HomeMy WebLinkAbout1166 CARLSBAD VILLAGE DR; ; 77-3062; PermitELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008**"" ' ^Vi
Applicant to complete numbered spaces only Phone 729-1181 , Permit No / '
JO6 ADDRESS
LEGALI DESCR ATTACHED SHEET)
v-
-^/
V&J&4.
CONTRACTOR STATE L1C NO CITY LIC NO
ARCHITECT OR DESIGNER LICENSE NO
ENGINEER MAIL ADDRESS LICENSE NO
COMPENSATION INS CARRIER MAIL ADDRESS
USE OF BUILDING
8 Class of work G NEW ADDITION D ALTERATION D REPAIR
9 Describe work
SPECIAL CONDITIONS
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
No Each Fee
APPLICATION ACCEPTED BY PL'ANSCHECKEDBV APPROVED FOR ISSUANCE 6V
N EW 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 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 AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN 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 REGULATINGCONSTRUCTION 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
TEMP SERVICE OVER 200 AMP
PER 100
— .. _ *• • —— **-*^ f
SIGNATURE OF COtfTRSCTOIt OB AUTHORIZED AGENT (DATE)ISSUANCE FEE
TOTAL FEESSIGNATURE OF OWNER (IF OWNER BUILDEHJ TDATE)
WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH - PERMIT VALIDATION CK MO CASH
INSPECTOR
INSPECTION REPORTS
DATE
•
ITEM
•
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REMARKS
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INSPECTOR
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USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC