HomeMy WebLinkAbout2750 ROOSEVELT ST; ; 76-1695; PermitELECTRICAL PERMIT APPLICATION ·>~ff J:Z-79
Permit No /(.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only
J08 ADDRESS
1. Y.57>
LEGAL 1 DESCR, I LOT NO.
ARCHITECT OR DESIGNER
4
ENGINEER
5
COMPENSATION I NS CARRI E R
6
USE OF BUILDING
7
8 Class of work: 0 NEW
9 Describe work:
( I BLK.
0 ADDITION
I TRACT (Q SEE ATTACHED SHEET)
MAIL ADDRESS f"") ZIP
J./.,;o I ooseVFAT PHONE
MAIL ADDRESS PHONE STATE LIC. NO.
MAIL ADDRESS I PHONE LICENSE NO,
MAIL ADDRESS PHONE LICENSE NO,
MAIL ADDRESS BRANCH
CT ALTERATION 0 REPAIR
PERMIT FEES
No.
i..;SPc;_:E;..:C;.;.l;..A;.;:Lc...C_O;..N_D_IT_I_O_N_S_: _________________ ---1 SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
CITY LIC. NO.
Each Fee
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
APP~,cAnoN A,ccEPTEo aY ,PLANs cHEcKeo aY A
0
,A,RT0Eveo ~A 'ZAN;: _F_u_s_E_o_R __ B_R_E_A_K_E_R--------l--~1---~1------1-----1
/. / \ {p /'! /J(L. NEW SERVICE ON EXISTING BLDG. i,.;...;... __ ...;.._,.:_ ....... ..._ ______ ....... .:;;.:::.:.,:;......:::.;../+-.;../~....1:~ FOR EA. AMPERE OF INCREASE 1ft /j L-
NOTICE IN MAIN SERVICE, SWITCH, FUSE V ~ I/,
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER V
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 I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE~ 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 ANV'OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PE.Rf'.ORMANCE OF CONSTRUCTION.
/
SIGNATURE Of CONTRACTOR OR AUTHOR I ZED AGENT (DATE)
../1.1 /.
c:ir.MA RF nF OWNF:R IF OWNER BUILDER \OATE1
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
,._,
ISSUANCE FEE
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE! THIS 15 YOUR PERMIT
P~N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
,.,
-_, Ct
M.O. CASH
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
I. -1 Y ~ 7L ,,.,, 4/ /., ~
r
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
·.