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CITY OF SANTA ANA <br />DEVELOPMENT FEES WORKSHEET.- ELECTRICAL PERMIT <br />Project Address:f - 8 E TI (3*- a Contractor:919 As 8- Grvim/) CA , <br />Tenant Name:Ahalls Address: 1 OqSM dkatfola/k_ 8'vc. <br />Building Owner: Al@901 111 -City: 95'11nt <-gl: A- Zip: 2400?D · <br />Address :8909 -lbu)n (#01<Dr- 251€· )0'C Conthior License No.: (021(cOS . <br />City: SiD St.: A Zip: 1 0) 9-an Contractor Email:Ma) 1 0 GlenSQ.wdarviej Phone:19* 295 -49 11 Phone:(91© 7 6 j - *leo -Contact Person:Dd Q OM.4-Contact E-Mail Sttongly Recommended PLEASE PRINT: <br />Contact Phone:849) 496 -3729 8170(a G 1-7 67 0(9 mq I C . oz fn <br />NEW BUILDING 1-1 OCCUPANCY CHANGE r-1 <br />ELECTRICAL ITEM Count $ EACH <br />125 Volt Receptacle Outlets 1.25 <br />Light Switches, Occupancy Sensors 1.36 <br />Light Fixtures .90 <br />Air Conditioners, Heat Pumps 83.58 <br />Factory-Wired UnitS (So#dHook-Ups)21.39 <br />Dedicated CirCUitS (15 or 20AMP Receptacles)21.39 <br />Time Clock, Photo-Cell, Time Switch 10.43 <br />ELECTRICAL ITEM Count $ EACH <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,cle items) <br />COMMERCIAL: <br />FIRST 10 devices or outlets 29.22 <br />Additional devices, each 2.76 <br />Each control panel, power supply 13.93 <br />annunciator, switch or aux equip. <br />Track-Light, Cable Tray, Special RESIDENTIAL: <br />Raceway, Plugmold, Under-Floor Duct,Single Dwelling unit 31.6721.39 <br />Plug-In Busway, Surface Duct, Etc.Each add'I dwelling unit (2 to 20)27.86 <br />(Each 100 Feet or any fradion thereof)Each add'I unit (over20)17.01 <br />SERVICE METERS & PANELS: Service Meter, Reset Meter,MISCELLANEOUS <br />Subpanel, Switchboard, Motor Control Center, Transfer Switch,Light Standard (Pole) with 1 Fixture 21.39 <br />Busduct, or other Distribution Equipment changes or modifications.Additional Fixtures - same pole 0.00 <br />(circle items as needed)Power Pole gempom,y)88.90 <br />Use this column Ma SerWce - A# others here Additional distribution poles 21.39 <br />Under 400 amperes 45.96 Swimming Pool, Spa, Fountain 104.45 <br />400 amperes to 1199 amperes 125.31 Above ground spa 45.13 <br />1200 amperes and over 208.79 Demolition 41.79 <br />POWER APPARATUS: Motor, Transformer, Welder, Industrial SIGNS & neon/LED decorative l 64.79Equipment, Oven, Rectifier, Generator, Surge Arrestor, Water lighting ($200mhmdablesign bono <br />Heater, Photovoltaic Panel, or other Power Equipment changes or NEW or TOTAL REWIRE for SINGLE FAMILY DWELLIVGS <br />modifications. (cim/e items as needed) Per HP, kW, or kVA SFD Per square foot .12 <br />Otol 3.08 Garage Per square foot .12 <br />Over 1 to 10 20.09 SUBTOTAL $ <br />Over 10 to 50 39.86 P/C 65% of SUBTOTAL $ <br />Over 50 to 100 90.52 MIN. FEE - (Nonresidential) $63.28 <br />Over 100 to 500 130.06 ISSUANCE & General Plan Surcharge $ 47.48 + 19.04 = $66.52 <br />Over 500 162.46 TOTAL $ <br />12*Z?39*21, 290.74£FE:be,*-.22/7 'c0-EE#CEL SE(0-NE*di*-t·--nit{imifim,1$1,24·£24€'.2326P · ' ./. 2·n <br />BLDG PMT RECEIPT By DATE <br />OCCUPANCY TYPE P/CPAID gol 5 526263 <br />APP FOR ELECTRICAL 06-24-2013 APP-02 CEC2013