HomeMy WebLinkAbout2775 ROOSEVELT ST; ; 76-1930; Permit~ ' ' ---::.' .. , l.'591 * ~ *" ... 7_{jQ
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 7.?' _ ;en/;
Applicant to complete numbered spaces only • Phone 729-1181 Permit No 7..::>v
JOB ADDRESS
k'oos~v c (f s-1. c:P7 7~ -
LEGAL 1DESCR,
I LOT NO, I B LK. I TRACT IOSEE ATTACHED SHEET)
i°~~f"pl, 1/4 w /4 e le MAl}.ADDRES,Jc/; 5 / ZIP PHONE ;t '/(. .,. y !' ' 71,).11/ L ~ {!!-S-< ,,, ,~ IC II.
3co,~r;:;~r~ 0\-f'J, fl,/r:c: MA#Af/'ff5'!/t, Vfrfq o,, · PHONE STATE LIC. NO, CITY LIC, NO,
y, ~ 7.:>t-~a-1./'I dJt)~?t:,Y /o,;i t. '%--
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION IN S CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING ' 7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: C~?< 0 .,,.,.,..J.,-f"~J S e rV1c < -fo V-,.,d-#' ~t'J'rov.-rrl ,
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH • " AMPERES OF MAIN SERVICE, SWITCH, A~LICATPON ACCEPTED BY PLANS CHECl<:EO BY ~:::'illli FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
NOTICE I ' FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC· OR BREAKER
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 REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF s I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE / 'V' I,( APPLICATION AND KNOW THE SAME TO BE TRUE AND 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 TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
W ~.v .. #u~ TEMP. SERVICE OVER 200 AMP.
/4~71,
PER 100
' SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (WATE ) .... ~ kX [) ISSUANCE FEE
51GNATURE OF OWNER IF OWNER BUILDER DATE TOTAL FEES ~1/ .,...~Cl
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 NOTES, FOLLOW UP, ETC.
6-15-76 Rough can implacement all O.K. T. Mata