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CITY OF SANTA ANA <br />DEVELOPMENT FEES WORKSHEET - ELECTRICAL PERMIT <br />OCCUPANCYCHANGE Tt'I <br />Contractor: {lll,txS2 rtdt*rlProjectAddress: ZLL4 I TDli.rrp.v g 1. <br />Address: 1)@Q \ ACAC_tA ^u€Tenant Name: <br />city:4gg\€^j f,,*xgt., ql zip: 42{40Buitdins Owner: Lq NIhr.pnJ <br />Address: 3)j/4 g firrx.n.b- 9k Contractor Lrcense No q 8 L\+'8+ <br />Contractpr Email: $fuEfieE+kHUI+ NLUA@ y4City: C_,-1,+a ,tz^a St:Gt Zip. qy'toT <br />enone: ff ( A) L06 -27 3 3Phone: + I \.l-+q.E- lL+L <br />Contact Person: L6( r\ir?U.fgrJ <br />A\L+' n'qg - lZqL <br />Contact E-Mail Skongly Recommended PLEASE PRINT: <br />1 ;vuore wrt'lD.64 <br />ELECTRICAL ITEM Count $ EACH ELECTRICAL ITEM Count $ EACH <br />125 Volt Receptacle Outlets t3 1.45 LOW VOLTAGE SYSTEMS - EACH: phone, data outlet, <br />speaker, thermostat, door holder, doorbell, pull station, smoke <br />detector, alarm device, card reader, etc. oicte tens)Light Switches, Occupancy Sensors 6 1.58 <br />Light Fixtures tg '1.05 COMMERCIAL: <br />Air Conditioners, Heat Pumps 96.90 FIRST 10 devices or outlets 33 88 <br />Factory-Wired Units (sord Hook-ups)24.79 Additional devices, each 3.20 <br />Dedicated Circuits (15 or 20 AMP Recepracles)5 24.79 Each control panel, power supply <br />annunciator, switch or aux equip. <br />16.14 <br />Time Clock, Photo-Cell, Time Switch 12.10 <br />Track-Light, Cable Tray, Special <br />Raceway, Plugmold, Under-Floor Duct, <br />Plug-ln Busway, Surface Duct, Etc. <br />(Each 100 Feet or auy fiaclkn lhercof) <br />24.79 <br />RESIDENTIAL: <br />Single Dwelling unit 36.72 <br />Each add'l dwellino unil e tozo)32.30 <br />Each add'l unit (over 20) <br />SERVICE METERS & PANELS: Service Meter, Reset Meter, <br />Subpanel, Switchboard, Motor Control Center, Transfer Switch, <br />Busduct, or other Distribution Equipment changes or modifications <br />lcicle lems as needed) <br />All others here <br />MISCELLANEOUS <br />Liqht Standard (Pole) with 1 Fixture 24.80 <br />Additional Fixtures - same pole 000 <br />Power Pole gemporaryT 103.07 <br />Additional distribution poles 24.80 <br />Under 400 amperes Swimminq Pool, Spa, Fountain 121.09 <br />400 amperes to 1199 amperes Above ground spa <br />1200 amperes and over 242.07 Demolition 48.46 <br />POWER APPARATUS: Motor, Transformer, Welder, lndustrial <br />Equipment, oven, Rectilier, Generator, Surge Anestor, Water <br />Heater, Photovoltaic Panel, or other Power Equipment changes or <br />modifications. bircte iters as needed) Per HP, kW, or kVA <br />SIGNS & neon/LED decorative <br />liqhtino fs260 retu dable s,sn bond) <br />75.13 <br />NEW or TOTAL REWIRE for SINGLE FAMILY DWELLINGS <br />SFD Per square foot 14 <br />0to1 3.56 Garage Per square foot 14 <br />Over 1 to 10 23.29 s <br />Over 10 to 50 46.21 P/C 65% of SUBTOTAL $ <br />Over 50 to 100 104.95 MlN. FEE - (Nonresidential)$ 73.38 <br />Over 100 to 500 150.79 ISSUANCE & General Plan Surcharge $ 55.04+ 22.08 = $77.'12 <br />188.36 $ <br />OFFICE USE ONLY <br />1LDG Pti-l <br />/otr 0tr/3 <br />RECEiPT BY \).- <br />OCCUPANCY T{PE PlCFAlD Sotdca= <br />APP FOR ELECTRICAL 06,26-2018 APP-C2 CEC2016 <br />Contact Phone: <br />,&1 <br />Use this column if a Service <br />53.28 <br />14s.28 <br />SUBTOTAL <br />TOTALOver 500 <br />I <br />= <br />= <br />= <br />=DATE lsL <br />NEW BUILDING f--l