HomeMy WebLinkAbout1835 CHESTNUT AVE; ; 78-4104; Permitv. •", '..."'lift.:;v»w»^i ' .#
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only.Phone 729-1181 Perm it.No: ";
JOB ADDRESS
- LEGAL
I DESCR.
ATTACHED SHEET)
MAIL ADDRESS .'f'FHONE
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CONT R/tcVoR MAIL ADDRESS * PHONE STATEtlC.. NO CITY LIC. NO.
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ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO.
ENGINEER :KtCENSEl
COMPENSATION INS. CARRIER
f<f.*
MAIL ADDRESS
USE OF BUILDING
8 Class of work:
9 Describe work:
PERMIT FEES
SPECIAL CONDITIONS:SWIMMING POOL WIRING,
"fN&M:NCR£A¥E:fN'," 4" " ~:
No. Each fee
APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY
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 120DAYS.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 THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF-ANY^OTHER-SXAt-E OR»LOCALtAW 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 5200 AMRt , ... -
TEMP. SERVICE OVER 200 AMP.
PER 100
-J&- "7.C
SIGNATURE OF CONTRACTOR OR AUTHORIZED (DATE)ISSUANCE FEE
SIGNATURE OF OWNER IIF OWNER BUILDER)(DATE)
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
" ; , ,. , , , „ — -. -
INSPECTION1 'REPORTS
DATE
-
ITEM REMARKS
• ...... , . . ..
INSPECTOR
- . . - -
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.