HomeMy WebLinkAbout1025 CARLSBAD VILLAGE DR; ; 76-180; PermitELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PhORG 729-1181 Permit No
JOB ADOR ESS
ATTACHED SHEET)
MAIL ADDRESS
CONTRACTOR LICENSE NO STATE CITY
ARCHITECT OR DESIGNER "—*•LICENSE NO
ENGINEER MAIL ADDRESS LICENSE NO
COMPENSATION INS CARRIER MAIL AODRESS
USE OF BUILDING
8 ~Classofwork D NEW Q ADDITION d ALTERATION D REPAIR
9 Describe work
PERMIT FEES
SPECIAL CONDITIONS
ISSUANCE OF EACH PERMIT
No Each Fee
APPLICATION ACCEPTED BY PLAMS CHECKED BY APPROVED FOR ISSUANCE BV
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH
FUSE OR BREAKER
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 DAYS AT ANY TIME AFTER WORK IS COM
MENCED
I HEREBY CERTIFY THAT I 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 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
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
3? £4*
TEMP SERVICE OVER 200 AMP
PER 100
SIGNATURE Or CONTRACTOR OR AUTHORIZED ASENTONT
PERMIT FEE
Of OWMEB UF OWNER BUILPEH)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR