HomeMy WebLinkAbout1425 CHESTNUT AVE; ; 76-1601; Permit• •-' • •••• * .'
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 w *
Applicant to complete numbered spaces only. PhODC 729~1181 Permit No..
JOB ADDRESS
LEGAL
IDESCR.ATTACHED SHEET)
MAIL ADDRESS
•CONTRACTOR MAIL ADDRESS STATE LIC. NO.CITY LIC. NO.
r
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO.
MAIL ADDRESS LICENSE NO.
COMPENSATION INS CARRIER MAIL ADDRESS
USE OF BUILDING
8 Class of work: ^NEW .D ADDITION D ALTERATION D REPAIR
9 Describe work:
PERMIT FEES
SPECIAL CONDITIONS:SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
No. Each Fee
APPLICATION ACCEPTED BY: , PLANS CHECKED BY
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 OAYS.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 AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN 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.
c~'
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 AN
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
CONTRACTOR OR AUTHORIZED AGENT ,' (DATE)ISSUANCE FEE
SIGNATURE OF OWNER (IF OWNER BUILDER)(DATE)
TOTAL FEES
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O. CASH
INSPECTOR