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CITY OF SANTA ANA
<br />DEVELOPMENT EEES WORKSHEET.- ELECTRICAL PERMIT
<br />L1
<br />OCCUPANCY CHANGE
<br />POect Address 2Z-|-?ra s Contractor
<br />LLa
<br />Address:r.iy t g Cd.
<br />Building Owner L St.: 6 zip\'City
<br />Address C s Contractor License No /1t r8 o
<br />City c-lSt.:(6 Zip: q Contractor Email e v'a
<br />50b-Phone O
<br />Contact Person: j.-.y'1a 3
<br />Contact Phone:1l 2 .)-->
<br />Strongly Recommended PLEASEPRINT:
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<br />Contact E-Ma
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<br />Count $ EACH ELECTRICAL ITEM EACCount CH
<br />125 Volt Receptacle Outlets bE 140
<br />Light Switches, Occupancy Sensors a.l 1.52
<br />LOW VOLTAGE SYSTEMS - EACH: phone, data outlet,
<br />speaker, thermostat, door holder, doorbell, pull station, smoke
<br />detector, alarm device, card reader, etc. (c,rcle,rerns)
<br />Light Fixtures 44 1.011 COMMERCIAL
<br />FIRST 10 devices or outlets 32.61Air Conditioners, Heat Pumps 93.28
<br />23.87Factory-Wired Units rsotiioo*.upst Additional devices, each 3.08
<br />Dedicated Circuits ps a z0 ruc nec"pracrs
<br />Time Clock, Photo-Cell, Time Switch
<br />23.87
<br />1 1.65
<br />Each control panel, power supply
<br />annunciator, switch or aux equip.
<br />4t c)
<br />31 .10Sile Dwelli unit
<br />RESIDENTIAL:
<br />Each add'l dwelling unil eta20)18 98
<br />Each add'l unit to€l 2ol
<br />Track-Light, Cable Tray, Special
<br />Raceway, Plugmold, Under-Floor Duct,
<br />Plug-ln Busway, Surface Duct, Etc.
<br />lEeh lN Foet or any helbn flEraol
<br />23.87
<br />MISCELLANEOUS
<br />Lioht Standard (Pole) with 1 Fixture 23 88
<br />Additional Fixtures - same pole 000
<br />SERVICE METERS & PANELS: Service lvleter, Reset Meter,
<br />Subpanel, Switchboard, Motor Control Center, Transfer Switch,
<br />Busduct, or other Distribution Equipment changes or modifications
<br />lcicle terns as rcedod)
<br />All others hereUse this column if a Seruice
<br />Power Pole 1re,4rorary1 99.22
<br />Additional distribution poles
<br />Under 400 amperes I 51.29 Swimmino Pool, Spa, Fountain 1'16.57
<br />50.37400 amperes to 1199 amperes 139.86 Above ground spa
<br />'1200 amperes and over ZJJ-UJ Demolition 45.65
<br />SIGNS & neon/LED decorative
<br />liOhtinO 15260 /etundable s,gn Dondl
<br />69 97
<br />NEW or TOTAL REWIRE for SINGLE FAMILY DWELLINGS
<br />POWER APPARATUS: l\4otor, Transformer, Welder, lndustrial
<br />Equipment, Oven, Rectifier, Generator, Surge Anestor, Water
<br />Heater, Photovoltaic Panel, or other Power Equipment changes or
<br />modifications Gircto itens as needett Per HP, kW, or kVA SFD Per square foot 14
<br />Garaqe Per square foot 140to1
<br />Over 1 to 10 SUBTOTAL S
<br />P/C 65% ol SUBTOTAL $Over '10 to 50 44.48
<br />Over 50 to 100 101.03 N/lN. FEE - (Nonresidential)$ 70.64
<br />Over 100 to 500 ISSUANCE & ceneral Plan Surcharge $ 52.98+ 21.25 = $74,23
<br />Over 500 181.32 TOTAL S
<br />OFFICE USE ONLY ( '
<br />tsLDG PMT A t1C>{D
<br />ZolL+31o/.OCCUPANC\/9b oa
<br />APP FOR ELECTRIC AI 06.26.2017 APP-02 CEC2016
<br />NEW BUILDING f_-.l
<br />I
<br />Tenant Name.(
<br />Phone
<br />I
<br />I
<br />ELECTRICAL ITEM
<br />I 2388
<br />22.42
<br />I 145.16
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