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ffResdentiar rndustriar commer,ar l* lEAcHl
<br />TorAL
<br />Res. Hotels, Motels, Apt. Sq Ft./ ) | (,03 SZan
<br />Gar. or Carports Sq. Ft.(/c/l 02 7,?o
<br />Receptacles 50
<br />JZ t o 56,-At-V- yZ4- fu ,r;*, C.
<br />Srrr'aa* a,ua;rh Svo - o/ta\
<br />3Jt f 7;*b ,€z
<br />C-z- ,>z-a- L ?2L"1.Switches
<br />Fixtures
<br />50
<br />50
<br />Air Conditioners
<br />Each I 20.00 )O.oo
<br />Approved
<br />LiSI
<br />Factory Wired Unit O,.Ot)P tfooA 7 5.00 39.o o
<br />Busways, special raceways, under floor
<br />duct, kolley or plug-in busways ea. 110' or
<br />fraction thereof
<br />5.00
<br />Fire Sionalino Svstem. Minimum lee
<br />Outle[ dffitB6r heat sensor I
<br />10.00
<br />.50 'f,o
<br />Lighting Standards with One Lamp
<br />Each Add'l flxture on same standard
<br />5.00
<br />1.00
<br />Owrrer Builder Declaratiorr
<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 />l.fio o
<br />Signs and high potential gas tube lighting 15.00
<br />Swimming pools, fountains, spas 35.00
<br />motor control center dGfB)
<br />@_"'o'I 15.00 /5, oo
<br />Temporary @nstruction meter service
<br />polei
<br />Eagh distribution pole
<br />25.00
<br />5.00
<br />-IC'mprary construction lighting
<br />500 lamps or less
<br />Orcr 500 lamps
<br />2.00
<br />4.00
<br />Time clock or photo electric cell 3.00
<br />POWER APPARATUS: Generators,
<br />molors, transformers, rectifiers, industrial
<br />heating, cooking, or baking equipment
<br />and other apparatus as follows:
<br />Up to and including 1 HP. KW KVA
<br />Qver 1 and nol over 10 HP KW KVApver 1O 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 />2.00
<br />5.00
<br />10.00
<br />20.00
<br />30.00
<br />40.00
<br />fu^;A--,A"L Elt45:,4
<br />Slvo 5o. 572--*,1--t-
<br />I hereby aftrrm thal I trave a cerllrcale ol consenl lo sellrnsure, or a cenrfrcate of Worker's Compen-
<br />salronlnsurance CernfredcopyrsfiledwrthlheCrlyburldrngrnspectrondeparlmenl
<br />ll. afler makrng lhrs Certrlicate o, Exemplron. you should become sublecl to lhe Worker's Compen-
<br />salron provrsrons ol lhe Labor Code, you musl forthwrlh comply wrth such provrsrons or thrs permrt
<br />shall be deemed revoked
<br />Contractor Use Only
<br />CONTRACTOR ' Crt
<br />,5Tl
<br />CITY STATE/ZIP
<br />shall nol employ any
<br />C,- ?z ta'-
<br />::"",",11:!:tq^",::,:^,",?,'
<br />S,g
<br />S,g
<br />ol k mrrchcertilylhelornrcelhe
<br />Notice To
<br />Workers Compensation
<br />'slo
<br />1t)
<br />- eEtS
<br />J"e A''-
<br />Subtotal l3l.y,
<br />funalty Fee (when applicable)
<br />Violation Fee (50.00)
<br />Plan Check 650/o of subtotal 7 t. {L (minimum 20.00)
<br />Pc#0 DateReceipt
<br />Plan Check (Adiustment)
<br />lssuance Fee 10.00
<br />(minimum $35.00)FEE 4/.16
<br />Exflratlon
<br />Thrs permrl shall expfe by lmrtalroo and become null and void rl lhe work authonzed by lhrs permrt rs
<br />not commenced wrthrn 180 days lrom the date o, lhrs permrr or rf work authonzed by thrs permrt is
<br />suspendedorabandcnedalanvldealtartheworkrscommencedlorapeiodotlSOdays Anew
<br />permrl shall be oblarned ,rsl before such work can be recommenced
<br />Applicant's Declaration
<br />,,lllr i'r,r..,,,,ll jl l, I i I ,rl 'r . if ,,rL/,,r', Lr rl r ,1.,1
<br />'t I t t : i 1,,.1 .'
<br />nze represenlatryesof thrscrty 19splgl rrar the
<br />,,," / [ - 2-81^**an, or Asen,,s s
<br />DArE lt-Z-tq leenurrc. 23562
<br />ii,',! l,i,'Y:.,€ ./ ( 2 ?VERIFIED BY lSrg I
<br />el,rzy )
<br />,Lrrr"4 T issur r) LrY ,s ir >lb -ry
<br />tt/wlw S:sPt{ +13 tt+1.+8
<br />VALIDATION (OFFICE USE ONLY)
<br />TACCOUNT TII-413)
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPEWRITE OH PRINT IN INK)
<br />d
<br />o o CITY OF SANTA ANA
<br />206 W. 4rh St.
<br />667 -2738 WAPPLICANT FILL IN AREA BELOW
<br />@gr0zo
<br />oaamaa
<br />hI
<br />-l
<br />$
<br />t^
<br />It
<br />1{
<br />t
<br />l
<br />p
<br />Distribution: 1. lnspector Copy 2. File Copy 3. Financo Copy 4. Applicant Copy c s .5r3
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