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CITY OF SANTA ANA
<br />DEVELOPMENT FEES WORKSHEET -- ELECTRICAL PERMIT
<br />Project Address; k 7 S /B9,€*,2 8 2*952 Contractor: -gb«-14·.:p·9
<br />Tenant Name: 0<56 .,af 11%7 Address. 408' A/- ff<-CODM ./4 VE
<br />Building Owner: 724/e- /60¥.•7 6->071/107 City: *0<*L-<7-S\.I<99 hp. 92- 29 4. €
<br />Address: 5 0-* 3' 407» 41,0 -4 26)Contractor License No.:2332;zey
<br />Cti:*wqycd/9 /*44.3 BU· 69 4 928 0-7 Contractor Emall: 72* 626044 44-Dia*>4/rut,ce,1
<br />Phone:9/1--97%.1810 149-47 Ram: 7/402-0-+All
<br />Contact Person: 1569 /*%./74/:U)Contact E-Mail Strongly Recommended PLEASE PRINT:
<br />Contact Phone: 12 + 242 - 076 -2 19.Pf LEAy* €-90110·MANG CP/V\
<br />NEW BUILDING 1-1 OCCUPANCY CHANGE 1-1 35 A 34/5«LL
<br />ELECTRICAL ITEM Count $ EACH ELECTRICAL ITEM Count $ EACH
<br />125 Volt Receptacle Outlets
<br />Light Switches, Occupancy Sensors
<br />Light Fixtures
<br />Air Conditioners, Heat Pumps
<br />Factory-Wired UnitS (So/idMook-Ups)
<br />Dedicated CirCUitS ,(150r 20AMPReceptacles)
<br />Time Clock, Photo-Cell, Time Switch
<br />1.25 LOW VOLTAGE SYSTEMS - EACH: phone, data outlet,
<br />speaker, thermostat, door holder, doorbell, pull station, smoke
<br />1.36 detector, alarm device, card reader, etc. (c#cre items)
<br />.90 COMMERCIAL:
<br />83.58 FIRST 10 devices or outlets
<br />21.39 Additional devices, each
<br />21.39 Each control panel, power supply
<br />10.43 annunclator, switch or aux equip.
<br />29.22
<br />2.76
<br />13.93
<br />31.67
<br />27.86
<br />17.01
<br />21.39
<br />0.00
<br />88.90
<br />21.39
<br />104.45
<br />45.13
<br />41.79
<br />Track-Light, Cable Tray, Special RESIDENTIAL:
<br />Raceway, Plugmold, Under-Floor Duct,21.39 Single Dwelling unit
<br />Plug-In Busway, Surface Duct, Etc.Each add'I dwelling unit (2 to 20)
<br />(Each 100 Feei or any fraction there®Each add'I unit Cover 20)
<br />SERVICE METERS & PANELS: Service Meter, Reset Meter,MISCELLANEOUS
<br />Subpanel, Switchboard, Motor Control Center, Transfer Switch,Light Standard (Pole) with 1 Fixture
<br />Busduct, or other Distribution Equipment changes or modifications.Additional Fixtures - same pole
<br />(circle items as needed)
<br />/'X-\ , ,„Power Pole (Temporae)
<br />Use this cb/umn if a Service £ M V '1 All others here Additional distribution poles
<br />Under;400 amperes / /45.96 Swimming Pool, Spa, Fountain
<br />400 amperes to 1199 amperes L l 125.31 Above ground spa
<br />1200 amperes and over 208.79 Demolition
<br />POWER APPARATUS: Motor, Transformer, Welder, Industrial SIGNS & neon/LED decorative
<br />64.79Equipment, Oven, Rectifier, Generator, Surge Arrestor, Water lighting 0200*hindablesignbond)
<br />Heater, Photevoltaic Panel, or other Power Equipment changes or NEW or TOTAL REWIRE for SINGLE FAMILY DWELLINGS
<br />modifications. (circle#ems as needed) Per HP, kW, or kVA SFD Per square foot .12
<br />0101 3.08 Garage Per square foot
<br />Over 1 to 10 / 20.09 SUBTOTAL
<br />Over 10 to 50 39.86 P/C 65% of SUBTOTAL
<br />Over 50 to 100 90.52 MIN. FEE - (Nonresidential)
<br />Over 100 to 500 130.06 ISSUANCE & Genetal Plan Surcharge
<br />Over 500 162.46 TOTAL
<br /> ' 0EE@jills--INCY I
<br />BLDG PMT RECEIPT BY DATE
<br />.12
<br />$
<br />$
<br />$ 63,28
<br />$ 47.48 + 19.04 = $66.52
<br />$ /66. 7 2/
<br />OCCUPANCY TYPE P/CPAID 62015¢4293- _
<br />APP FOR ELECTRICAL 06-24-2013 APP-02 CEC2013
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