HomeMy WebLinkAbout2555 WILSON ST; ; 78-997; Permit.ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 •k -~•7;. ??f'/*'""J,.
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No /
JOB ADDRESS ,,,
LEGAL 1 DESCR. I LOT NO. I BLK. I TRACT (QSEE ATTACHED SHEET)
MAIL ADDRESS ZI p PHONE .s t. -/ _,7_ r r,; ✓/
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
3 I ,, _.,, .;
ARCHITECT OR DESIGNER MAIL ADDRESS
4
ENG IHEER MAIL ADDRESS
5
COMPENSATION INS CARRI ER MAIL ADDRESS
6 j >--~ J.-C:.,. ·t ~
USE OF eu ILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION
9 Describe work: ___, 4, r Z . n-~ /
SPECIAL CONDITIONS:
,LANS CHECKED BY
7
/
NOTICE
APPROVED FOR ISSUANCE BY
O A T E
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 ANO EXAMINED THIS 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 PRESUME TO GIVE A UTHORITY TO VIOLATE OR CAN CEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR T HE PERFORMANCE OF CONSTRU CTION.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
PHONE LICENSE NO.
PHONE LICENSE NO.
BRANCH
0 REPAIR -)
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAI N SERVICE, SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD-
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
No. Each Fee
--
J J ✓-ISSUANCE FEE 1 1----------------+---+---+-----'.r'+-__."f"i.,
TURE nF nwNER If" OWNER BUI DER DATE /,. TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
REQUEST FOR INSPECTION TIME:_/::....L./_: o_~ __
-T' ~ ' PERMIT NO .. ______ DATE: ,J io -1/
OWNER ___ __;\k::.....3.l<C;J,L·A.,._,~=p::__-\-_~ _______________ _
INSPECTOR
ADDREss __ ..""-.?-_$-=--..:;S___;S--=--_w_~--~-------------
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEAT HING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
,: f bO ~• ~VlU(_
.-------------------, ________ ....__ _ __.:-=--:;.....__..;___
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
'□ GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MOND~ ~
D P.M.
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
D REFER PIPING
D FIN~L
D THr AV D FRI DAY
y' ~
SPECIAL INSTRUCTIONS ______________ .1--------------
REQUESTED BY ___ O_\~_Y)__,,__ _________ PHONE NO. 1)-q -0 ~ ~ ~
PERSON TAKING REPORT--~'4~P------
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