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)Gesidential ilndustrial lCommercial NO.EACH TOTAL
<br />Res. Hotels, Motels, Apt. Sq. Ft. 4 2/b 03 7 7,o(
<br />Gar. or Carports Sq. Ft rqr 02 f,fu
<br />Receptacles 50
<br />JoBAoDBEss ' ^
<br />-ilq"g fu]oVrZ4a<.-a" . €
<br />--W'a,to3lr_ fu*zn--rLv-Ad.'"'%#/ft,.a .t il''?=uu Switches 50
<br />Fixtures 50
<br />Air Condilioners
<br />Each
<br />20.00 Jo. ao
<br />Approved Factory Wired Unit D t'9 D 7tList /%d1 7 5.00 7fin
<br />Busways, special raceways, under lloor
<br />duct, kolley or plug-in busways ea. 110' or
<br />lraction thereof
<br />5.00
<br />Fire Sionalino Svstem. Minrmum tee
<br />Outtel s@or heal sensor
<br />10.00
<br />.50 ,f0
<br />/ Lighting Standards with One Lamp
<br />Each Add'l fixture on same standard
<br />5.00
<br />1.00
<br />Owner Euil<ler Declariltion
<br />:
<br />:::IIryKT
<br />!',\ i i nTr,rr i r,,l wrll i,,r,, j ,,r,
<br />prolecl
<br />Owner {Srg I
<br />! Secrron 70448 l, as owner of rhe pr
<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 />/sA o--l
<br />Signs and high potential gas tube lighting 15.00
<br />Swimming pools, fountains, spas 35 00
<br />Swilqhboard, motor control center 0150[--
<br />.?anels
<br />Each
<br />15 00 ,z'f.fr
<br />Temporary conslruction meter service
<br />pole
<br />Each dis/ibution pole
<br />25.00
<br />5.00
<br />€ o' I s<z-sg's
<br />H"*., u s.5t141444-4 ls*irzn -
<br />_ St t y-b-,.- iAtZZq_
<br />I hereby atfi.m that I am lcensad under lhe provrsrons ol Chapter 9, Drvrsron 3 of the Busrness and
<br />Proless'obs Code. and mv hcensc rs rn lull lorce and ellecl0;!"!"{(=s*e -r,",, c-/o-cryLcense o-1A/ f?r
<br />*-l+4-monrractor rs,s,
<br />Contractor Uso Only
<br />CONTRACTOR Prl(lN t
<br />.Temna/ar y 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 : Generators,
<br />mglors, transformers, recliliers, industrial
<br />-traling. cooking. or baking equipment
<br />and other apparatus as lollows:
<br />Up to and including 1 HP KW KVA
<br />Over 1 and not over 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 nol over 500 HP. KW KVA
<br />Over 500 HP, KW KVA
<br />2.O0
<br />5.00
<br />10.00
<br />20.00
<br />30.00
<br />40 00
<br />workors compenration oedltton U
<br />I herebv allrrm that I have a cerlrlrcate ol consenl to sell-rnsure, or a cernficate of Worker's Compen-
<br />salron lns(,rance Certified copy rs frled with the Crty burldrnq rnspectron departmenl
<br />:i::!t[i",#:^:x:.:mk"ffi :
<br />person rn any manner so as to become sublecl lo the Worker's Compensalon Laws ol Calfornra
<br />Notice To Applicant:
<br />I r',
<br />Dale App[cant lSrg )
<br />Subtotal
<br />funalty Fee (when applicable)
<br />Violation Fee (50.00)
<br />Plan Check 65"/o of subtotal trO +6 (minimum 20.00)
<br />ReceiptNo. 67(,-7 Pc# f523 Date
<br />Plan Check (Adjustment)
<br />lssuance_ Fee 10.00
<br />-.-af*PERMrr FEE (minimum $35.00)t /t./B
<br />Erplratlon
<br />Thrs permrl shall expr.e by hmrlalron and become null and vord rf lhe work aulhoilzed by thrs permrl rs
<br />nol commenced wrthrn lB0 days lrom the date ol lhrs permrt or rf work authonzed by thrs permrl rs
<br />suspended or abandcned al any time afler lhework rscommenced lor a penod of lSO days A new
<br />permrt shall be oblarned frrsl betore such work can be recommenced
<br />Applicant's Declaration
<br />rr'. ' r r',,. r lr 'l 'r, ' jri .rr, r' r'!1, .rlr .! r trL l
<br />l,l'l
<br />,"," rJ l- Zaf, Joou.u,,., on".,
<br />o^rE 14.Z-31 PERMIT NO.23s59
<br />y,0- frVERIFIED BY (Srg )PERMIT ISSUED BY lSrg,l.7i#i'ii,,f1t42b
<br />4 fiy
<br />4tu\--
<br />ll/gzlg 3:354,1 +13 fi+1.+8
<br />VALIDATION IOFFICE USE ONLYI
<br />(ACCOUNT f11-413)
<br />)L
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPFWRITE OR PRIN T IN INK)
<br />a o CITY OF SANTA ANA
<br />206 W. 4th Sr.
<br />667 -2738
<br />APPLICANT FILL IN AREA BELOW fu,.-
<br />@grozo
<br />0oamaa
<br />Nt\
<br />S
<br />\
<br />Distribution: 1 . lnspector Copy 2 Copy 3. Finance Copy 4. ApplicantCopy
<br />/zt,*,?
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