HomeMy WebLinkAbout1207 CARLSBAD VILLAGE DR; B; 73-3389; PermitELECTRICAL PERMIT APPLICATION
^City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PhOHG 729-1181 Permit No
JOB ADDR ESS
ATTACHED SHEETI
MAI L ADDRESS
CONTRACTOR f MAIL. ADDRESS
ARCHITECT OP* DESIGNS'*MAIL ADDRESS LICENSE NO
ENGINEER MAIL ADDRESS LICENSE NO
COMPENSATION INS CARRIER MAIL ADDRESS
USE OF BUILDING
8 Classofwork D NEW DADDITION VlALTERATION D REPAIR
9 Describe work
SPECIAL CONDITIONS
PERMIT FEES
ISSUANCE OF EACH PERMIT
No Each Fee
APPLICATION ACCEPTED BV PLANS 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 SPECIFIEDHEREIN 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
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
SIGNATURE OFyCONTRACTOR OR AUTHORIZED ASENT
-
lOATEJ
/ /
PERMIT FEE
glCNATURt OF QW.NCB_.llf_ OWNER JPATEI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH
INSPECTOR
^ . J
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC