HomeMy WebLinkAbout1092 CHINQUAPIN AVE; ; 77-3646; PermitMODEL NO
3 PERMIT APPLICATIONcity of CARLSBAD, CALIFORNIA 92008 '* -
Applicant to complete numbered spaces only PnOIt0 729-1181 Permit No
jo» ADOR E s ASSESSOR sNUMBER
(L_JSEE ATTAC ED S EET|PAGE
MA ADDRESS
MA L ADDRESS STATE LIC NO CITY LIC NO
MA L ADOflCSS lCCNSC NO
MA ADDRESS L CENSE NO
COMPENSATION INS CARRIER 1C DDMESS
USC OF •UILD N6
NO BDRMS NO BATHS =4
8 Class of work D NEW D ADDITION D ALTERATION D REPAIR Q MOVE &1?EEMOVE
10 Change of us* from
Ghana* of ute to
11 Vafmtion of work $PLAN CHECK FEE $PERMIT FEE »
SPECIAL CONDITIONS Type of
Const
Occupancy
Group
MICRO FILM PEC
Size of Bldg
(Total) Sq Ft
No of
Stories
Max
Occ Load
APPLICATION ACCifffeD BY PLANS CHECKED BY APPROVED FOlM5tJ(NCE BY
Fire
Zone
Use
Zone
Firi Sprinklers
Required Qyej QNO
.. ,No of
Dwemng Units
OFFSTREET PARKING SPACES
Sq Ft INo
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMB
ING HEATING VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
Special Approvals
PLANNING OEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
Required Received Not Required
a SNATURC OF CONTRACTOR OR AUTHORIZED AUt T
SI6NATURE Of OWNER IIP OWNER 1UILOERI 10ATEI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
TOTAL FEES
INSPECTOR