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CITY OF SANTA ANA
<br />DEVELOPMENT FEES WORKSHEET -- ELECTRICAL PERMIT
<br />project Address: 03 < 45. ,/6(uu ¢124.648 contractor: UD.2660 € 4.6
<br />Tenant Name:Ut'(IC-Address: /72£ /446 2, (Lter BLW
<br />Building Owner: R.. RA.kc,4 K£)615 City:/AUL Bmet St.: 04 Zip: 1026<r
<br />Address: (3¢95- 25+ 64 0£*i ,4.e_Contractor License No.: 90 7>9
<br />4City: 11-l,,wikt-st,: Cd Zip: 9 1 90 4 Contractor Email: holcu-6) l.0>€9<5055»5 , AC. 60-
<br />Phone: 6 26 -914 - 2-foo phone: 523*309 - 1(65--
<br />Contact Person: /61 i 12,e 6,4-a l do l Contact E·Mail Strongly Recommended PLEASE PRINT:
<br />pe.FContact Phone: 626 - 914 - 22 0,>
<br />NEW BUILDING 1-1 OCCUPANCY CHANGE p¢i
<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/idHook-Ups)
<br />Dedicated Circuits (15or 20AMP;Receptades)
<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. Camie items)
<br />.90 COMMERCIAL:
<br />83.58 FIRST 10 devices or outlets 29.22
<br />21.39 Additional devites, each 2.76
<br />21.39 Each control panel, power supply 13.93
<br />10.43 annundator, switch or aux equip, i
<br />Track-Light, Cable Tray, Special RESIDENTIAL:
<br />Raceway, Plugmold, Under-Floor Duct,Single Dwelling unit 31.6721.39
<br />Plug-In Busway, Surface Duet, Etc.Each add'I dwelling unit (210 Kg 27.86
<br />(Each 100 Feet of any fraction thereof)Each add'I unit (overm 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 chanbes or modifications.Additional Fixtures - same pole 0.00
<br />(cirde Rems as needed)
<br />Power Pole gempora,y)/7 \V-// U
<br />88,90
<br />Use this co/umn ifa Semice E V V U All 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 lighting ($200 mfundable sign bono]
<br />Heater, Photovoltaic Panel, or other Power Equipment changes or NEW or TOTAL REWIRE for SINGLE FAMILY DWELLINGS
<br />modifications. (circieitems as needed) Per HP, kW, or kVA SFD Per square foot .12
<br />0 to l 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 />-1- I- f- -- ---1 -I QEFICEUSE#NLY- - 45-- 7- - --Z-:rE
<br />BLDG PMT RECEIPT BY DATE
<br />OCCUPANCY TYPE P/CPND 901 Sal) 50
<br />APP FOR ELECTRICAL 06-24-2013 APP-02 CEC2013
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