HomeMy WebLinkAbout2726 WILSON ST; ; 74-2198; Permit_, ~
t i t
ELECTRftAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 -r ~ --
Applicant to complete numbered spaces only Phone 729-1181 Permit No
Joa AODfl [SS
LEGAL 1 ouc•. I
LOT NO, I T•ACT
OWNCIII MAIL AOOJtCSS .. p
CONTIIIACTOIII MAIL ADOJIESS PHONE LICENSE. NO, STATE CITY
3 o Wµt; 12
A .. CHITECT 0 111 DESIGNl" MAIL ADDJICSS PHONE LICENSE NO,
4
MAIL AOD .. tSS PHONE LICENSE NO,
5
COMPENSATION I NS CARRIER MAIL AOO,t[SS
6
use 0,. IUILDI NC.
7 t2..<=>s. ,J ~ .. , <
8 Cla$$ of work: □ NEW 0 ADDITION A,ALTERATION
9 Describe work: ~
I
SPECIAL CONDITIONS:
APPROIIEO FOR ISSUANCE BY.
DATE
NOTICE
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 DAY~ AT ANY TIME AFTER WORK IS cm.:
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE!. GOVERNING T HIS 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.
SIGNATUllll Or CONTIIIACTO" OR AUTHOIIIIZED AGENT (DATI)
• or OWNIUI ,,. OWNUII aulLO[")
0 REPAIR
PERMIT FEES
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INr.REASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER _ f . I
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
PERMIT FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK.
INSPECTOR
No.
M.O.
Each Fee
.,._ -
CASH
BiJILDING
··································□ ··································□
Fdn. Forms .............. D
Stee l ........................ D
Shea thing ................ D
Lath .......................... 0
Frame ...................... D
Final ........................ O
PLUMBING
.................................. □
Gas .......................... □
Water Heater ............ D
Soil Line ................ □
Undergrnd . Plbg ....... 0
Undergrnd. Water .... O
Rough ...................... O
Final .................. .
ELEC TRICAL MISCELLANE OUS
D .................................. □
Pool Bonding .......... O Porch ........................ D
Pole ........................ O Patio ........................ D
Pump ...................... O Driveway .................. O
Underground .......... O Sign .......................... D
Ceil Heat .............. □ Wa ll .......................... 0
Rough .................... O Fence ...................... O
Final ...................... O Grading .................... D
Ready for Inspection --Mon., Tues ., Wed., Thurs., Fri.
::::' .• :'~~"~';:~~~ (UMO~
Phone number............................................................ Person Taking Report: .. ~ .. /~ .......... .
D Res idential REQUEST FOR D Mobilehome Park
□ Mult,;ple Res._. Tra~ INSPECTION 10 # ................ Space# ....•..•••
, or Commercial~ ///Jz&/
Inspector . .{,(f ( (_// Pe,m;t No.. ..... Date /~j?,_:;: 1. /
Owner···················································~ e-1:.Az_,.;7, ... ····················································· ~~~~!!! .......................... d...2..2 .. 0 ................ {/'~ . ¼.-'lL✓. .................................... .
BUILDING PLUMBING ELECTRIC AL MISCELL ANEOUS
.................................. □ ··································□ ............................... □ ··································□ .................................. D Gas .......................... D Pool Bonding .......... D Porch ........................ D
Fdn. Forms .............. D Water Heater ............ D Pole ........................ D Patio ........................ D
Steel ........................ D Soil Line ................ □ Pump ............... • riveway .................. D
Sheathing ................ D Undergrnd. Plbg ....... D Underground . ~. ign .......................... D
Lath .......................... D Undergrnd. Water .... □ Ceil Heat ............ Wall .......................... D
Frame ...................... D Rough ...................... D Rough .................... D Fence ...................... D
Final ........................ D Final ........................ al ................... D Grading .................. D
Ready for Inspection --Mon., Tues., Wed. Thurs., Fri. p H .
~~;~11,,~~~,;~::::.............................. iz/q ...... Z~..o,:17-=p················
Requested by .~?1.J2.£.'k:.~........................... (__/~
Phone number ............................................................ Person Taking Report: ................ a ./ .............. .