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APPLTCATTON AND o
<br />ELECTRICAL PERMIT
<br />YPFtnrii TF ltit PUrNI ,_ \(l
<br />CITY OF SANTA ANA
<br />206 W 4rh Sr.
<br />667 -2738 fbl
<br />o
<br />APPLICANT FILL IN AREA BELOW
<br />e
<br />(,
<br />za
<br />aau
<br />Ut
<br />TOTALNO
<br />03
<br />EACH
<br />Hotels, Motels, Apt. Sq. Ft.
<br />I I lndustrial iCommerod
<br />-6-ar. or carports sq. Ft a2
<br />Receptacles 50
<br />JOBADO9ESS
<br />s/x- bt74
<br />"V')7oG'Y-/a-,/4-a-?/L2-
<br />Sw(ches 50
<br />Fixtures 50
<br />Arr Condiloners
<br />Each
<br />20.00 t{
<br />500
<br />Appro\€d Faclory Wired Unil
<br />Busways, special raceways, under lloor
<br />duct, trolley or plug-in busways ea. 1 10' or
<br />fraction thereol
<br />500
<br />Fire Signahng Syslem Mnrmum lee
<br />Outlet. smoke or heat sensor
<br />10 00
<br />50
<br />Lighling Standards with One Lamp
<br />Each Add'l luture on same standard
<br />00
<br />00
<br />5
<br />1
<br />Owner Au lder Declaralion
<br />;,",1/2,ff'
<br />rnrandedor oller€d lor ere
<br />l-.'
<br />Maintenance Permil (annual)50.00
<br />Service Meters
<br />Up lo 400 amps. per meter
<br />Over 4O0 amps. per meler
<br />Over 1200 amps, per meter
<br />15.00
<br />35.00
<br />75.00
<br />Signs and high potenlial gas lube lighting 15.00
<br />Swmming pools. fountarns, spas 35.00
<br />r5.00
<br />Tempf rary construclion meter setuice
<br />pole
<br />Each distribution pole
<br />25.00
<br />5.00
<br />Temporary constructjon lighling
<br />500 lamps or less
<br />O\er 500 lamps
<br />2.t)o
<br />4.00
<br />Time clock or photo eleclric cell 3.00
<br />POWER APPARATUS: Generalors.
<br />molors. transformeas, rectifiers, industrial
<br />heating, cooking, or bakng equrpmenl
<br />and other apparalus as follows:
<br />Up lo and including 1 HE KW KVA
<br />Over 1 and nol oler 10 HP, KW KVA
<br />Over 10 and not over 50 HP, KW KVA
<br />Over 50 and nol over 100 HP KW KVA
<br />Over 100 and not o!€r 500 He KW KVA
<br />Over 500 HP, KW, KVA
<br />2.@
<br />5.00
<br />r 0.00
<br />20.00
<br />30.00
<br />40.00
<br />lherebya,l'rm thal l.m lce.sF.l,rnderrhe provsonsol Chapter9. D'v's,on 3 o, lhe B!s'ness and
<br />Proiesso,sCod€, and mv lrc€n* s 'n l!11 lor.e and etls.l
<br />Workers Compensarron Declararion
<br />1,, atre, m.t,nq rh'sCerril'care oi Eremp!on, you should become suble.l ro lhe Worker sCompeo.
<br />el on p'ov eonsol ihe Labor code, yo! mu$ lorrhw rh compry wrh such p.ov's'onsor lhrs pe.m'l
<br />shall be deemed revoked
<br />Conrracror use Only
<br />ADDR!SS
<br />CIIY
<br />\+xJ.--,Subtola
<br />Penalty Fee (when applicable)
<br />(s0.00)Violation Fee
<br />Plan Check 65./" of subtotal (minimum 20.00)
<br />Receipt No Pc#Date
<br />flan Check (Adjustmen0
<br />lssuance Fee 10 00
<br />TOTAL PERMIT FEE (minimum S35.00),J--
<br />Erpirrrton
<br />Applicanl's Oeclaralion
<br />c6rv wm a clly ordn.nces and slale laws rslatno to b
<br />)ze.ep,e*^6nv6sot th6cryroenrer Lpo.lheabove
<br />//ftfi
<br />oarc //-2-2 -PERMIT NO,99
<br />5/, FAf*,,,o"",,,n
<br />OSTS
<br />T4-PEBMII TSSLIED BY {SE I ,\Y
<br />ttS.mll/gyB9 11:51flt 413
<br />VALIDAIION (OFFICE USE ONLYI
<br />Distribulion: l.lnspectorCopy 2 FileCopy 3. FinanceCopy 4. Applicant Copy c s .613
<br />n
<br />Swilchboard. motor conlrcl center or sub-
<br />panels
<br />Each
<br />r;r 1, , !,r.,,1?,:r
<br />;t,qt: 'ru/u/
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