HomeMy WebLinkAbout1273 Las Flores Dr; ; 78-5179; Permit.., . . -
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ELECTRI CAL PERMIT APPL~CA"flQN '! 11 j;
Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Permit No .f 5 l7
JOB ADDRESS
/~73 t.oj t ~C>l't:)
LOT NO, I 8LK, I TRACT (OSEE ATTACHED SHEET) LEGAL I 1 DESCR,
OWNER MAIL ADDRESS ZIP PHONE
2 J, :54vr~r , .
I
COHTRACTO\j.. MAIL ADDRESS PHONE STATE LIC, HO, C ITV LIC. NO.
3 (___y _l /' /< fJJLl. )C /,:Lt..<-i I''-72 I l.>81 C IJ ..)~7u, I
ARCHITECT OR DESIG HER MAIL ADDRESS PHONE LICENSE HO.
4
ENG !HEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6 . ' -USE OF BUILDING
7
8 Class of work: □NEW 0 ADDITION '1'ALTERATION 0 REPA IR
9 Describe work: "J?e/;)/4cc L'·K1.1i,~ l c.J'JII OtA ,tit. /',) .$1. /2. f I <-I' ro ..ve .,,._,
II'
/7f /I 0 Nt;r 0 ,JrrJ.
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING, -
NO INCREASE IN SERVICE
I
NEW CONSTRUCTION, FOR EACH
Al'f'LICATION ACCEnEO BY 'LANS CHECKED BY A"ROVEO FOR ISSUANCE IV AMPERES OF MAIN SERVICE. SWITCH,
FUSE OR BREAKER
,//
,,.
,-1")~ I
DATE NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE . -v( ,~ ( PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM 7 ( ,i. MENCED. IN SERVICE, FOR EA. AMPERE OF , I I
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE j APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD-{ PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONST RUCTION OR THE PERFORMA NCE OF CONSTRUCTION. .
( j..y I T EMP. SERVICE OVER 200 AMP. ) 1 r'\ PER 100
~ -"'t.) ),.~ 1 .. 7g ; .;
SIGHATURf: Of' CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE ~( I ~, -TOTAL FEES -., ,
"'ilfi,.NAT IRF' 11,. nWNF'R IF" OWNER BUILDER DATE '
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
.1 ..
INSPECTOR -------