HomeMy WebLinkAbout2858 CARLSBAD BLVD; ; 78-4275; PermitELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 H «
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOB ADDRESS
X-c/-/
-LEGAL
1DESCR.(d]SEE ATTACHED SHEET)
MAIL ADDRESS
CONTRACOR ArL ADDRESS rATEue. KO.CITY LIC. NO.
ARCHITECT OR BtSION MAIL ADDRESS LICENSE NO.
MAIL ADDRESS LICENSE NO.
COMPENSATION INS CARRIER MAIL ADDRESS
USE OF BUILDING
8 Class of work: D NEW D ADDITION ALTERATION D REPAIR
9 Dttcrifae work: ft ;lie
SPECIAL CONDITIONS:
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
No. Each Fee
APPLICATION ACCEPTED 6V JtkAtt&CHECKED<;s
N EW 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 120 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 t HAVE READ AND EXAMINED THISAPPLICATION 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 REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER ;o
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
SIGNATURE OF«TONTRACTOR OR AUTHORIZED AGENT (DATE)ISSUANCE FEE O
TOTAL FEESSIGNATURE OF OWNER (IF OWNER 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