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CITY OF SANTA ANA
<br />DEVELOPMENT FEES WORKSHEET -- ELECTRICAL PERMIT
<br />Project Addiess: C L.*0 9 ; U,1-6 E- GOAy Contractor: SU f E.'2042¢2- 2.662:Z . MDV
<br />Tenant Name:TH C Flac(& EAL) POACE Address:no o VJ . CLW A- A e,c VM gr-
<br />Building Owner: 0/1 /4-Kev#- 91202€ru643.0 City: 68 st,: C/1 Zip: 9cd' 1 7
<br />Address:,7-4, f»-- 1-A- A-1·a-MAEd)A Contractor License No.: & 7 /€-9 6-
<br />City: CLL,(T6ow\J,re;Ost.: 2N-Zip: 1 2.69 /Contractor EmaW#' C 4 M+4 64- Le Su Aa-.2Jc,/L.
<br />Phone:949 ( 3 4* - 737 3 Phone:5-62--4 €?r- 56-08-
<br />Contact Person:STadG ZE:*d r f A-060 Contact E-Mail Strongly Recommended PLEASE PRINT:
<br />Contact Phone:3/ 0 < L(art - 5--7 03- €iR K.. ee-r 141 T t- c.© CE (Ad»l k d. eoj--1
<br />NEW BUILDING 1-1 OCCUPANCY CHANGE r-1
<br />ELECTRICAL ITEM Count $ EACH ELECTRICAL ITEM Count $ EACH
<br />125 Volt Receptacle Outlets
<br />Light Switches, Occupancy Sensors
<br />Light Fixtures -J
<br />Air Conditioners, Heat Pumps
<br />Factory-Wired UnitS (So/idHook-Ups)
<br />Dedicated Circuits (15 or 20AMPReceptacies)
<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.(circle items)
<br />90 COMMERCIAL:
<br />83.58 FIRST 10 devices or outlets .29.22
<br />21.39 Additional devices, each 2.76
<br />21.39 Each control panel, power supply 13.93
<br />10.43 annunciator, switch or aux equip.
<br />Track-Light, Cable Tray, Special RESIDENTIAL:
<br />Raceway, Plugmold, Under-Floor Duct,Single Dwelling unit 31.6721.39
<br />Plug-in Busway, Surface Duct, Etc.Each add'I dwelling unit (2 to 20)27.86
<br />(Each 100 Feet or any fraction thereof)Each add'I unit Cover 20)17.01
<br />SERVICE METERS & PANELS: Service Meter, Reset Meter,MISCELLANEOUS
<br />Subpanel, Switchboard, Motor Control Center, Transfer Switch,Light Standard (Pole) with 1 Fixture 21.39
<br />Busduct, or other Distribution Equipment changes or modifications.Additional Fixtures - same pole · 0.00
<br />(circle items as needed)
<br />Power Pole (Tempom,y)88.90Use this co/umn ifa Service 5%r-#j A# others here Additional distribution poles 21.39
<br />Under 400 amperes 45.96 Swimming Pool, Spa, Fountain 104.45
<br />400 amperes to 1199 amperes 125.31 Above ground spa 45.13
<br />1200 amperes and over 208.79 Demolition 41.79
<br />POWER APPARATUS: Motor, Transformer, Welder, Industrial SIGNS & neon/LED decorative
<br />64.79Equipment, Oven, Rectifier, Generator, Surge Arrestor, Water |ightillg (3200retndablesign bond)
<br />Heater, Photovoltaic Panel, or other Power Equipment changes or NEW or TOTAL REWIRE for SINGLE FAMILY DWELLIVGS
<br />modifications. (c#cietemsasneeded) Per HP, kW, or kVA SFD Per square foot .12
<br />0101 3.08 Garage Per square foot .12
<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) $63.28
<br />Over 100 to 500 130.06 ISSUANCE & General Plan Surcharge $ 47.48 + 19,04 = $66.52
<br />Over 500 162.46 TOTAL $
<br />....= ri-,1..· .11-tn. ·3€t:·. '1,·E.:' :1' Y ,.4 LU,i».2,91'92 . 5'-c &:71,OFEICE IUSEj.ONUY&-1ilf<kiliOFE¢29·2<4,1.¢i 2-4·ti,,n.,:-4 i€t:Ut:·ST'ks<
<br />BLDG PMT RECEIPT By DATE
<br />OCCUPANCY TYPE P/CPAID 2015g €58
<br />APP FOR ELECTRICAL 06-24-2013 APP-02 CEC2013
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