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Fesrdentral lndustnal Commercial NO EACH
<br />Res. Hotels, Motels, Apt. Sq Ft./7Itt I
<br />I
<br />.03
<br />Gar. or Carports Sq. Ft Jtt .02
<br />32,1A
<br />q, ry
<br />Receptacles 50
<br />p,fi') Jo.*L 7n /,fu.,,*Pc, A
<br />SrDM ort+<-e.,ta
<br />"
<br />)oJ -7 " o
<br />3i",^[" h)\-,iL-2 /@.
<br />TA IE""brifr-- 7*4-') *r rg .50Switches
<br />Fixlures .50
<br />/2o,ooAir Conditioners
<br />Each
<br />Approved Factory Wired Unl P t21t -List Orsgl *^-d b 30, oo
<br />Busways, speciil raceways, under floor
<br />duct, trolley or plug-in busways ea. 1 1 0' or
<br />fraction thereof
<br />20.00
<br />500
<br />5.00
<br />Fire Signaling System. Minimum fee
<br />Outlet. smoke or heat sensor I
<br />10.00
<br />.50 ,€O
<br />Lighting Standards with One Lamp
<br />Each Add'l hxture on same standard
<br />5.00
<br />1.00
<br />Olvner Buikler Declaration
<br />Date Owner lsrg )
<br />Maintenance Permit (annual)50.00
<br />Service Meters
<br />Up to 400 amps, per meter
<br />Over 400 amps, per meter
<br />Over 1200 amps, per meter
<br />/15.00
<br />35.00
<br />75.00
<br />/f,,oD
<br />Signs and high potential gas tube lighting 15.00
<br />Swimming pools, fountains, spas 35.00
<br />@Each
<br />Switchboard. motor control center o|,
<br />/
<br />15.00 tf,oo
<br />Temporary constructiori meter service
<br />pole
<br />Each distribution pole
<br />25.00
<br />5.00
<br />,K#.4 Ctll:l%.yg,'
<br />? I to,sHc
<br />44+,A o
<br />t
<br />Ce
<br />,t,
<br />3t
<br />/I srArEizrP
<br />4empor ary construction lighting
<br />500 lamps or less
<br />Over 500 lamps
<br />2.00
<br />4.00
<br />Time clock or photo electric cell 3.00
<br />POWER APPARATUS: Generators,
<br />motors, translormers, rectiliers, 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 He 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 />ll, after making thrs Certfrcate of Exemptron, you should become sublect to the Worker's Compen
<br />salron provrsrons ol lhe Labor Code, you must lorlhwrlh conlply wrth such provrsrons or thrs permrl
<br />shall be deemed revoked
<br />wo*erucompensattonDJlratton U
<br />I hereby arlrrnr thal I have a certricale of consenl to sell-rnsure, or a certrfrcate of Worker's Compeil-
<br />salronlnsUrance CertifredcopyrsfiledwrththeCrlyburldrnqrnspeqrondeparlment
<br />Daref,p,res1trldjvc,,rrcdBvrs,o), /*-
<br />i:,,,,",![!-i,3,n:::":,:j::..ffi ^ffiperson rn dny manner so as lo become sublect lo the worker's compeosatton Laws ol cahlornra.
<br />on"fu Appl,cJqt rs,g I
<br />Notice To Applicant:
<br />Subtotal
<br />Penalty Fee (when applicable)
<br />Violation Fee (50.00)
<br />Plan Check 65"/o of subtotat 7 O. O -7 (minimum 20.00)
<br />ReceiptNo. b7b7 Pc# b3 1, Date
<br />Plan Check (Adjustment)
<br />lyuance Fee 10.00
<br />/ TOTAL PERMIT FEE (minimum $35.00)/17, ,0
<br />Explratlon
<br />Fhrs permrt shall exprre by Imrlatron and become null and vord rl the work authorrzed by lhrs permil rs
<br />not commenced wrlhrn 180 days lrom th6 date ol thrs permrl or rl work authonzed by thrs permrt rs
<br />suspended or abandcned al any lrme aller the work rs commenced for a peflod o, lS0 days A new
<br />permrl shall be obtarned rrrsl belore such work can be recommenced
<br />Applicant's Declaratior)
<br />t,
<br />,",,11.L81 Applrcant or Agenl ,'filur,fi
<br />PERMIT NO.o^rE // 'z - 47
<br />VERIFIED BY {Srg I PEBMIT ISSUED BY (Srg )
<br />J SrY)
<br />-r^-b c1" ' dfto&
<br />VALIDAIION (OFFICE USE ONLY)
<br />I ACCOUNT #l 1,41 3r
<br />a'ppLtcATtoN AND
<br />ELECTRICAL PERMIT
<br />(TYPEWRITF OR PRIN I IN INK)
<br />o o CITY OF SANTA ANA
<br />206 W. 4th Sr.
<br />667 -2738
<br />ift,*
<br />@g-ozo
<br />ooImaa
<br />G
<br />s
<br />{f
<br />\
<br />/
<br />Distribution: 1. lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy c s .613
<br />TOTAL
<br />ll/w./8? 3:53Flt +13 tll?.fl!
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