|
APPLICATION AND
<br />ELECTRICAL PERMTT
<br />(T\ PEWR TE OR PR N} IN- ]NI.I
<br />o o CITY OF SANTA ANA
<br />20 CIVIC CENTER PLAZA
<br />834-4186
<br />APPLICANT FILL IN AREA BELOW
<br />@g
<br />0z
<br />ooa
<br />gto
<br />i"
<br />N\
<br />$i
<br />\
<br />s-
<br />t
<br />E Residental ! lndustri6l ElComme.cial NO,
<br />o3
<br />EACH TOTAL
<br />FIXTUBES
<br />p
<br />6/ nA<*r<
<br />JOAAOORESS
<br />GaL or Carports Sq Ft a2
<br />Ourlets-Swrlches-Frxlures Ea 50
<br />OP.atvz;e 5>4
<br />""'Sran44 161'11
<br />SIAIEJZIPv 20 00
<br />500
<br />Approved Faclory Wrred Unit 500
<br />500
<br />Eusways, special raceways, under lloorduct
<br />lrolley or plug in buswaysea. 100'
<br />Fte Signalng System. Minimum,ee
<br />OuIler, smoke or heatsensor
<br />10 00
<br />.50
<br />Liqhlin
<br />Each a
<br />gStandardswith One Lamp
<br />dd'l Iixlure on same standa,d
<br />o0
<br />00
<br />Marnrenance Permit lannual)50 00
<br />Radianl Ceihng H6at per room 500
<br />Ownar-Bldldor Dacl6radon
<br />lher6by6rf'm lh6r l6m exempr tom rh6Co.xa.ror's Lcen* Law lor lhe tollowi.g rcason lSe
<br />7031 5, Bos'ness and Profo ssion s Cod6: Any c y or couoty which .equtes a p€.mil 1o consrucl.
<br />aller. 'mp.ove, domol6h, orspatranystrlcru.€, piortoilsissu.^co, alsor6qui@slhe6p9l@anllor
<br />such permrr lo frle a sonod srabhenr lnar he 6 l€ened purs@nl lo he p.olisio.s o, ihe conlrsc'
<br />tor'sLrcone Law (Chapter 9 (commenongw'lh Se.io.70OOlof OivEion 3ol lho 8lenoss 8nd
<br />P.oless'ons Cod6l or rhat he s €rempr rhe.etom a.d th6 basis io. lhe all6ged eremplion Any voh-
<br />ton ol Se.r6n 7031 5 by aoy applicanl lor a pemlr subjers rhe .pplicanl ro . civi penally ol nol
<br />more lha. lN€ hund.ed dolla6 ( 5 5OO)
<br />E Secr'on 7044A I, as owner ol th6 p@peny, or my eoployees w(h wages as lh€tr sol. com-
<br />pe.sar'on, w'lldo the worl, and $€ srrucrure isnor
<br />'nlended o. oll€red lor s516.
<br />f] Seclon TOaaB l, as @^er ol the propeny, am excrusoelv cMlletng w n rce*d con-
<br />P.olessions Code, and my 1'cense s
<br />'n
<br />lulllorceand ellecr
<br />Conlr.clor Us€ Only
<br />CIIY
<br />o
<br />*6-
<br />I
<br />2
<br />lhereby alnrm rhar lam scd unde, rhe p,ov's ofs ol
<br />,,".**4136L
<br />o,*-ftffaconr,-o,rsb t
<br />racro.s roco.stucr rhe p'orscl
<br />Dare Ownerrs,g r
<br />Undd 600 amps, pe, meter
<br />601amps 1200amps, per meler
<br />Over l200amps, per meler
<br />I EOo
<br />00
<br />00
<br />35
<br />75
<br />Srgns and high potenrial gas tube liqhting r5.00
<br />35 00 \Swrmming pools, Iountains, spas
<br />Swrrchboard, motor control cent€r or sub-p6nels
<br />Each additiona I section
<br />i -rs,oa10.00
<br />/€,oc)
<br />Temporary construction meter seNice pole
<br />Each dislribution pole
<br />15 00
<br />3.00
<br />Temporary construcion lighling
<br />500lampsorless
<br />over 500lamps
<br />2 00
<br />00 G
<br />Temoorary Service prior to final 35 00
<br />Time clock or photo electric cell 300
<br />POWEB APPABATUS: Generato.s, molors,
<br />transtormers.recli,iers, induslrialhearing,
<br />cooking, or baking equipment and olher
<br />apparatus as follows:
<br />Up lo and including 1 Hl KW, KvA
<br />Ov€r l and notover 10 HB KW. KVA
<br />Over 10 and nolover 50 He KW KVA
<br />Ov€r 50and notoverl0O He KW KVA
<br />Over l0Oaod nolover 5O0 He KW, KVA
<br />Over 50OHq KW. KVA
<br />3 2.00
<br />5.00
<br />10.00
<br />20.00
<br />30.00
<br />40.00
<br />i.ezo
<br />16 .o6
<br />sb.o
<br />Work6B Comp€nsrllotl Doclalado.
<br />lhereby a,nrm lhar lhave a.e(lrareolconsent to self-nsore, o.acen Eale ol Wo.t{ sComOen
<br />peren in any ma.ner so as lo b€come subtectlo rheworker'scomp€nsatron Laws ot cahlornia
<br />oiic. To Appficanr:
<br />1,, airer matioq rhrs Cenrtrcarool Eredpnon, yo! should becooe subiect ro lh6 Worke. s Comp€n-
<br />$rLon provrs'o.s otrh6 L3boiCode, you fiostlonhwith compivwith such provrsions or lh1s p6.mit
<br />shallb6 de€med rcvokod
<br />sal'on lnsurance Ce.rn ed
<br />n lh6 periormanco oi 6e issoed,lsna{ nor omploy anv
<br />Oare Applic6nl(S,q I
<br />Subroral 7i ao
<br />Penally Fee (whefl applicable)
<br />Violation Fee lminimum S25 O0)
<br />40&Plan Check Fee (minrmum $15 001
<br />No
<br />10 00
<br />*TOTAL PERMIT FEE(minrm!rm S20.00)
<br />Itr09
<br />Explrldon
<br />This peh r stull expire by limilarlon and bocomo null and vod iI rh6 work aufton.sd by thts p6mn is
<br />notcommenced wnhrn lSOdays lrom lhe date ol thB permilor il work aufioized by lhispe.mit is
<br />slsp€ndedorabandon6d al6nyrme alterthewo* is comhe.c€d lora p€iod ol 180 drys. Answ
<br />osrm I shalrbe obrs'ned lnsr betore such wortcan be rccommonced.
<br />Appllc.nt'3 Daclar.tlon
<br />I c€rrrly lhar I have @ad lhrs applLcar on aod stale thar th6 abov6 in,o.maton rs co.i&t I agro6 ro
<br />coDplt wrrna(c{y odnsnces and slae lawsGlanng robuild.ng co.sruciion, a.d ho.eby aulhG
<br />,ize teoresenbives ol lh's ory lo ente. uDo. lhe abo@ ment66d preperq lor inspecton purpo*s
<br />ApprrcanlorAqent(Sig I
<br />NO-t.}DArE 5 -
<br />r//c PEBMII 1SSU ED BY is'g )
<br />/r/tTsa f",Q*.J;t /;o1uo,,oor,o" ,orla, uaa o",",
<br />tAccouNLIt-413t
<br />Distribution: l.lnspectorCopy 2. FileCopy 3. FinanceCopy 4. ApplicantCopy
<br />5
<br />Ro3. Hotsls, Motsb, Apr. Sq Ft
<br />At Condtioners - One Only
<br />/S,oo
<br />gUILOING
<br />VERIFIED BY lSi9
|