HomeMy WebLinkAbout1000 CHINQUAPIN AVE; ; 78-2036; PermitELECTRICAL PERMIT APPUC^TIOfSI'
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PhORG 729-1181 Permit No 7f JW
JOB ADDRESS a
LOT NO BLK TRACT _,.LEGAL (LJSEE ATTACHED SHEET) „ ^
1 DESCR """
OWNER v MAIL'ADDRESS ^_^ ^^^ ZIP PHONE
CONTRACTOR , {*~ } MAIL ADDRESS r . A PHONE STATE LIC NO CITY LIC NO
-ARCHITECT OR DESIGNER „. MAIL ADDRESS PHONE LICENSE NO
ENGINEER MAIL ADDRESS PHONE LICENSE NO
5
COMPENSATION, INS CARRIER MAIL ADDRESS 8RANCH
6 cm ^JU. <£/.
USE OF BUILDING -"*
T $ pr~ -
8 Claaofwork D NEW D ADDITION D ALTERATION D REPAIR
9 Describe work — . L, £ 14* >p *^O£i&}& ^ ^r$/t**
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SPECIAL CONDITIONS
APPLICATION ACCEPTED BV PLANS CHECKED BY APPROVED FOR ISSUANCE BV
DATE
NOTICE
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
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL B£ COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
\l , X?/"3 , „ «v&^S^ ^LJ^ss^ 3- 27- ?&
-'SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
PERMIT FEES
SWIMMING POOL WIRING,
NEW CONSTRUCTION, FOR EACH
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
ISSUANCE FEE
TOTAL FEES
No
/
Each
V
Fee
3' i
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* f^>
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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
ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC