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XResidential lnduslnal Commercral NO.
<br />Res. Hotels, Motels, Apt. Sq. ft. I 2{/
<br />TOTAL
<br />.03
<br />EACH
<br />Gar. or Carports Sq. Ft. q t f .o2 7.? D
<br />Receptacles .50
<br />Qia,;-?-< tTC -Off o
<br />JOB ADDRESS
<br />OWNER
<br />/2t? 4€,fu ,(l
<br />37o4 /r*- 7L
<br />er- zrt ab
<br />*D
<br />3s rS""l!.tL 7a-lrvrr-.)
<br />Switches .50
<br />Fixtures 50
<br />Air Condrtioners
<br />Each I
<br />20.00
<br />7 5.00
<br />2o. oo
<br />35.oo
<br />Approved Factory Wired Unit 914)List OtgO llo"A-
<br />@underfloor
<br />duct. trolley or plug-in busways ea. 110'
<br />fraction thereof
<br />or 5.00
<br />Fire Signaltng Qlrstem. Minimum fee
<br />Outlet6frorke-o) heal sensor (
<br />10.00
<br />.50 ,@
<br />Lighting Standards with One Lamp
<br />Each Add'l fixture on same standard
<br />5.00
<br />1.00
<br />Owrrer Builder Declaratiorl
<br />Maintenance Permit (annual)50.00
<br />Service Meters
<br />Up to 400 amps, per meler
<br />Over 400 amps, per meter
<br />Over 1200 amps, per meter
<br />/15.00
<br />3s.00
<br />75.00
<br />/ f,oo
<br />Signs and high potential gas tube lighting 15.00
<br />Swimming pools. fountains, spas 35 00
<br />IffiSwitchboard, motor control center o@ 15.00
<br />/5 00
<br />Temporary crnstruction meter service
<br />pole
<br />Each distribution pole
<br />2s.00
<br />5.00
<br />ft#,fu+*t- e:*X;:L.,s7 -7, tgt',",Qt()
<br />)i ti '?oto'L ffip
<br />sr^rr ./rp ?tZofb- *-tl
<br />I hereby alfirm that I am lcen*d under the provr$ons ol Chapter
<br />.Pro,srT,lCodcrndmyl,.ense,s,nlulllo.ceaildetloct el2l rt.f,b''"1q1# b^ ffi
<br />, ". P-lfid-l^,, o.,o.,,,0'ffi l, A { ;;J liler^
<br />W -,
<br />TY
<br />9, Drvrsron 3 ol the Busrness and
<br />ADDBESS 5 7o*4ao to.
<br />,llemporary construction lighting- 500 lamps or less
<br />Over 500 lamps
<br />2.00
<br />4.00
<br />Time clock or photo electric cell
<br />POWER APPARATUS : GeneTatoTs,
<br />molors, translormers, reclifiers, industrial
<br />heating, cooking, or baking equipment
<br />and other apparatus as follows:
<br />Up to and including 1 He KW KVA
<br />Over 1 and notover 10 HP, KW KVA
<br />, Over 10 and not over 50 HP KW, KVA/ Over 50 and not over 100 HP, KW KVA
<br />Over 100 and not over 500 HP. KW. KVA
<br />Over 500 HP, KW KVA
<br />2.OO
<br />5.00
<br />10.00
<br />20.00
<br />30.00
<br />40.00
<br />wolkers compensation DecblJrton U
<br />I hereby aflIm that I have a cerllrcate ol consent lo sell
<br />salron lnsurance Certrfred copv rs llled wrth the Crlv bu
<br />I cerlrly lhal rn lhe perlormance ol lhe work tor whrch lhrs permrl rs rssued. I shall nol employ any
<br />;',]i'[Cffi "
<br />^,,,
<br />* * l"'j trtffi ffii i, TiAt-
<br />ll, after makrng thrs Cerlrfrcate ol Exemptron, vou should become sublecl lo the Worker's Compen-
<br />$lron provrsrons ol lhe Labor Code, vou musl ,orthwrth comply with such provrsrons or this permrt
<br />shall be deemed revoked
<br />D6te t
<br />Date.-
<br />,niLri.L)r,r.i.rt'i.rl,, 1W!)r[,r (,,r]t,il
<br />,j I I 'tr ( I ,f,jr l) rlilr, rr.e,,'#,.,".,,i..i
<br />/ -/'? o
<br />,".,,,, . .,, , ,. ,
<br />Subtotal
<br />Penalty Fee (when applicable)
<br />(50.00)Violation Fee
<br />Plan Check 650/o ol subtolal 85r.58 (minimum 20.00)
<br />Beceipt No.(, 7 b7 Pc # t J )-J oate
<br />Plan Check (Adjustment)
<br />lssgance Fee 10.00
<br />-sbtatPERMrr FEE (minimum $35.00)/9 / .tc\
<br />E x pirat ion
<br />Apgrlicant's Declaratiorr
<br />PERMIT NO.23544o^rE / /- >. ?1
<br />f?Lrt VERIFIED BY lSrg )PERMIT ISSUED BY (Sro )
<br />./J-S?
<br />,1,511 )
<br />tu I
<br />ll/Wfr 3:5EPl{ +13 11+1.66
<br />BUILDING
<br />PER[/lT No
<br />VALIOATION IOFFICE USE ONLY)
<br />TACCOUNT fr r.413)
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPIWBITE Oq PRINT IN INK)
<br />a o CITY OF SANTA ANA
<br />206 W. 4th St.
<br />667-2738 /h*-7 APPLICANT FILL IN AREA BELOW
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<br />Distribution: 1. lnspector Copy 2. File Copy 3. Finance Copy 4, Applicant Copy
<br />3.00
<br />/gt. ct
<br />,
<br />",,,1, I 2 - 8 I o,,u,., u n
<br />^,,,.,,,,
<br />r, ) h,ovr4fT)tlXb ru,
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