HomeMy WebLinkAbout2650 CHESTNUT AVE; ; 79-1770; Permitf A '
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 ' permit i\|n
.JOB ADDRESS <, ' ^- : ; ^»-»^,-X*\ **~' ' '" '' '
LOT NO. BLK. TRACT f. .'• »*• 4
-LEGAL . (LJSEE' ATTACHED SHEET)
1 DESCR. ; > Jf ,'S
' ' ' «"»St ' • -•' '<•' ' / '« •''.•.'
OWNER /?*^J^L^%*i»Mlj^^<*B MAIL ADDRESS ZIP .- • - ;' PHONE ' • ' V-. . . •:
CONTRACTOR ' i V MAILADDRE»S/ it J 1 ' PHONE 1 • STATE LIC. NO. . .C ITY. Ll'C.V NO.
Jh V " •'•"•'' -f'f » f * ^ * •*» j* ' .^ w««r*»wetg»«ji^ ;•' 1-' ji*3 \ v ' x j? *» y*£X ^ «^ ' ' ^™^ .• ^ •
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5 . r. . :'
COMPENSA-R.ION INS^CARRIER MAIL ADDRESS BRANCH
6 . /n ^€^- ' : ' •
USE OF BUILDING /
7 • ••*
8 Class of work: E NEW D ADDITION DALTERATION D REPAIR
9 Describe work: ^^^/C^/ .S^^ ^T&/
- .:'X£ t*s&& *>&//&&>•!>!•j^*"^ ,»^. • ^X^ i.'
SPECIAL CONDITIONS:
J?- / f\
APPj£lC>itlOrf*CCEPTEOBY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY:
«/._y>'"
"•• ^^ •ffi^'-jf^'"'f:i . DATE
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 1200AYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES 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.
.J$£]j&m$t4,~~~«- /^<gii^&&«s/ljfi&-S**s&&*r &~/4 ~ ^f
jSISN^fURE OF CONTRACTOR OR AUTHORISED AGENT (DATE) '\ I • . :. '""'x -^ s
s*s~-4/'>x--v «• , LS -"Ski tA f w
SIGNATURE OF OWNER (IF OWNER^BUI LDEfl) ~~'" (DATE)
' ' '' "' "' ' ' • ••'"''" '•'"' .*' i*^ -' *:
'. ^: •'•'• ' ' • ' '--
PERMIT FEES
SWIMMING POOL WIRING
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPFRFS DF MAIN SFRVIPF ^WITTH
FUSE OR BREAKER
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
ISSUANCE FEE
TOTAL FEES
No.
>y&
Each Fee
^
'fr
o~
V-
./ • N. / ^/HEN PROPERLY VALIDATED (IN THIS-SPACE) THIS IS'YlqyfCPERMIir ^% ,*"• j-f ,«*»>> j t'j f*?*1*'
PLAN' CHECK VALIDATION ^' CK. M.O. CASH PERMIT VALlDAiflO'N—' cuf ^ riTd?*> ^'^dS&S *
c
^•S
; *"
t
\
*£
$
Tt
5
$ "
\ ~ .
INSPECTOR