HomeMy WebLinkAbout2810 VIA CLAREZ; ; 78-6200; PermitELECTRICAL PERMIT APPLICAT1l~N; ,, l:~.n i
City of CARLSBAD, CALIFORNIA 92008 -; 1 / , ..,'t> a ,
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No /ff b o,< (J
J0~~/0 Jl/19 C LA t:2.E. -r
LEGAL 1 DESCR, I LOT NO,
fjq I BLK. I TRACT (QSEE ATTACHED SHEET)
2
0t?oar: :};:;cosv MAIL ADDRESS ZIP PHONE
~F}Mi:;;-
CDNTr5lfJ NE. e, MAIL ADDRESS PHONE STATE LIC, NO, C ITV LIC, NO, 3
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4
ENG INEER MAIL ADDRESS PHONE LICENSE NO. 5
COMPENSATION INS CARRIER MAIL ADDRE~SS
6 nJ A . . ~ . ~;.,q.,. ~ ------~ -~;!'~• --.. BRANCH., "0c ~~•-"'~,,.~ ,·,___
7usE°J/or>?Z:--
8 Class of work: □NEW 0 ADDITION foLTERATION 0 REPAIR
9 Describe work: 2,t)FJ/1? p, 120</:>1-1 ~1_;y&,1-~ .. :::> v rt.er
•·-PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION , FOR EACH A";:x:;1~ PLANS CHECKED av APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
,,,-:)/'-¥ FUSE OR BREAKER
D ATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
REMODELO'AL TERATIOl't. NO CHANGE PERIOD OF 120 DAYS ~T ANY TIME AFTER 'WORK: IS ,COM
'l'. MENCEO. IN SERVICE, FOR EA. AMPERE OF s I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE --APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE!> GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
-
~ v;'~·" TEMP. SERVICE OVER 200 AMP. ~~c~ ~~ 12~2o-• .A ...oER 100 ' ~
-~OFJO !::1~~ ilJn~RIZE GENT (DATE) o> lU r--,..i /2,efO 78 ISSUANCE FEE -... ,"t0-r:-,,.,,r ...,..r..: TOTAL FEES -:, ' ·, ,,.:ATURE uF WNER I" OWNE BUILD~-. DATF -'-....) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
• --
DATE ITEM REMARKS INSPECTOR
1---
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\ ,..., '::) o~<l IJ
~ --~
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
.,
t ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 . --1<j-_ d 51-
Applicant to complete numbered spaces only Phone 7 29-1181 Perm 1t No /
JOB ADORESS ·~ I {/~ l t \.........--
LOT NO, I BLK, ~:V,4-d~J.-y,..o. <OsEE ATTACHEO SHEET) LEGAL I a ,,.....I 1 DES CR, ( .,
OWNf.'R ) MAIL ADDRESS ZIP PHONE ..-'? ..::?JO V1A C...Lv1,l,.1<.,E ;z 72Ci -.So74. '2~C?t..S::.L /}{#E 2
J --r: r / ,,::J t.-t? I....._,,.,, 'I.... -
CONTRACTOR I MAIL ADDRESS PHONE STATE LIC, NO, CITY LIC, NO,
3 ~ t,/-;:.,,;) _.,, -,t IC
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4 -.) fV -=-,;? .
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5 r..) t -? .:;;...."---,
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 'l)•/c~ ;>
USE OF BUILDING
7 r
8 Class of work: □NEW °l(ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: 4 P..tJ6I t? ,,I~~'' t},,, ¥,7:.~ ~ ... ~ :?. , ,,J jn,I ,, g;/4/--r; _1_ { fin h,
ti
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
/l
J I
JI NEW CONSTRUCTION, FOR EACH
APPLICATION ~UT:O BY PLANS CHECKED BY APPROIIED F1bR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER v, ohr'< NEW SERVICE ON EXISTING BLDG.
\. FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
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 REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF 5 ( (.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. -
ALL PROVISIONS OF LAWS AND ORDINANCE!. GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD-PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
TEMP. SERVICE OVER 200 AMP.
PER 100
SIGNATURE O°JjONTRACTOR OR AUTHORIZED AGENT (DATE) ;,' \.)
1
.. ~'L· 'I~~~ I -.., A~/Cf 7R ISSUANCE FEE
TOTAL FEES -;i ( )
·-stGNATUJfE Of' unNER F OWNER RI DATE ---"-..wHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR