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Home My WebLink About2158 PALOMAR AIRPORT RD; MULIT-PERMIT FILE; CB043811; Permit1 0-08-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No:CB043811 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2158 PALOMAR AIRPORT RD CBAD MISC I Subtype: OTHER Status: ISSUED 7602216200 Lot #: 0 Applied: 10/08/2004 $0.00 Entered By: KMT Plan Approved: 10/08/2004 Issued: 10/08/2004 Project Title: PALOMAR AIRPORT- DEMO 1,500 SF Inspect Area: OFFICE & RESTRNT (INCL: 2160 & 2162 PAR) Applicant: Owner: RICHARD AND RICHARD CONSTRUCTION COUNTY OF SAN DIEGO/PALOMAR AIRPORT 4751 OCEANSIDE BLVD #D OCEANSIDE, CA 92056 / PUBLIC AGENCY 00000 N. 760-630-1540 Miscelaneous Fee #1 / PERMIT FEE $60.00 Miscelaneous Fee #2 / $000 Additional Fees I (\ $0.00 TOTAL PERMIT FEES / N ' $60.00 / . -- .... N - Total Fees: $60.00 Total PaymentsTo Date: -. . $0.00 Balance Due:. $60.00 1352 - ' - I / 7 / / - / 7 N / 2887 10/08,'04 0002 01 02 CGF" 600O FINAL APPROVAL Inspector: Date: /7fr' Clearance: NOTICE: Please take NOTICE that approval of your project includes the'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions. You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been qiven_ajNOTICE similar to this, or as to which the statute of limitations has previously otherwise expired, PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Address (include Bldg/Suite #) PLAN CHECK NO.___________ EST. VAL. Plan Ck. Deposit Validated By__________________________ Date iof t1 Business Name (at this address) Legal Description ' ' Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work , ' ' SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. Name' ' ' " Address '. City '- State/Zip Telephone # Name , " , Address' City - C OPI Address cf a o.o - '2- , City State/Zip ' Telephone # '(0 i q - (Sec. 7031.5 Business and Pèofessions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance.' also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of blvislon 3 of the Business and Professions Code) or that he is exempt therefrom,, and the basis for the alleged axainotion. Any violation of Section 7031.5 by any applica,p&Jor a permit subjects th9 applicant to a civil penalty of not more than five hundred dollars ($5001). ncaiu License 1W Lu ( 3 L I Designer Name ' Address ' City State/Zip Telephone State License # Wàrkers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: '0 I have and will maintain a certificate of Consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, forthe performance of the work for which this permit is Issued. My worker's compensation insurance carrier and policy number are: lnsurance'Cornpany ' Policy No. Expiration Date____________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, ['shall not employ any parson In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: 'Failure to secure worker,' compensation coverage Is unlawful, and shall subject' an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for.in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE . ' DATE 'I haieby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner. of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (SOc. 7944, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year. of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the property,' am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's' License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). . .0 I am exempt under Section ', Business and PrOfessions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) sighed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (Include name / address / phone number / contractors license number): . I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number I contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number / type of work): PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 ot,the Presley-Tanner Hazardous Substance Account Act? - 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of e school site? 0 YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL- CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS'OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 1%t Y A NO a L pim I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Coda). LENDER'S; NAME LENDER'S ADDRESS_____________________________________________________ - I certify that I have read theappiication and atata'that the above Information is correctand that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating.to building construction. I hereby authorize representatives of the CIt' of Carlsbad to enter upon the above mentioned property for inspection purposes. .I ALSO AGREE TO SAVE, INDEMNIFY AND'KEEP.HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 5'0 deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by tte building Official under the provisions of this Code shall expire by limitation and become null and void it the building or work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after, the work Is commenced for a period of 180 days (Section 108.4.4 Uniform -Building Code). APPLICANT'S SIGNATURE ' ' ' ' , DATE' WHITE: File YELLOW: 'Applicant PINK: Finance' City of Carlsbad Bldg Inspection Request For: 11/09/2004 Permit# CB04381 1 . Inspector Assignment: Title: PALOMAR AIRPORT- DEMO 1,500 SF. Description: OFFICE & RESTRNT (INCL: 2160 & 2162 PAR) Type: MISC Sub Type: OTHER Job Address: 2158 PALOMAR AIRPORT RD Suite: Lot 0 Location: OWNER COUNTY OF SAN DIEGO/PALOMAR AIRPORT Owner COUNTY OF SAN DIEGO/PALOMAR AIRPORT Remarks: demo final - follow signs to Richard&Ric Total Time: CD Description Act Comment 19 Final Structural Associated PCRs/CVs Inspection History Date Description Act Insp comments Phone: 7608011575 Inspector: Requested By: DERIK Entered By: CHRISTINE 89/09/2884 04:37 6199564881 AIRPORTS . PAGE 02/02 - . ) count' at ban Mwiletio DEPARTMENT OF PUBLIC WORKS JOHN L. SNYDER 551 5 OVERLAND AVE. SUITE 2108 DIRECTOR SAN DIEGO, CAUFORNtA 92128.1295 (89, 1) 894-2212 FAX! (859) 288-0461 Web Site adcdpworg September 9, 2004 Mr. Mike Peterson City of Carlsbad 1635 Faraday. Avenue Carlsbad, CA 92008 Dear Mr. Peterson: DEMOLITION OF NINE BUILDIN(S AT MCCLELLAN PALOMAR AIRPORT The County of San Diego Airç oils has received maps from Richard & Richard Construction regarding the demolition plan for nine buildings located on McClellan- Palomar Airport on the Palomar 1k1rport Center Leasehold. After reviewing the maps, the County of San Diego Airports hereby grants permission for the demolition of the 9 specified buildings to proceed. it $ understood that before demolition proceeds; proper applicable notifications will be r iade to the Air Pollution Control District (APCD), Department of Environmental Hoe Th (DEH) and 'y other agencies as required. If you have any questions, please' =tact me at (619) 956-4839. PD:jk cc: Floyd Best (N137); Lee Ann Lardy (SI 19); Larry Watt (0334); Tom Bosworth (A-12) Kids • The Envi. onm&nt • We and Livable Communities %an. ta a a ' • NOTES PHASE I I 112 :pill 1~ _.j i' - )-s - I :'r-••-' SEPARATE PRICE Reeves Associates PALOMAR AIRPORT CENTER — Architects - DEMOLJ110N PLAN 2138 AND 2158 PALOMAR AIRPORT ROAD -- CARLSBAD CALIFORNIA I matsat.os V fl SSann.ga NOTES PHASE II I 112 w - - Ii.lII-•l PHASE - I 1Ii SEPARATE Pfc IL SEPARATE PRICE PALOMAR AIRPORT CENTER PALOMAR PHASE - 11 AIRKIRTH I I F Arditects IculitB u.c I I • ________________ 2138 AND 2158 PALOMAR AIRPORT ROAD CARLSDAD CALIFORNIA SDf NOTICE OF SERVICE DISCONTINUANCE A Sempra Energyutmty PERMIT DEPARTMENT CITY OR COUNTY OF: Carlsbad GAS 0 ELECTRIC 0 GAS AND ELECTRIC 0 SERVICE WILL BE DISCONTINUED TO: Laurie! Richard & Richard 2158 Palomar Airport Rd. (ADDRESS) BY: Monday, October 04, 2004 ALL SERVICE LINES WILL BE REMOVED (DATE) THIS BUILDING CAN BE MOVED OR RAZED AFTER THE A B O V E D A T E SAN DIEGO GAS & ELECTRIC BY: Maria Higgins (EMPLOYEE NAME) TODAY'S DATE: 10/05/2004 PHONE: (760) 480-7647 0 4. 0 I') .4 4. fl I he - ,affirm that I am Iirensed under o provisions of Chapter 9 (commencing with Section 7000) of Division '3 of the Business and Professions Code, and my license is in I full force and effect. Lic. No. ___________ ,_,,,,,,,_ Class 0 hereby affirm that i am exempt from the Con tractors License Law for the toliowing'reason(Sec. 70315 Business and Professions Code: Any city or County which requires a permit to construct alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to tile a signed statement that he is licensed pursuant to the provisions of the Con- tractor's License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Pro- fessions Code) or that is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit subjects trw applicant to a civil penalty of not more than live -, hundred dollars ($500). 13 I, as owner of the properly, or my employees 5 - with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business andProtessioks Code: w The Contractor's License Law does not apply to an Z ' owner of property who builds or improves thereon and who does such work himself or through his own 0 emptoyees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose 01 sale)i - '. Z I] l''as owner of the property, am exclusively 2 - contracting wtb .Iieef,eec0ntractOrs to Construct' - the project (Sec.' 7044, Business and Professions - Code: The Contractor's License Law does not apply - to an ownerof properly who builds or improves reonnd who con)racts for each with a ,the projects • -J - c0RmrOrf 5) license pursuant to the Contractor's - License Law). o - lam exempt under Sec._ .B.&P.C. for this reason - I hereby affirm that I have a certificate of consent to 'sell-insure, or a certificate of Workers'-. Compensation Insurance, or a certified copy thereof • (Sec. 3800, LabOr e). POLICY NO 2 COMPANY Q?PIT / 'y is filed the City. '1- z with - uJ • 0 Certified copy is hereby furnished. .' ...- . o CERTIFICATE OF EXEMPTION FROM ' - WORKERS' COMPENSATION INSURANCE - • '(This section need not be completed if the permit - . is for one hundred dollars ($100) or less) ._ Ir 0 I certify that in the performance of the work for o which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers'. Compensation Laws of California. NOTICE TO APPLICANT: II, after making this Cerl- • -' I icafe of Exemption,- you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked,'' r 0 I he"reby'affirm that there 'is a construction I lending agency tOn the performance of the work to, which this permit's issued (Sec, 3097, Civil Code). zl .Jr I Lender's Name _________________________________ ,' I L Lender's Address USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN'SHADED AREA AND DECLARATIONS. CARLSBAYGUILDING DEPA RTMENT • A,CATION &r1N 'PERMIT 1200 Elm, Carlsbad,-California JOB ADDRESS " , ' - - ' - AV.ST. DATE OF APPLICATtON BUSINESS LICENSE #, 2158-A2 PaIm&port'Road OWNER'S NAME - ' , '', -'-. -- ,,.• -- ' OWNER'S PHONE PRIME CONTRACTOR CONTRACTORS PHONE It . EIden W.' BJv's'" . 438-0494 , VALUATION - - ,PERMjT NUMBER ZONE OWNER'S MAILING ADDRESS -:-' 2158 Palomar Air06rt Road CONTRACTOR'S ADDRESS LICENSE NO, PLAN I.D. # BLDG USE CODE - LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. DESIGNER DESCRIPTION OF WORK STATE LICENSE it STANDARD PLAN# BUILDING SO. FOOTAGE DESIGNER'S ADDRESS ' DESIGNER'S PHONE /l/297 , , • - ,. ' ,, inon 01 - - 45 FIP F LA ELEV. YO NO NO STORIES OCC GP ' EDU ,L'I )-,77 CENSUS TRACT GP 4ND tJE. PARKING SPACE RES UPEITS - GRADING PERMIT ISSUED TO 'N 0 REDEVELOPMENT AREA -YD'ND ' -. . TYPE' • CONST' ' 0CC LOAD FIRE SPA YO NO QTY. -' PLUMBING PERMIT - ISSUE ' 7.5 0 QTY. . MECHANICAL PERMIT - ISSUE , 3.00 . SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP ' - . ' ' , INSTALL FURN. DUCTS UP TO 100,000 BTU ' . -BUILDING PERMIT - 01'000-4220 - EACH BUILDING SEWER S , OVER 100,000 BTU SIGN PERMIT , . ' 01-000'4221 -' EACH WATER HEATER AND/OR VENT , ' - - - , ' BOILER/COMPRESSOR UP TO 3 HP • PLAN CHECK 01-000- 4806. ___________________ EACH GAS SYSTEM 1 TO OUTLETS' . ' ' 2 4.c BOILER/COMPRESSOR 3.15 HP .. -' ' , -. - TOTAL PLUMBING 01'000-4222 . /p ' 'EACH GAS SYSTEM 5 OR MORE ; , • METAL FIREPLACE ' ' ' • ELECTRICAL ' 01'000-4223 -EACH INSTAL,,'ALTER. REPAIR WATERPIPE ' . ' VENT FAN SINGLE DUCT . . MECHANICAL 01'000-4224 - ' EACH VACUUM BREAKER - . ' . - MECH EXHAUST - HOOD/DUCTS ' • -. - MOBILEHOME - 01-000'4225 - WATER SOFTNER , ' RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ... EACH ROOF DRAIN (INSIDE)' ' ' ' - " ' . ' ' - ' ' SOLAR w., 01-000-4226 , 'TOTAL MECHANICAL ' . - . ' . STRONG MOTION • 65'640-0519 - TOTAL PLUMBING ' ' . _..- ,/ç ',,6)0 FIRE SPRINKLERS ' 01'0004227 ' CITY. - ELECTRICAL PERMIT. ISSUE 2 CITY. - - SOLAR - ISSUE PUBLIC FACILITIES FEE'' - 25-000-4933 - - BRIDGE FEE:. • '- -NEW.CONST EAMP/SWT/BKR ' .1. ' - COLLECTORS - • - - - • SCHOOL FEE' DISTRICT - 1 PH , ' '' ' - '3 PH ' . " , STORAGE TANKS - ' '' 'S •, - Carlsbad - 65'623'0519 EXIST BLDG EA AMP/SWTIBKR , ,' ' ROCK STORAGE '' ' , ' • • - Encinitas . , 65-624-0519 - 1 PH ' • , 3 PH PUMP - ' . ,San Oieguito 65-625-0519 ' REMODEL/ALTER PER CIRCUIT • , ' - PLAN CHECK FEE , ' San Marcos -' 65-626'0519 - -• 'TEMP POLE 200 AMPS • - - " . - . - - .: ' ' ' - - ' . • - OVER 200 AMPS - . . - -. • '' -. - - ' - '• __________________ TEMP OCCUPANCY (30 DAYS) . . - -- : , -' - - . -- - ' '- - ' - TOTAL ELECTRICAL - TOTAL SOLAR TOTAL FEES PAYABLE :v:/o -.tl — I HAVE CAREFULLY. EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration, Every permit issued bylhe Building Official under the provisionaofthis * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THECode shall suche ire by limitation and become null and void If the building or work -5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized within 180days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if building or work authorized by such Permit Is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the work is commenced for a period of 180 dayS. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE APPROVED By- -- DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND OWNER CONTRACTOR EXPENSES WHICH MAY INANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /' BY PHONE 0GRANTING OF THIS PERMIT. , C) "L ''- w S - S I --.-- - :- - - - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES — INSPECTION REQ. IF CHECKED INSPECTORS APPROVAL DATE - -\ SOILS COMPLIANCE FOUNDATION INSP PRIOR TO STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE - POST TENSIONED CONCRETE - FIELD WELDING - - HIGH STRENGTH BOLTS SPECIALMASONRX .. • - - PILES CAISSONS . ______ _________ ______ .. •. • _____________________________________ '--S 1 Amok INSPECTION TYPE I, DATE INSPECTOR BUILDING' , . FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH1NSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND'- PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTR4C.UNDERGROUND ROUGH ELECTRIC I ELECTRIC SERVItE BONDING A G. F. I. — SMOKE DETECTOR MECHANICAL 1 DUCT & PLEM., REF. PIPING HEAT — AIR COND. — SOLAR SYSTEMS '. VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE I TP.RC' A DPt tiC LIA t/Cl bCCAI A bflI I/cr. .......- . ... . - JOB _SITE _FINAL PLUMBING A 11 ELECTRICAL I MECHANICAL I GAS BUILDING I SPECIAL CONDITIONS ____ _____ CERT OF OCQLLPANCY ISSUED 41. '4 k • - ' . w . toao 89 ELEcTRIcAL ' 'PERMIT APPLICATIJON ,TL City of CARLSBAD, CALIFORNIA' '92008 owl complete 'Phone 7291181 'pernii'Nof /$'2. -' JOB ADDRESS 2 /2 ,F2/ I / LEGAL LOT'NO. BLK. TRACT IDSEE ATTACHED SHEET) I DESC'R. , OWNER . MAIL ADDRESS ZIP PHONE 1' CONTRACTOR MAIL ADDRESS . PHONE STATE LIC. NO. - • CITY LIC. NO. 3 f)LA)1e ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 ENGINEER ' , MAIL ADDRESS PHONE LICENSE NO. 5' -' - COMPENSATION.. IN CARRIER . . MAIL ADDRESS BRANCH 6 USE OF BUILDING' 7 8 Class of work 0 NEW 0 ADDITION 3''tTERATION 0 REPAIR 9 Describe work '€ - . , PERMIT. FEES . SWIMMING POOL WIRING, No., Each 'Fee SPECIAL-CONDITIONS ' . ' NO INCREASE IN SERVICE - NEW CONSTRUCTION, FOR EACH - - - AMPERES OF MAIN SERVICE SWITCH FUSE OR BREAKER . APPLICTIONACCEPTEO,Y PLANS CHECKED BY: .. APPROVED FOR ISSUANCE BY: NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE - ' DATE ,, 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 PERIODOF 12OOAYS -AT ANY TIME AFTER WORK IS COM- REMODEL, ALTERATION, NO CHANGE MENCED. ' IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. INCREASE / /67.P -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 TEMP. SERVICE UP TO AND INCLUD- PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TEMP. SERVICE OVER 200 AMP. PER 100 -- SIGNATURE OF CONTRACTOR OR.AUTHORIZED AGENT (DATE) (/' • s/ii- J 1 - fSUANCE FEE TOTAL FEES SIGNATURE_DF_OWNER_(IF_OWNER_BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT - PLAN CHECK VALIDATION CK. M.O. ' CASH ' PERMIT VALIDATION cic. M.O. CASH ' /gV gte ' A - ..: '- . •.':'' INSPECTOR