HomeMy WebLinkAbout1110 CHINQUAPIN AVE; ; 64-7744; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT
729-1181 €xt 36
For Applicant to Fill In
Owners Name
Ma I Add e s I lib
Contractor
To Bo Used For .
Kind of
Frame Masonry etc
No of Stories-
(Sq Ft)
Garage Floor Space (Sq Ft \Attached-
Detached—-
Legal Descrip on
Block
Subd vi ion
Sec ion Township Range
No of Existing Building _ .—r-^—
Will this construction mclude^.any plumbing installation or alter
ation' Yes Q No \^f^
^lan I £ of Applicant
I \CKNOW_CDGE THAT 1 H«VF 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 ff/
Application for BUILDING Permit
Building Permit Fee
NOV-26M !
Building Dept Use Only
Building Address
St Near _
///£>
Set Back
Front P L
Side P L
Rear PL
Group
Bldg
C30
Main Bldg
Garage
Other
Contractor City Bus Lie No
Water Meter Sev/age Disposal System
Inspection Record
Ut I ry Company Notif ed — Date-
Final
By-
If a check is tendered for payment for the above fee and the
check is nol honored when presented for payment your
building permit will be immediately revoked
City of Carlsbad Building Dept
//Pe mit void if woik is not co imenced within 60 days of issuance