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CITY OF SANTA ANA
<br />DEVELOPMENT FEES WORKSHEET -- ELECTRICAL PERMIT
<br />Project Address:2 W D IKA, CQAIR lo I Contracl
<br />Tenant Name:b Q.Q e WdkALOM 4 Address
<br />JBuilding Owner: 1.)4 IAIDUACOok.FRA City:44%o 7Address:6 70 W 71'14 5+1 CL Contractor License No.744963
<br />City: (b *Wl GA A st.: 00 Zip: qa. 4 47 Contractor Email:lotac.1-ds,)Ic,&0'r.Met
<br />Phone:949 5 74.7-35 4 Phone:94q 444·75'33
<br />Contact Person:4.KUAD, - l/A40 h Contact E-Mail Strongly Recommended PLEASE PRINT:
<br />br:
<br />'AIAA Il.01 h,\ St.: EA Zip:
<br />Contact Phone:ARA£
<br />NEW BUILDING 1-1 OCCUPANCY CHANGE [-1
<br />ELECTRICAL ITEM Count $ EACH ELECTRICAL ITEM Count $ EACH
<br />125 Volt Receptacle Outlets 1.25 LOW VOLTAGE SYSTEMS - EACH: phone, data outlet,
<br />speaker, thermostat, door holder, doorbell, pull station, smoke
<br />Light Switches, Occupancy Sensors 1.36 detector, alarm device, card reader, etc. (cocle iteme
<br />Light Fixtures .90 COMMERCIAL:
<br />Air Conditioners, Heat Pumps 83.58 FIRST 10 devices or outlets 29.22
<br />Factory-Wired Units (So/MHook-Ups)21.39 Additional devices, each 2.76
<br />Dedicated Circuits (15 or 20 AMP Receptacles)21.39 Each control panel, power supply 13.93
<br />Time Clock, Photo-Cell, Time Switch 1 10.43 1*,14 annunciator, switch or aux equip,
<br />Track-Light, Cable Tray, Special RESIDENTIAL:
<br />Raceway, Plugmold, Under-Floor Duct,21.39 Single Dwelling unit 31.67
<br />Plug-In Busway, Surface Duct, Etc.Each add'I dwelling unit @ to 20)27.86
<br />(Each 100 Feet or any fraction 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 (Tempormy)88.90
<br />Use this co/umn ifa Service O V V 3 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.2 64,79 lal, 53Equipment, Oven, Rectifier, Generator, Surge Arrestor, Water lighting ($200mhindablesign bonq
<br />Heater, Photovoltaic Panel, or other Power Equipment changes or NEW or TOTAL REWIRE for SINGLE FAMILY DWELLIVGS
<br />modifications. (circle #ems 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
<br />Over 10 to 50
<br />Over 50 to 100
<br />Over 100 to 500
<br />Over 500
<br />31-52 -_ft-Yet*Mil--2-,2456?13·4·=
<br />BLDG PMT
<br />34
<br />3-2 d:9€&*f€S·<
<br />RECEIPT
<br />20.09 SUBTOTAL $
<br />39.86 P/C 65% of SUBTOTAL $
<br />90.52 MIN. FEE - (Nonresidential) $63.28
<br />130.06 ISSUANCE & General Plan Surcharge $ 47.48 + 19.04 = $66.52
<br />162.46 TOTAL $
<br />Vvt<dn#FRIOEUSE*Nt¥
<br />BY DATE
<br />OCCUPANCY TYPE P/CPAID 201 5% EL/
<br />APP FOR ELECTRICAL 06-24-2013 APP-02 CEC2013
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