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,(kResidenlial lndustrial rCommerctal NO.EACH TOTAL
<br />Res. Hotels, Motels, Apt. 39 Ft./ 242 .03 7726
<br />Gar. or Carports Sq. Ft +%.02 ?.ro
<br />Receptacles .50
<br />Switches .50
<br />Fixtures .50
<br />Air Conditioners
<br />Each /20.00 2t.n
<br />Approved Factory Wired gn;1 Dlo- DPList H 7 5.00 7frfr
<br />Busways. special raceways. under floor
<br />duct, trolley or plug-in busways ea. 1 10'or
<br />lraclion thercof
<br />5.00
<br />Fire Siqnalinq Svstem. Minimum fee
<br />Outlei @-o@or heat sensor
<br />10.00
<br />.50 ,@
<br />Lighting Standards with One Lamp
<br />Each Add'l trxture on same standard
<br />5.00
<br />1.00
<br />Owner Builder 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 />Signs and high potential gas tube lighting 15.00
<br />Swimming pools, lountains, spas 35.00
<br />@tsacn
<br />Switchboard, molor control center q@ 15.00 /-r4-a
<br />Temporary @nstruction meter service
<br />pole
<br />lEch distribution pole
<br />25.00
<br />5.00
<br />4so&*a-L-z-fuzhz-
<br />^,,")'a/o rr - fbr".&zz- r
<br />I her€by alfrrm that I am licensed Inder the provrsrons of Chapter 9. Drvrsron 3 of the Busrness and
<br />Contractor Use Only
<br />CONIBACIOB d/-1rc
<br />STATElZIP
<br />/2/s?r
<br />4 fuzar
<br />- Crty
<br />Sa*ffi-r
<br />Aempor 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, lransformers, rectifiers, rndustrial/ 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 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 />Wo*ere Compenratlon oe#aratio n U
<br />I hereby atlrrm thal I have a certrlrcale ol consent lo sell-rnsure, or a certrllcate of Worker's Compen
<br />satron lnsurance Certrfred copy rs lrled wrth lhe CrlV burldrng rnspeclron departmenl
<br />ll, alter makrng thrs Certrfrcate ol Exemplron, vou should become sublect to the Worker's Compen'
<br />sation provrsrons o, the Labor Code, you musl lorthwrth comply wrlh such provrsrons or lhrs permrl
<br />shall be deemed revoked
<br />/a44
<br />oaret*pues,HA4
<br />,",4-t-54
<br />I certr,y thal rn the perlorm
<br />Notics To
<br />I shall nol employ any
<br />aws ol CalifornraWorker's':ww?rfi:,,"":":
<br />Subtotal /7/.66
<br />Penalty Fee (when applicable)
<br />Violation Fee (50.00)
<br />Plan Check 650/o of subtolat ,f f, /7 (minimum 20.00)
<br />fieceipt No.'/-ZbZ Pc #L< 2< Date
<br />Plan Check (Adiustment)
<br />lssuance fbe 10.00
<br />PERMIT FEE (minimum $35.00)/ y/.b,
<br />rze represenlalrvesof thrscrty loenter upon th€ above-menhoned property lor r
<br />Erpiration
<br />Thrs permrt shall exprre by Imrtatron and become null and vord rl lhe work authoozed by thrs permrt rs
<br />not commenced wrthrn l80 days from the date ot thrs permrt or rf work autho(zed by this permrl rs
<br />suspended or abandcned al any lrme after the work rs commenced for a penod ol lS0 days A new
<br />permrl shall bc oblarned lrrsl before such work can be recommenced
<br />Applicant's Declaration
<br />''I
<br />,^" I l' ) -84 *r,,an,., Asen,,s,e fu.rr?DAIE //.Z-3? |eenurrHo. 23558
<br />PERMIT ISSUEO BY lSig )V'l,L- l-1
<br />a<f zY)
<br />Ig:%Zf
<br />vrRrFrr DBy 't,u, 6-?2ru
<br />IL/M,/W 3:55Pil +13 il+1.66
<br />BUITDING
<br />PERMIT No
<br />VAI IDATION (OFFICE USE ONLYI
<br />(ACCOUNT #1t,413r
<br />aI
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPTWIiITF OR PRINT IN INK)
<br />I t CITY OF SANTA ANA
<br />206 W. 4th St.
<br />667-2738
<br />/APPLICANT FILL !N AREA BELOW W
<br />@Croz
<br />C)
<br />oallmaa
<br />\ )
<br />-.lS
<br />\
<br />x
<br />C S,6I:IDistribution: 1 . lnspector Copy 2, File Copy 3, Finance Copy 4. Applicant Copy
<br />/f'o'o
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