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Home My WebLink About1017 DAISY AVE; ; 78-2064; PermitELECTRICAL PERMIT APPLICATION5 City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 729-1181 Permit No _ JOB ADDRESS '/* .LEGALIDESCR LOT NO D SHEET) hi MAIL ADDRESS CONTRACTOR MAIL ADDRESS STATE LIC NO CITY LIC NO ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO MAIL ADDRESS LICENSE NO COMPENSATION INS CARRIER MAIL ADDRESS USE OF BUILDING 8 ClMiofwork $NEW D ADDITION D ALTERATION D REPAIR 9 DMcnbc work '«u Jv>«\>iA »••«,> CFZ PERMIT FEES SPECIAL CONDITIONS SWIMMING POOL WIRING, NO INCREASE IN SERVICE No Each Fee APPLICATION ACCEI PLANS CHECKED BY APPROVED FOR ISSUANCE BV NEW 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 APERIOD OF 12O DAYS AT ANY TIME AFTER WORK IS COM MENCED I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION NEW SERVICE ON EXISTING BLDG FOR EA AMPERE OF INCREASE IN MAIN SERVICE SWITCH, FUSE OR BREAKER 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 CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE FEE SIGNATURE OF OWNER (IF OWNER BUILDERT IOATE1 TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.MO CASH PERMIT VALIDATION CK MO CASH INSPECTOR PLUMBING PERMIT APPLICATION *~.. City of CARLSBAD, CALIFORNIA 92008 _ Applicant to complete numbered spaces only PhOFIG 729-1181 Permit No fg JOB ADOR E1S VXUi-V-2:.^. T LOT NO i°»" | 111 OWNER CONTRACTOR ( Qwl ** *• K } ARCHITECT OR DESIGNER ENGINEER BLK f 100 COMPENSATION fNS CARRIER 6 MAIL Vt- MAI L MAIL MAIL TRACT ADDRESS ZIP PHONE ADDRESS PHONE STATE LIC NO CITY LIC NO ADDRESS PHONE LICENSE NO ADDRESS PHONE LICENSE NO ADDRESS BRANCH USE OF BUI L.DING 7 8 Class of work ^NEW D 9 Describe work ADDITION D ALTERATION D REPAIR CiA'- C.»M*" TV» >H. k.\JM FVv»f"«. MfifK. TO ri*ft Mo^it-.^ SPECIAL CONDITIONS ; / 1 J PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE 1 NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK TION AUTHORIZED IS NOT COMMENCED WITHINCONSTRUCTION OR WORK IS SUSPENDED OR ABA PERIOD OF 120 DAYS AT ANY TIME AFTERMENCED 1 HEREBY CERTIFY THAT 1 HAVE READ AND E APPLICATION AND KNOW THE SAME TO BE TRUE ALL PROVISIONS OF LAWS AND ORDINANCES GC TYPE OF WORK WILL BE COMPLIED WITH WHETHEREIN OR NOT THE GRANTING OF A PERN PRESUME TO GIVE AUTHORITY TO VIOLATE O PROVISIONS OF ANY OTHER STATE OR LOCAL LA\ CONSTRUCTION OR THE PERFORMANCE OF C SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT T/Jjfal SIGNATURE OF OWNER (IF OWNER BUILDER) WHEN PROPERLY OR CONSTRUC 20 DAYS OR IFMOONED FOR A WORK IS COM XAMINED THIS AND CORRECT )VERNING THIS HER SPECIFIEDdlT DOES NOT B CANCEL THE (V REGULATING ONSTRUCTION (DATE) (DATE) PERMIT FEES * No > / / Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) SHOWER KITCHEN SINK & DISP DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR— SINK OR DRAIN SLOP SINK GAS SYSTEMS NO OUTLETS WATER PIPING & TREATING EQUIP WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER NUMBER CLEANOUTS CESSPOOL SEPTIC TANK fc PIT ROOF DRAINS ISSUANCE FEE $ TOTAL FEES $ Fee $ / / /• "> Sol J>'3 J (.> JS~l> n& trr- VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH INSPECTOR CITY OF CARLSBAD BUILDING DEPARTMENT (714) 729-1181 CERTIFICATION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California If, after making this certificate, I become subject to the workers' compensation pro- visions of the California Labor Code, I will forthwith comply with Section 3700 of the Labor Code I understand that if I fail to comply with the workers' compensation laws, this permit shall be deemed revoked I further certify that if I should contract or subcontract with any person, including any firm or company, to do all or part of the work for which this permit is issued, I shall assure compliance by that contractor or subcontractor with Section 3800 of the California Labor Code SIGNED PRINT NAME AND TITLE JOB ADDRESS ^H ^A^H A\JE DATED