HomeMy WebLinkAbout2363 CARINGA WAY; BLDG 7; 77-2784; Permityt^^^f^im^s^^Kyf^^jS^^^fi^^ggjf^^^^^^.;'
ELECTRICAL PERMIT APPLIC^ION " f
City of CARLSBAD, CALIFORNIA 92008 \
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. "f / ""<** /<7y
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JOB ADO* ESS ~~ ' r
v 2363 Cartnaa tltp
LOT NO. BLK TRACT
, LEBAL (( )SEE ATTACHED SHEET!
1 DCSCR. It^flMH^A £A G^Mfcft.
OWNER MAIL ADDRESS ZIP PHONC
2 Pacific nil** - B ft C Tn»««U«iti -2295 Y»tt*3e SU SM Fnox*oo, C«. 94123
CONTRACTOR MAIL ADDRESS
3 I* Coota acetate - 110? Ona* Av», - s«
PHONE L
B M«i«O». Cm* 92064 — 744-1
CENSE NO. STATE CITY
444 C10-69112 Ca.
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS. CARRIER MAIL ADDRESS '.- « 'f ' t BRANCH
USE Or BUILDING
7
8 CIBSJ of work: D NEW § ADDITION D ALTERATION D REPAIR
9 Describe work: Inatall 2 pwrt ll^ltm te'iMH 50 «Q> ll«M» lit* •l«CtrtO «*«»,
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY:
DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYJ> AT ANY TIME AFTER WORK IS COM
MENCED ' <
\ 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 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 THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIQNATURiyt'oSN-mVcTOII OR AUTMOBIZMJ A6ENT /(DATE)'
• ICNATUKE OF OWNER \\T OWNER lUILDEH) 1">*TE1
PERMIT FEES
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER-" ,_,,^Tf* A *./ iS ~ ,i*J *- /* // f £«?.
NEW SERVICE ON EXISTING cTLOG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGED
1N SERVICE, FOR 'EA. AMrtKrfJF"
INCREASE : :V "!^*s*
TEMP. SERVICE UP TO AND INCLUD-
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
PERMIT FEE
No.
50
»n PI ****•*»»*
Each
2
HW^^^^
;•**&&>-".
Fee
2.
25.
mMfefe*-!*
*»&»'!"•.•:•
27*
00
DO
•a*
00
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
-•i
1
'*
~'1
;
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS
X
INSPECTOR
t/Sf SP/»C£ BELOW FOR NOTES, FOLLOW-UP, ETC.
5-3-77 Final elec.Corrections enclosed. B. Nelson
5-10-77 Cleared Elec. B. Nelson