|
,)f,Resrdentral lnduslrial Commercral
<br />Res. Hotels, Motels, Apt. Sq Ft. /lL ?),ft
<br />NO.EACH TOTAL
<br />Gar. or Carports Sq. Ft. 2/7 02 r.97
<br />Receptacles 50
<br />i"il; /t,fr- z+ l/-%,*#qr,r2'#:,*#,*- r4*i'iro- otr o
<br />Cr/; ?u^/rb //-"'A,-rE- lrtta-' t'" ?Z 7b Switches 50
<br />Fixlures 50
<br />Air Conditioners
<br />Each /20 00 )O.oc
<br />Approved Factory Wired Unit O U .List D O *o.-A 6 500 7o. oo
<br />5.00
<br />Busways, sp6cial raceways, under lloor
<br />duct, trolley or plug-in busways ea. 110' or
<br />fraction thereof
<br />Fire Signaling Syslem. Minimum,ee
<br />Outlet, E:ndkbor heat sensor I
<br />10.00
<br />.50 ro
<br />Lighting Standards with One Lamp
<br />Each Add'l hxture on same standard
<br />5.00
<br />1.00
<br />Owne. 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 />I 15.00
<br />35.00
<br />75.00
<br />/,roo
<br />Signs and high potential gas tube lighting 15.00
<br />Swimming pools, fountains. spas 35 00
<br />ffiSwitchboard, molor control center or@ /15.00 /f'ao
<br />Temporary construction meler service
<br />pole
<br />Egch dislribution pole
<br />25.00
<br />5.00
<br />iWee-
<br />37Vo 5o.
<br />Contractor Use Only
<br />t,ltr )Nlil*6a, 5fa-3rt3
<br />,f.4.J4(-
<br />:,I.\II ,'Ifu-c'- A- 7.2 ZO{
<br />,";a'[-11,"" ], i,. ,',,.' .';':::;': ,:;l,,ll" "'
<br />o ,' ,,,, .zrtt^)b t ,,.,.- c -/o , .,,,,.
<br />,.,,,Il-2-ffi, ,, ,, r ,.,5',hL-ra
<br />orvrsron 3 0t lhe Bu$ness and
<br />/ zl€F
<br />2#*
<br />4empor ary construction li ghting
<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: GeneTatoTs,
<br />motors, transtormers, rectifiers, industrial
<br />/heating, cooking, or baking equipment'and other apparatus as follows:
<br />Up to and including 1 HP KW. KVA
<br />Over 1 and not over 10 HP, KW KVA
<br />1 Over '10 and not over 50 HP KW KVA/ Over 50 and notover 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 />Workers Compensation Dec#ratio n '
<br />I herebv affrrrn lhat I have a cerlrtrcale oi consent lo sell-rnsure, or a ccrtrficale ol Worker's Comperr-
<br />satron Insrrarrcaj Certrfred copy rs frled wrth the Clly bu,ldlng rospeclron deparlmenl
<br />ll. atler making thrs Certrfucate of Exemplron, you should become sublect to lhe Worker's Compen
<br />slion provrsrons ol lhe Labor Code, you musl forthwrlh comply wrlh such provrsrons or thrs permrl
<br />shall be deem€d revoked
<br />:::fuffi
<br />nol emolov anymance ol lhe work for whrch lhrs
<br />as to become sublec
<br />Appfucanr (Srq.l
<br />mrt rs
<br />tron Laws ol Ca[folnra
<br />Notico To
<br />1, ,r,, .r.,, .l - l4A, i , o 8. ,\ r,
<br />,,,/ /_ 2 {'7n,,., .u,,,,,
<br />Subtotal ./61.9A
<br />Penalty Fee (when applicable)
<br />Violation Fee (50.00)
<br />Plan Check 650/0 of subtotal 7 O. O 7 (minimum 20.00)
<br />ReceiptNo LZ bT Pc*/J p t Date
<br />(minimum $35.00)
<br />Plan Check (Adjustment)
<br />Fee
<br />PERMIT FEE
<br />10.00,7e
<br />Expiratlon
<br />Thrs permrl shall exprre by Imrtatron and become null and vord rl lhe work aulhonzed by thrs permrl rs
<br />nol commenced wrlhrn 180 davs lrom the dale oi thrs permrt or rl work authonzed by thrs permrt rs
<br />suspended or abandcned al any lrme alter the work rs commenced for a penod o, 180 days A new
<br />permrl shall be obtarned ,rrst belore such work can be recommenced
<br />Applicsnt's Declaration
<br />I certrlv thal I have read Ihrs applcatron and slate rhar lhe aoove rnlormatron rs corecl I agree to
<br />comply wrlh all crty ordrnances and state laws relatrng le burld,ng conslructron, and hereby autho-
<br />rrze represenlatves ol thrs crly to enler upon lhe aboverutroned properlv lor rnspeclron purposes
<br />,"," Ilz-E1*p can,., Asen, s r rlru-4 lrr*e0 --71'DArE lt -Z- ?1 PERMIT NO.23566
<br />; , ,fyc 13 , ,, -/*_PERMIT ISSUED BY lsrg I 1)- J1
<br />{Y_1 ItlWg 3:SFlt 413 tll?.O
<br />VALIDATION (OFFICE USE ONLYI
<br />TACCOUNT
<br />'11-413)
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPEWRITE Of] PFINT IN INK)r
<br />o o CITY OF SANTA ANA
<br />206 W. 4th St.
<br />667-2738 W
<br />@gr(]
<br />z
<br />0oTma
<br />\^
<br />)'
<br />F.
<br />il
<br />s/
<br />h
<br />Distribution: L lnspeclor Copy 2. File Copy 3. Finance Copy 4. Applicant Copy c s .613
<br />APPLICANT FILL IN AREA BELOW
<br />l
<br />.03
|