
I
*N
V
0
01
m(0
S
\
5V
/
PERMIT FEES
No
/
Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR -SINK OR DRAIN
SLOP SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT
PERMIT $
TOTAL FEE $
Fee
$
-r
3
&
~aO
s~~&
s~O
WHEN PROPERLY V A! ID ATE D (IN THIS SPACE) THIS IS YOUR PERMIT
,50
\J
N
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
Form 100 2 9 69
INSPECTOR
REORDER F OM INTERNATIONAL. CONFERENCE OF BUILDING OFFICIALS • 50 SO LOS ROBLE • 5ADENA CALIFORNI 91101