HomeMy WebLinkAbout2697 STATE ST; ; 77-10591; PermitELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. r.
JOB ADDRESS ~~,'.]'l-e ~rf I ~<oCf l
LEGAL
1oESCR,
I LOT NO. I BLK. I TRACT (0SEE ATTACHED SHEET)
ow;,r + ~ ~0{..(.,A) 11.;~1:DRESS ZIP PHONE
2 •' v I/ . -rAVf .P 9),,-0(.) 8"" 1) (j.~/ 'f I'/
CO,i.TRACTOR , ~ E/-ci.,.; "-MAIL ADDRESS PHONE STATE L IC. NO. CITY LIC, NO.
3 , Jo1ivc I ~u). LL), .' (_ ,, v ~, ""' -""\"))-G,.,U .j
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS C ARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work : 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
,
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'rLICATION ACCEPTEO ev PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH ,
/J/ FUSE OR BREAKER
DATE NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND 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 .,, /
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE / _.
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCE:!. GOVERNING THIS J
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,
TEMP. SERVICE OVER 200 AMP.
I ' ~· 2i ~u-~. /)/2..,;, PER 100
l .u, I ~
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ,
1 ISSUANCE FEE "'v
TOTAL FEES 7 {'; /
51GNATURE OF OWNER IF OWNER BUILDER! CDATEI
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR
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DATE
USE SPACE BEL
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INSPECTION REPORTS
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ITEM REMARKS INSPECTOR
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