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l!f;'esidential .lndustrial Commercral NO.EACH TOTAL
<br />Res. Hotels, Motels, Apt. Sq Ft /, //O I
<br />I
<br />.03 7v.3o
<br />Gar. or Carports Sq. Ft.+?7 02 f,19
<br />Receptacles .50
<br />7*Yr/4{- 1,t., o
<br />0-zzr"ur*,. t'?/-o/lo
<br />STATE/ZIPC* 7e4zc'"fuhYl*ua-
<br />JOB ADDRESS
<br />70tr
<br />B
<br />/u.LINGTzrr
<br />Switches
<br />Fixtures
<br />.50
<br />.50
<br />Air Conditioners
<br />Each /20 00 2a,o-t)
<br />Approved Factory Wired Untt D D . DE,List
<br />^M
<br />7 5.00 35- aO
<br />Busways, special raceways. under floor
<br />duct, trolley or plug-in busways ea. 110' or
<br />fraction thereof
<br />s.00
<br />Fire Sionalino Svstem. Minimum fee
<br />Ouue[ s6-o.[E5r heat sensor /10.00
<br />50 ,t1)
<br />Lighting Standards with One Lamp
<br />Each Add'l trxture on same standard
<br />5.00
<br />1.00
<br />{lwner Brrilrirlr Declaration
<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.A-A
<br />Signs and high potential gas tube lighting 15.00
<br />Swimming pools. lountains, spas 35.00
<br />motor control center o65frSwitchboard,@tach
<br />15.00 /,s= @
<br />Temporary construction meter service
<br />pole
<br />Each distribution pole
<br />25.00
<br />5.00
<br />Temporary construction lighting
<br />50O lamps or less
<br />Oraer 500 lamps
<br />2.00
<br />4.00
<br />Time clock or photo electric cell 3.00
<br />POWER APPARATUS: Generators.
<br />motors, translormers, 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 notover 10 HP, KW KVA
<br />Over 10 and not over 50 HP KW, KVA
<br />Over 50 and nol 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 />R#a"Ar/arill eiftz>
<br />z ifo So. ffdn:Lat-t
<br />I hereby aflrrm that I am [censcd onder lhe provrsrons ol Chapter 9, Drvrsron 3 ol the Busrness and
<br />Workers Compensation Declaration
<br />,.rr'1, ,iI,.,,,, i,rrl,.,t,,,t! r,,lirlltrrt('r,l)L,,i,lr 1,,,r r,t,ti.,,r,,,rl
<br />lr, alter makrng thrs Certrfrcale ol Exemptron, you should become sub,ect to the Worker's Compe^-
<br />satron provrsrons ol the Labor Code, you must lorlhwrth comply wilh such provrsrons or lhrs permrt
<br />shall be deemed revoked
<br />Contractor Use Only
<br />CON TRAC]OR
<br />516-79t13
<br />M STATE/ZIP
<br />':i,'ly-trilq'
<br />PHONE
<br />4
<br />-WLze-{--
<br />elteclnd
<br />ci
<br />nol .iemploy
<br />L ol Calr
<br />Applcant (SE )
<br />Notice To
<br />s to become
<br />W
<br />,s
<br />D/2/ 5T
<br />Subtotal /2757
<br />Penalty Fee (when applicable)
<br />Vrolation Fee (50 00)
<br />Plan Check 65% of subtotat far?S (minimum 20.00)
<br />Re@iptNo.l 16a Pc # L?23 Date
<br />Plan Check (Ad,ustment)
<br />lssuance Fee 10.00
<br />Erplrutlon
<br />lhrs permrt shall expfie by lmrlalron and become null and vord r1 the work autho.rzed by thrs permrl rs
<br />nol commenced wrlhrn lBO days lrom the daie ol lhrs permil or rl u,ork aulhorzed by lhis permrl rs
<br />suspended or abandcned at any trme alter the work rs commenced lor a peilod ol lS0 days A new
<br />permrl shall be oblarned ttrsl belore such work can be recommenced
<br />Applicant's Declaration
<br />I cerlrlv lhal I have read lhrs applrcalron and slate lhat the above rntormalron rs correcl I agree lo
<br />con)ply wrlh all crlv ordrnances and stale laws relalrng lo burldinO constructron, and hereby aulho-
<br />:,_":ti;:g:;,;)"::rt;q;;Aq;
<br />D^rE //- z- g
<br />PERMIT FEE (minimum $35.00)
<br />PERMIT NO.
<br />lrt-L- slPERMIT ISSUED BY lSis.)
<br />'JYJ
<br />r'+l0zl \,LRr*B\,,,, Bfu*
<br />lll@lw s3sPtt +13 t15l.s
<br />BUILDING
<br />PERMIT No
<br />VALIDATION IOFFICE USE ONLY}
<br />TACCOUNT #1 l-4131
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPFWBITE OR PRINT iN INK)
<br />e a CITY OF SANTA ANA
<br />206 W. 4th St.
<br />667 -2738r h^'
<br />APPLICANT FILL IN AREA BELOW
<br />@croz
<br />o0am
<br /><l)
<br /><l)
<br />\
<br />f.
<br />Distribution: 1. lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy
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