HomeMy WebLinkAbout1165 CHINQUAPIN AVE; ; 71-336; PermitBUILDING PERMIT APPLICATION
1
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only
JOB ADDR ESS
MAIL ADDRESS
USE OF BUILDING
8 Classofwork ]^NEW DADDITION D ALTERATION D REPAIR D MOVE D REMOVE
010 Change of use from
Change of use to
11 Valuation of work $Q PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS Type of
Const
Occupancy
Group Division
Size of Bldg
(Total) Sq Ft
No of
Stories
Max
Occ Load
PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required DNO
No of
Dwelling Units
OFFSTREET PARKING SPACES
Covered I Uncovered
NOTICE
SEPARATA 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 60 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 THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WtLL 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 TyE PERFORMANCE OF CONSTRUCTION
Special Approvals
ZONING
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
SIGNATURE OF OWNER IIP OWNER BUILDER)IPATE)
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK MO CASH
Form 100 1 9 69
INSPECTOR
REORDER FROM INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • SO SO LOS ROBLES • PASADENA CALIFORNIA 91101