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EACH TOTALfl Ftosidonti6l tt l^.,lr.fiiel Mmno@a)NO.
<br />Re3. Hotols, lrotols, Apt. Sq. Ft
<br />02G!r. or CJportt Sq. Ft.
<br />3o 50 /,.)
<br />-
<br />Rec€ptaclss
<br />50Sv/ilches
<br />JOB AI'ORISS
<br />"ra V' .Wt
<br />Wk-u s 2.
<br />,ar,.*LL-"A*-L- o-,,o,-STATE/ZIP
<br />50Fixtu€s
<br />20.00Ai Condtboors
<br />Eadt
<br />Appro\Ed Fr'lory wited Unit
<br />List 5.00
<br />5.00
<br />10.m
<br />.50
<br />Frc SgnalrE System. Mnrmum lse
<br />Outlet, srnoks or heal sgnsor
<br />Lqhling Slaodards with One Lamp
<br />Each Add'l llxturc on same standard
<br />00
<br />00
<br />5
<br />1
<br />OlrFLdrMo.r
<br />I h-rbr .flrm l,!.r I rn .I.60r ko.n il, Co.rt .ior'! Llcmt l. w d ,t lo{oi,tlo r..s lS..
<br />7o3l 6- 8!9t.. ..d tu s.r!r C!d.: Ary cnv o. cdJnn wh.h r.qdt . p..D( ro .o.rsvct.
<br />lr.r.imo.@.!bnor.h.orr.9.i!.rltl,ctum,Fo.ro'r!l.!o,lc!,d.ooqui.!tn..cat.ll,
<br />r..h ,..,'rn ro lN. . {r!d r.r.mmr h.r h. a. l..n-d purr.nl lo it'. p.ot/ao.t ol $. C..tr,.c'
<br />ro.'s ti5.. L.w lch.rror I lcommeing wilh S.dlm 70001 ol Daelon 3 ol th. 8t/an.$ ..d
<br />Pmt e Cod.lo.lnarh.l3.xmotli6rtlrcm!6drrb.t.lo.th.i!.!.d.I.dr9n6 Anvdd}
<br />do,! ol S.clioi ,031 5 !y .ny .rplirr ld ! Fml rrq.cb ,t .cp{..n! lo . cMl p.idrY ol ml
<br />mo.. rixl ftr. lE,rl,rd dolr..r I ltoor
<br />E S-to., rOree 1,.! oir ol rr\. Foo..ty, o hy r.doy-s vth t !...t nu rob cdn'
<br />!.n .!dr, wlt & nr. wL.,!d tr.tuctx.6 r.r.r.n{d d oti..d lo...l.
<br />E S*u- uoqg l, ar ow'rl ol nt. prcp.iv, rm.&rur'/.t oo.ur.n.g wtlh lic. .dcofr
<br />rr&106 lo cmnn d rhe !.ot cl
<br />50 00Mainlenance Permit (annual)
<br />15.00
<br />35.00
<br />75.00
<br />S€rviB Melers
<br />Up to ,l()0 amps, per metgr
<br />Over 4{rc amps, per m€ler
<br />Over 12m amps, pgr meter
<br />Signs atd tigh pdefltial gas tubo lEhtnE 15.00
<br />35.mSwimming @s, bur ains, spas
<br />15.00Swidrbosrd, motor cootol cor|br or gE
<br />parEls
<br />Eadr
<br />25.m
<br />5.OO
<br />Tefipordry conslruclbn mebr sarvice
<br />pole
<br />Edr ddnb(iixt pde
<br />fr:H L!"e-; )s,!+z-aez,
<br />llE pr@rs. or cMpla, 9. oMron 3 r( lt. 8u!es lnd
<br />urr ro.@ .nd .fl.cr
<br />-?\b_
<br />Conrrlctor U!. Only
<br />AOOBESS
<br />trtwtr
<br />i
<br />+44
<br />/30
<br />| ?37ar
<br />ro"fulEi-ft"*,,*,-,on
<br />Ih.r6bv. m 6!r I.m l..n$d und.r
<br />ProroMra&, .nd hV l,.s.t 6
<br />'n
<br />I
<br />,-"!i!iatg.s"""
<br />2.00
<br />4.00
<br />T€rporary conslruclb.r l(r irg
<br />500 larps or le6s
<br />o1/Br 500 lamp6
<br />3.00Time dock or ph(llo eleclric call
<br />2.00
<br />5.00
<br />'t 0.00
<br />20.m
<br />30.00
<br />40.00
<br />POYVER APPARATUS: G€Tle.dof s.
<br />moto.s. lransftrr8rs. tlctifie.s. hdrsfial
<br />heafing, cookiE, or bakrE equiprn€rn
<br />and o(her appardus as ftrlo'ra:
<br />LJp to and includim 1 HP, KW, KVA
<br />Owr 'l and no( o,Er 10 He KW, KVA
<br />o\/sr 10 arld rd o\tI 50 He KW. KVA
<br />ol/sr 50 dld nd o,Br 10o HP KW. KVA
<br />o1/sI 10o and not o/er 500 HP, Kw. KVA
<br />O,Er 500 HP KW, KVA
<br />Wort66 Comp€ns.tion O.clsrstion
<br />!ar,o. h-..@ Cdrd.d c@y .r l$d *'}I nE C'ry tllld.
<br />I cslily rtEr 6 rh. F.lqruic. oi lh. wdk ld whEh lh'3 p.tnn I B!.Bd, I th.l ml .rdoY .iY
<br />F.!.h 6 mv 'lt3!s D.! lo b.cdtt !iib,.cl to ns Wo.td 3 Compo.s.rdi Llwa ol C!r'to.n.
<br />odca Io APracarr:
<br />lt,.tuor m6r'ng lhriCodDsrs ol Erompl,o., v@ shoold btom€ subpcl lo lh€ wo.lsas Coop6n
<br />sr6r !rou3d! ol rh€ LaboCodo, you mcl lo.lhwln comoly w'lh such proerr6!or lhBp€hrl
<br />dBll b. t..md rdot6d
<br />nO 'GOe0on d.grr,ml
<br />*"r*,^ 3lEQ6[,-lslk
<br />Penalty Fee (wh6n applicable)
<br />(50.00)Violalion Fee
<br />(minamum 20.00)
<br />Plan Check (Adjustment)
<br />Pc#Dale
<br />10.00lssuance Fee
<br />4s--TOTAL PERI/IIT FEE (mlnimum S35.00)
<br />PERMIT NO.1963Ioawg - 75-f6
<br />ErDl.ldrr
<br />Thi! rafrlr !h.ll .xDrG by ltmri.ton .nd b.corn. nullrnd void rl tho *o.t .uthoir.d bv tnE p.mn i!
<br />norcomnrE.d withn 180dtys lrofr rh. d.l. ol lh6p.tmil or wolr turhd[.d br lhB p6.hir it
<br />.!!r.id.d o. .b..doisd.t.nv 0m€ dw th. wo.t l| cdnm..c.d ld . p.nod oi IEO d.ys A n t
<br />o.mr rh.n b. ot r!r!.d iirn b.ld. sh Bqt M b. r.cdnlM@d
<br />Apln rnr s O.r.ln,ri()n
<br />1r" lrG( oor"",o, o*,,.,0,L b
<br />rutl/s/r
<br />"'7/> s?4/?f7ur n',o,,,"n., Y&BUILDING
<br />VALIOATION IOFTGE USE ONLY)
<br />raccouNTrlr-4r3r
<br />/PPLICATION AND
<br />ftecrnrcaL PERMIT
<br />(TYPEWBITE OR PRINT IN NK)
<br />a a CITY OF SANTA ANA
<br />206 W 4th sr.
<br />667-2738
<br />APPTICANT FILL IN AREA BELOW
<br />Ur
<br />N.
<br />i-
<br />N(
<br />N
<br />N
<br />1il.
<br />Distribution: l lnspoctor Copy 2. FileCopy 3. Financa CopY 4. Applicanl Copy c.s..6r3
<br />cn\ 0 W
<br />.m
<br />Br${a!6, sp€cial re$.ays. undsr ll@.
<br />dJd, dl€y or plrg-in busways ea. I l0' orhioo the.€ol
<br />Subtotal
<br />Plan Chect 65% ol sublolal
<br />Rec€ipt tlo.
<br />I
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