HomeMy WebLinkAbout1277 LAS FLORES DR; ; 78-5178; Permitt
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspaces only. Phone 729-1181 Permit No
JOB ADDRESS
100-71 J... ... ~ f 1'-1>l'C \ ,
LEGAL 1 DESCR,
I LOT NO. I BLK, I TRACT (QSEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 J . Kv i!>oi A J ,
I
CONTRACTOR MAIL ADDRESS PHONE STAT E LIC, NO, CITY LIC, NO,
3 G, \< l'--n1LC.:)€. l:Lt:1...u,-.. 7 ~t; If ~I (; t > .:,Ul.>5 I
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: /<P;J//14.f.. /; '1/1) Tl V, /()(.>fl 0V¢~11 t.. 11) s,fl.V1u. To Ner...~ ,
l7Srl U IV /) CJ I' ;) $r(v,
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
A,,llCATION ACCEPTED BY 'LANS CHECKED BY APPROVED FOR ISSUANCE BV AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER ,, , 1' I r -DATE NEW SERVICE ON EXISTING BLDG. 7f& "1)
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE .·~ ty' 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 \ ,,,, )J PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM ~ . r\. If-MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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 VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
..... :?S-:,::r:)~ ;,}~~ :o,~
TEMP. SERVICE OVER 200 AMP .
() PER 100 ·~ 1~ -
(DATE) ~ ISSUANCE FEE
TOTAL FEES ~. > C:. tt;:NATl AF" OF nwNER 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
INSPECTOR
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INSPECTION REPORTS ~------------------,.-----~
DATE I ITEM REMARKS INSPECTOR
USE SPAC