HomeMy WebLinkAbout2002 COSTA DEL MAR RD; ; 75-1970; PermitELECTRICAL PERMIT APPLICATION 75
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008 v .,-
Phone 7 29-1181 perm it NO ; " * /'/(.
JOS ADDA CSS
-LE«ALIOCSCR ll |SEE ATTACHED SHEET)
MAIL ADDRESS
A JAJC.:*/</
CONTRACTOR HIAIL ADDRESS LICENSE NO STATE
X. JH7j
ARCHITECT OR DES1SNER MAIL ADDRESS LICENSE NO
MAIL ADDRESS LICENSE NO
COMPENSATION INS CARRIER JAIL ADDRESS
USE Or BUILDING
8 gauofwork- ID NEW D ADDITION ^ALTERATION D REPAIR
9 Ditcfrtuwork.
SPECIAL CONDITIONS
PERMIT FEES
ISSUANCE OF EACH PERMIT -
No Each FM
rjON ACCEPTED I
•: 1<
f LANS CHECKED BY APPROVED FOR I: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 60 DAYS, OR IFCONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION 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 NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
NEW SERVICE ON EXISTING BLOG
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
T* AC TOR OR AUTHORIZED AS!
PERMIT FEE / .
«1«MATUR» OF OWMER UP OWNER »UILOEi»)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.MO CASH PERMIT VALIDATION CK MO CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC