HomeMy WebLinkAbout2623 CHESTNUT AVE; ; 77-6721; PermitELECTRICAL PERMIT APPLICATION;
City of CARLSBAD, CALIFORNIA 92008 w ,_.
Applicant to complete numbered spaces on/y. Phone 729-1181 "Permit No. / *^
JOB AOOR ESS
. LEGAL
IDESCR.ATTACHED SHEET)
MAIL ADDRESS PHONE '.
Cypress H.e
ARCHITECT OR-DESIGNER LICENSE NO.
LICENSE NO.
COMPENSATION INS, CARRIER MAIL ADDRESS
USE OF BUf LOIN G
8 Glass of work: = - -S-NEW _ D ADDITION „ .^.ALTERATION D REPAIR_ " • -'<*• -* -- '~',' tmn~ «- ^ « i*~*—^* ^.,~ r» ^-- « -^F -^ -^ -.,
9 Describe work:iSlec trical
SPECIAL CONDITIONS:
PERMIT FEES
ISSUANCE OF EACH PERMIT
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 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,JEXAMINED THIS
APPLICATION AND KNOW THE^SA'ME TO BE'TRUE A'ND CORRECTS
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 NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW 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 200 AMP. .5»<XJ
TEMP. SERVICE OVER 200 AMP.
PER 100
.
SIGNATURE pr CONTRACTOR OR AUTHORIZED ACENT
PERMIT FEE
BUILDER.)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O. CASH
• INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOT s
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