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I Resrdential : lnduslrial ! Commercral
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<br />,"
<br />I
<br />EA.H I rorAL
<br />Res. Hotels, Motels, Apt. Sq. Ft .03
<br />Gar. or Carports Sq. Ft..02
<br />Receptacles .50
<br />:^,13 o 5"**- .r,- y,-/-4r;,;!:, .
<br />i,kk"* a4-44-t --L ,iyn- o//D
<br />,p*3 t 5 7o"n-r-',*l *ro,
<br />Od-Z- k-o,- A- ? at z 4-Switches .50
<br />Fixtures .50
<br />Air Conditioners
<br />Each
<br />20 00
<br />Approwd Factory Wired Unit
<br />List
<br />Busways, special raceways, under floor
<br />duct, trolley or plug-in busways ea. 110'or
<br />fraction thereol
<br />500
<br />naling System. Mrnrmum lee
<br />smoke or heat sensor
<br />Fire Sig
<br />Outlet.
<br />10.00
<br />.50
<br />Lighting Standards with One Lamp
<br />Each Add'l fixture on same slandard
<br />s.00
<br />1.00
<br />C)wrret Briilclor Der:laratiorr
<br />Maintenance Permit (annual)50.00
<br />Service Meters
<br />Up to 400 amps, per meter
<br />Over 400 amps, per meter
<br />Oveil1200 amps, per meter
<br />15.00
<br />35.00
<br />75.00
<br />Signs and high potential gas tube lighting 15.00
<br />2 35.00 7D. dO
<br />Switchboard. motor control cenler or sub-
<br />panels
<br />Each
<br />15.00
<br />Temporary construction meter service
<br />pole
<br />Each distribution pole
<br />25.00
<br />5.00
<br />,1ffi4 Gt2:x9o',:'"ontY ''^.y{z'*t,gffl -214
<br />#-+rz'z
<br />,,rArL 1,' ?*z adw14J4z_
<br />I am llcenscrl [nder the provrsrons of Chapter 9, Drvrsron 3 of lhe
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<br />,,,affi/ olll glf)U?f,La"---'
<br />o €o.?>c
<br />I herebv al,rrm
<br />Ca.
<br />Temporary construction lighting
<br />500 lamps or less
<br />Over 500 lamps
<br />2.O0
<br />4.00
<br />Time clock or photo electnc cell 3.00
<br />POWER APPARATUS: GeneTaIoTS,
<br />motors, transformers, rectif iers, industrial
<br />heating, cooking, or baking equipment
<br />and other apparatus as follows:
<br />Up to and including 1 HP, KW KVA
<br />Over 1 and not over 10 HP, KW KVA
<br />Over 10 and not over 50 HP, KW, KVA
<br />Over 50 and not over 100 HP KW KVA
<br />Over 100 and not over 500 HP KW KVA
<br />Over 500 HP, KW KVA
<br />2.00
<br />5.00
<br />10.00
<br />20.00
<br />30.00
<br />40.00
<br />workors componsation o4bratio n /
<br />I hereby aflrrm thal I have a cerlrlcale o, consenl to sell{nsure, or a certrficate ol Worker's Compen-
<br />sanonlnsurance CertrfiedcopyislrledwrlhtheCitybuildrngrnspectondepartmenl
<br />Notlco To Appllcant:
<br />ll, alter makrng thrs Certrfrcate ol Exemptron, you should become sublecl lo the Worker's Compen
<br />salron provrsrons ol the Labor Code. you must rorlhwilh comply wrth such provrsrons or lhrs permrt
<br />shall be deerned revoked
<br />nol employ any
<br />aws oiCalrlornra
<br />Apphcanl lSrg. )-
<br />Subtotal >0.0o
<br />Penalty Fee (when applicable)
<br />Violation Fee (s0.00)
<br />Plan Check 650/o of subtotat /fi { O (minimum 20.00)
<br />Receipt No. b1 b I Pg* b-3 1 3 Date
<br />Plan Check (Adlustmenr) ffr2t\Ulssyance Fee 10.00
<br />/roratPERMrr FEE (minimum $35.00)YiJ, tlD
<br />Expir atiorl
<br />Applicanl's Declaratiorl
<br />oerc I /.2- g1 PERMIT NO.231lao
<br />PERN,'llT ISSUED BY lSig.)-
<br />lsl.m,/,5 tY)
<br />tJ-67
<br />tt/@/g? s:sPil +1S
<br />lti i,:,lit.5&9-!-\.,,,,1i,,rJ,,, yU*
<br />VALIDATION IOFFICE USE ONLYI
<br />(ACCOUNT fr r-413r
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPTWRITE OR PRINT IN INK)
<br />I o CITY OF SANTA ANA
<br />206 W. 4th Sr.
<br />667 -2738 r
<br />APPLICANT FILL IN AREA BELOW
<br />(D
<br />C7ozo
<br />oo,ma
<br />Ns
<br />P
<br />t
<br />Distribution: 1. lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy c s .613
<br />5.00
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