HomeMy WebLinkAbout2800 ROOSEVELT ST; ; 76-?; PermitELECTRICAL PERMIT APPLICATION ~ .. ,
City of CARLSBAD, CALIFORNIA 92008 -
Applicant to complete numbered spaces only. Phone 7 29-1181 Perm it No. "/~ -7
(QSEE ATTACHED SHEET)
CO~TOR
3 (.7 y <.:
ARCHITECT OR DESIGNER
4
5 :/ PHONE t /-~ L}CENSE N •
' 6
USE Of BUILDING
7
8 Class of work: □NEW 0 ADDITION ~LTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
A'1"LICATION ACCEPTEO BY PLANS CHECKEO BY FOR ISSUANCE BY
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 AFTl:R WORK IS COMt MENCED. • l . : , , r--• -I ' •
I HEREBY CERTIFV°+THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND 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 ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
(DATE)
NAT RE F' WNER IF OWNER BUILDER DATE
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
I
fl_EMODE~-L TER'4'TteN7 NO CHANGE" ~ Si:;RVre-E~ FORt !::A. 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 IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
M.O. CASH
0
INSPECTION REPORTS -
DATE ITEM REMARKS INSPECTOR
C. -_,)J---:?r-/~~,,,,,d_; ;,,.~rL '~ ~ -'-::--;.,, ;-/{/~~-......
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.