HomeMy WebLinkAbout2380 CAMINO VIDA ROBLE; ; 78-5376; Permit1?H'J
Applicant to-complete numbered spaces only.
ELECTRICAL PERMIT APPLICATOR' >
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 permit NO. J2/. J'~
7.C'- bP
7.0U It.
JOB AODB ESS
23M teiao Vlda %*!•
ATTACHED SHEET)
OWNER
2 HMI Kail
MAIL AODMES3
Blvd., S«« Piago.292-5550
CONTRACTOR MAIL. ADDRESS
Strlat*r lUctrlc F« 0. Beg 2156, La JoLU, O. 92038
LICCNSE NO. STATE CITY
231671 13006
ARCHITECT OK DESIGNER MAIL ADDRESS LICENSE NO.
MAIL ADDRESS LICENSE NO.
COMPEMfATlON INS, CARRIER MAIL ADDRESS
Co«««Tcl*l Onion, 2333 P>1 Ho S., S«t
•RANCH
C«« 92108 ferft* 1TO
USE or BUILDING
8 Class of work: K NEW D ADDITION D ALTERATION D REPAIR
9 Describe work:
SPECIAL CONDITIONS:
PERMIT FEES
ISSUANCE OF EACH PERMIT
No.Each Fee
00
APPLICATION ACCEPTED BV: PLANS CHECKED BY
X J
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 60 DAYS, 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 STATE OR LOCAL LAW REGULATINGCONSTRUCTION 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 200 AMP.
S IN)
„
X'- -£%*,
TEMP. SERVICE OVER 200 .AMP.
PER 100
• lANATUME Of CONTRACTOR OR AUTHORIZED ASENT
PERMIT FEE
ICMATUHI OF OWMEK IIT OWNER 7 Iffi
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR