|
n Recdonter tr rnd,"trxom'norciar
<br />I
<br />* l;
<br />Ro!. Hotel!, liiotele, Apt. Sq. Ft .03
<br />Gr. or Csport! Sq. Fl..02
<br />) 1.,50 {-Beceptacles
<br />Swnches lo .50 5-
<br />,{). 0)frtn, (sorYa)
<br />"*Sr7^rr.,9 Au- "'o"'^Qn
<br />JOB
<br />t:nntQ-
<br />o
<br />BVe-az 8Zm7.
<br />MAILIN6ADDFESS
<br />Ettco m
<br />a6 50 ,lo -Fixlules
<br />Air Conditioners
<br />Each
<br />20.00
<br />5.00
<br />Affroved Falory Wn€d Unil
<br />List
<br />5.00
<br />Busriays, special rmrNays, uoder froor
<br />duct, tdley or plug-in busways ea. 110' or
<br />lretion ttE.eof
<br />10.m
<br />.50
<br />FirB SEnahnq Syslem. Mmimum ,ee
<br />Outlgt. smok€ or heal sensor
<br />LEhlrE Sla(dards w h One Lamp
<br />Each Add l llxtulE on same slandard
<br />5.00
<br />1.00
<br />O5llald..Daffitt
<br />Inar.!ry.lihn tll.i l.m.lrncr Lon ir c6iir&to/t L'..fiso uw lo. rh. tollo.,ing .!t!o.r ls.c
<br />7o:tl .5. 8uil.!! .nd Prot $o.l! C.d. Ary c y d c@niy which '.quk ! . psmh lo co.tnru.l.
<br />.t.ligo.,.ldiorn.d,rta...y!t!rctu,.,,ro.lorltEs.o.,.bo..airr.trE.Cdic..!rlo.
<br />,rch 9fiU !o fib . rqi.d a.n Ml ,l!t h. I rlc isd pq..q.nl lo ,l. Ordid.n. ol ltt. Conr.c-
<br />rd r Lir.- Llw lcn.rtd 0 lcomm.nci.! wrth S&lio. 70OOl ol OMlro. 3 ol lh. 8u.'mg ..d
<br />M.-dr. C.o&l o. ri.r h. ..r.mB |h.Glr6 d th. b.rs lo. tr .lL!p(,.r.mctst. arv virl}
<br />roi ol s&r! 7031 6 by 66v.oda.nr io.. r6n rbr.l! rh..rd€.nl rc t.M 9.n.lv ol iol
<br />mor. lh.n nv. hund..d dollln I l50Ol:
<br />E s..*.' roaee l, !! o*Er ol nl. ,o!..ty. o. mv mololr.t srh w.0a! .t rh.lt !d. cdr_
<br />,.nxdd, Hlt do rh. wdt. ,id oE lrructuB ll .or nl.nd.a tr otL6d lo. t b
<br />E s*-r roara l, s o*E ol rh. p.a..ry. .m .xctusry cmtr&tig *'th !6r.d coG
<br />rEro.r ro c63rucr m toicr.
<br />D.l.- Ownrls{ r-
<br />50.00Mainbnarce Fermil (arnual)
<br />Service ireters
<br />Up to 400 afips, p€r m€ter
<br />o\rBr ,O0 amps, per m€l€r
<br />O.er 1200 amps, por meiar
<br />Signs and high potenlial gas tube lightirE 15.00
<br />35.00Swimming pools, tountains, spas
<br />Switchbosrd, mdor contrclcant$ or grts
<br />, panols
<br />@1
<br />r5.00
<br />I
<br />5.00
<br />25.00Tsmporary construc{ion moter s€rvice
<br />pols
<br />Eeh dislrbdbo pole
<br />"Slt-v) ftito'
<br />I h.r.dlfldn lnrr I .6 l..ned undd h. or@!M!
<br />aZ6r6*i9tooe. a.a .v r'c.nto 't ,. rurr ro ct .^d 6troc!"'refl#*::#
<br />Contrlcto. U.. Only
<br />1T
<br />"oW.'o^v 3- StAt
<br />,,DN
<br />h.pEr 9, Ovrrn 3 ol rh6 Ble $
<br />Elr:cmtc-
<br />cla-,a
<br />2.@
<br />4.00
<br />Tenporary conslnrc{ion lEhtim
<br />5O0 lanps or less
<br />0!61 500 lamp8
<br />3.@'I'ims doc* or phdo gl€clric call
<br />I 2.@
<br />5.00
<br />10.00
<br />20.00
<br />30.00
<br />40 00
<br />POWER APPARATUS: Genoralors,
<br />rndors, Fans{ormers, roclifiers. hdusthl
<br />h€alinq, cook rE. or bakiE equiprnsn
<br />and other appsralus as follor{s:
<br />Uo to aid indudrm I HP KW. KVA
<br />o\.9r I and nd o;r lO Hq KW. KvA
<br />Owr 10 aM not c €r 50 HB KW, KVA
<br />O/Er 5{) and nd o€r lm He KW KVA
<br />Owr 1 m and not o\€r 500 HR KW KVA
<br />Owr 500 HB Kw, KVA
<br />laro.t-! Compa.rrado.t harado.r
<br />Ihrcby.llnm th.lI h.6 s @rr Ert ol.6snlloeli.n$.., o. ac€nrlrtr.o,\ b?roa3C@p..
<br />sanon lnsuEnca C.nr'od copy i3 lihd w h lh. Cny burldrno l.spoclro^ d.p.nm.nr
<br />O.r. Expi..- \tril.d 8y lsig ,-
<br />o.r.- aDolc.nr rsq r-
<br />I c6rr'ly rhlr,n th6 p..lo.m.nc. ol $. wolk lo, whrch lh,! p.rm,l r. B!.d,lshallnol omploY 8nY
<br />Ir
<br />tlodc.Io Alclcrn:
<br />ll, ,lr.l fttkrn! tnl! C.n'ticsr. ol E!.6prd, roo ltrdld O.com. subpcl lo lho wb.t r'3 Codp.n
<br />std pr@iros ol lh. L!bo. Cod., yo! mu3l lorthwth cofrplY wlh tuch p.ovis3 or lh6 o.mn,ul b. &.f,Ed reor.d
<br />Subtotal Js---
<br />Penalty F?e (when appli':abl€)
<br />Violation F€e (50.00)
<br />(minimum 20.0O)Plan Check 65"/" ol subtotal
<br />Receipl t'lo.Pc#Date
<br />Plan Check (Adjustmsnt)
<br />lssuance Fee 10.00
<br />TOTAL PERMIT FEE ?<-t2PERMIT
<br />t
<br />oare \ -C-Qo
<br />ErDdo.l
<br />Tli! o.mir !h.ll .tFo by lm'uton.nd b.co.n. null6.d @d il th. wo* .ulhdir.d bv thi! p..nn i3
<br />,ror co.nndic.d ,itm 1m d.yr Ldr rh. &r. ol dir !..nr o. ,l wt &ino.r.d br n . o.rm( l'
<br />,rt.6.ddlb.ndomdd.,irlim.tL,llEwt t6comm..E dld.p.trcdoll8OdtYl Alw
<br />p.rmt dull b6 obi.imd li.sr b.ro6 @h wort cin bo r.commmc.d
<br />ADglcrt'. O..Ltdolr
<br />I c..iity tur I h.v! €.d tni..pplic.lid ..d nli' thrl rtt.b@ in,qhllid is cotr.cr. I .0... to
<br />dncy wirh .rl c'ry o.4.ri..r .nd .b!. h*! d.on! lo b!'rdng co.sltuclo, ..d h.6!Y lutlc
<br />rit.6o..sr.rcol rh6.rv to6ra. uoo. rha abo€flnrdEd9.oF ry lo.t.rp.clioo pqtg@a
<br />F>."-L-D-9o ^-*,"r o.
<br />^esn,
<br />rsr.r
<br />PTNMITISSUEDBYIShVEFTfIEOBY tsig t-
<br />nrrorq eztfiilat {13 t
<br />BIJILDING
<br />VALIOATION IOFFICE USE ONLYI
<br />rAccouNr rlr-4t3r
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />{TYPEWRITI OR PFINT IN NK)
<br />O a 1
<br />CITY OF SANTA ANA
<br />206 W 4rh Sr.
<br />ffi7-2736Bassmetur B hu"
<br />APPLICANT FILL IN AREA BELOW
<br />@g
<br />aza
<br />0oa
<br />-D
<br />s
<br />s
<br />N
<br />:
<br />^{\
<br />w
<br />C...
<br />c\
<br />\
<br />G
<br />tn
<br />D
<br />tA
<br />Fr!
<br />Distriburion: 1. lnsp€ctor Copy 2. FileCopy 3. Financo Copv 4. Applicant Copy c5.,613
<br />TOTAL
<br />r5.00
<br />35.00
<br />75.00
<br />(mhlmum 335.m)
<br />a.t
|