HomeMy WebLinkAbout1145 CARLSBAD VILLAGE DR; ; 71-91; Permit3ELECTRICAL PERMIT APPLICATION
7/-<7/ City of CARLSBAD, CALIFORNIA FE8_>71 SE«£ ^z**
Applicant to complete numbered spaces only ~
JOB ADDR ESS
LOT NO BLK TRACT, LEGAL
[ DESCR
OWNER MAIL ADDRESS Z
2 Shell Oil
(QSEE ATTACHED SHEET)
P PHONE
CONTRACTOR MAIL ADDRESS PHONE L CENSE NO J$SL*#j4
3 Vic Stein Elec.,Inc. -312 S. Melrose,Placentia 528-21^1 /^7/ ^2_
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE
4
ENGINEER ' MAIL ADDRESS PHONE
5
LENDER MAIL ADDRESS
6
LICENSE NO _i**^™
L CENSE NO f
BRANCH
USE OF BUILDING
7 Service Station /^
8 Classofwork Q NEW DADDITION [^ALTERATION D REPAIR
9 Describe work /, , L, j,h /* DMft.l , 1 i ,, il?i i ty yi£ «£^ ^M^OI J> r <P^<. Gu- iii. J
B^tli^f «''>lt be ve&.\c>e»litJL a*.. Lof
*
SPECIAL CONDITIONS
XxX/
APPLICATION ACeufED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY1 / A^
r ?!
^ 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
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
sicmrune OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
SIGNATURE Or OWNER (IF OWNER BUILDER) (DATE)
tuJl,-J/tt, tjr Ifi
/
o
Z
71
k**
>
-^
o
*!HI
^/Al/«B
^«*
1
PERMIT FEES
RECEPTACLE
LIGHT
SWITCH
LIGHTING
FIXTURES
Totat
Outlets
*/?
V?
Total
Fixtures
W3
RANGES CLO DRYER WTR HTR
GARBAGE DISP STA COOK TOP
DISH WASH
SPACE HTR
CLOTHES WASH
STA APPL ¥2 H
MOTORS
SIGNS
NO TRANS
P MAX
H P
NO LAMPS
TEMP POWER DPOLE DUNDGD
SERVICE
D NEW
D CHANGE
0 200A
201-400A
401-600A
OVER 600A
PERMIT ISSUING FEE
TOTAL FEE
No Each
$
Fee
H
-
If
/#
?* -s2/
vc
,
*&
—
~-
&-C
00
(• '>
'
I%c
V
S
X
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
Form 100 3 9 69
INSPECTOR
REORDER FROM INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • so )*IA 91101