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APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPf:WI]ITE OH PRIN T IN INK)
<br />o o CITY OF SANTA ANA
<br />206 W. 4th St.
<br />667 -2738 IW2-APPLICANT FILL IN AREA BELOW
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<br />l* lEA.Hi rorALal lndustrial i lCommercial/Residenti
<br />4e. z,z-/3fGar. or Carports Sq. Ft.
<br />Res. Hotels, Motels, Apt. Sq. Ft.//,
<br />02 6.71
<br />'i!';r Jr,,L y'.- /Zf* 4 - B
<br />li#:/4*r- a,*r.,d-'ti=:r, o
<br />?elr 7a;v.u*o fZ"'drh.- hlq+ 'W"/ub,1'Beceptacles
<br />Switches 50
<br />Fixtures .50
<br />Air Conditioners
<br />Each /?o, oo
<br />Approved Factory Wired Unrl P PList * oo 4 b
<br />20.00
<br />s.00 )o,oo
<br />Busways, special raceways, under floor
<br />duct, trolley or plug-in busways ea. 110' or
<br />fraction thereof
<br />5.00
<br />Fire Signaling System. Minimum lee
<br />Outlet, smoke or heat sensor I
<br />10.00
<br />.50 ,o
<br />Lighting Standards with One Lamp
<br />Each Add'l fixture on same standard
<br />500
<br />100
<br />Owner Builder Declaration
<br />I l'
<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 />I 15 00
<br />35.00
<br />75.00
<br />/f,oo
<br />Signs and high potential gas tube lighting 15.00
<br />Swimming pools, lountains, spas 35.00
<br />Switchboard, motor control center o(stihffi i 15.00 /fi oct
<br />Temporary construction meter service
<br />pole
<br />Each distribution pole
<br />25.00
<br />5.00
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<br />6-,{i,r.!:/;;#;.,,.]""'i#'''z;,(I,.,&iJ*r{
<br />,* i-lw|k,u.'u, s,o A,rb/utu htirclil*r-
<br />lrcenscd under the provrsrons of Chapler 9, Drvrsron 3 ol lhe Busrness and
<br />#72
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<br />I hereby all rm lhot I
<br />€5b- 3ll
<br />uu',n, (214)
<br />a.ar+
<br />CITY STATE/ZIP ?7?o{
<br />)empr ary construction lighting' 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: Generalors,
<br />motors, transformers, reclifiers, industrial
<br />leating, cooking. or baking equipment
<br />-and other apparatus as follows:
<br />Up to and including 1 HP, KW KVA
<br />Overl and nol over 10 HP, KW KVA
<br />Orcr 10 and not over 50 HP, KW KVA
<br />Over 50 and not over 100 HP KW KVA
<br />Over 100 and not over 5O0 HP, KW, KVA
<br />Over 500 HP, KW KVA
<br />2.00
<br />500
<br />10.00
<br />20.00
<br />30.00
<br />40.00
<br />workers compensation Dechrf{io n V
<br />I hereby all1rm Ihal I trave a cerlr,rcal{} ol conseilt lo sell'rnsLrrc. or a cor lrlreale ol Worker's Comper!
<br />salon lnsr)rarlce Cerlr|eai copy rs lled wrlh thc Crty bu,ld nq rnspeLlrorr deparlrnool
<br />Dar"tl*erf, ve.t,edBvisrqr - 4 I
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<br />Notice To Applicant:
<br />1, I
<br />Subtotal 13J. oo
<br />Penalty Fee (when applicable)
<br />Violation Fee (50.00)
<br />Plan Check 650/0 of subtoral , 5. X d lminimum 20.00)
<br />Receipt Pc#Date7
<br />Plan Check (Adjustment)
<br />lssyance Fee 10.00
<br />Erplradon
<br />Thrs permrt shall exgre bv Imrtatron and become null and vord rl lhe work aulhorzed by lhrs permrl rs
<br />not commenced wrthin 180 days from the date ol thrs permlt or rf work authofized by thrs permrl rs
<br />suspe^ded or abandcned al any trmealler the work rscommenced lor a pefiod of lEOdays A new
<br />permrl shall be oblaroed rilsl before such work can be recommenced
<br />Applicant's Declaralion
<br />:ll
<br />" | ,l li r" r' r' I I
<br />,","lla:g .ooTOTAL PERMIT FEE (minimum $35.00)
<br />PERMIT NO.DA1E / / -Z-
<br />! ,, ,,u,,,ssrt ,-rtiY r, l 'u*61Fy;',?,ii,5yLo?VEBIFIED BY {Srg )
<br />,/.5tl1
<br />6-
<br />f UE/89 3!55Pll +13 ll{z.m
<br />VALIDAIION IOFFICE USE ONLYI
<br />(ACCOUNT f]1.413)
<br />CS 6rlDistribution: 1 . lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy
<br />.03
<br />.50
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