HomeMy WebLinkAbout2205 N Poplar St - Misc. Permit (2)APPLTCATTON AND o
ELECTRICAL PERMIT
YPFtnrii TF ltit PUrNI ,_ \(l
CITY OF SANTA ANA
206 W 4rh Sr.
667 -2738 fbl
o
APPLICANT FILL IN AREA BELOW
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aau
Ut
TOTALNO
03
EACH
Hotels, Motels, Apt. Sq. Ft.
I I lndustrial iCommerod
-6-ar. or carports sq. Ft a2
Receptacles 50
JOBADO9ESS
s/x- bt74
"V')7oG'Y-/a-,/4-a-?/L2-
Sw(ches 50
Fixtures 50
Arr Condiloners
Each
20.00 t{
500
Appro\€d Faclory Wired Unil
Busways, special raceways, under lloor
duct, trolley or plug-in busways ea. 1 10' or
fraction thereol
500
Fire Signahng Syslem Mnrmum lee
Outlet. smoke or heat sensor
10 00
50
Lighling Standards with One Lamp
Each Add'l luture on same standard
00
00
5
1
Owner Au lder Declaralion
;,",1/2,ff'
rnrandedor oller€d lor ere
l-.'
Maintenance Permil (annual)50.00
Service Meters
Up lo 400 amps. per meter
Over 4O0 amps. per meler
Over 1200 amps, per meter
15.00
35.00
75.00
Signs and high potenlial gas lube lighting 15.00
Swmming pools. fountarns, spas 35.00
r5.00
Tempf rary construclion meter setuice
pole
Each distribution pole
25.00
5.00
Temporary constructjon lighling
500 lamps or less
O\er 500 lamps
2.t)o
4.00
Time clock or photo eleclric cell 3.00
POWER APPARATUS: Generalors.
molors. transformeas, rectifiers, industrial
heating, cooking, or bakng equrpmenl
and other apparalus as follows:
Up lo and including 1 HE KW KVA
Over 1 and nol oler 10 HP, KW KVA
Over 10 and not over 50 HP, KW KVA
Over 50 and nol over 100 HP KW KVA
Over 100 and not o!€r 500 He KW KVA
Over 500 HP, KW, KVA
2.@
5.00
r 0.00
20.00
30.00
40.00
lherebya,l'rm thal l.m lce.sF.l,rnderrhe provsonsol Chapter9. D'v's,on 3 o, lhe B!s'ness and
Proiesso,sCod€, and mv lrc€n* s 'n l!11 lor.e and etls.l
Workers Compensarron Declararion
1,, atre, m.t,nq rh'sCerril'care oi Eremp!on, you should become suble.l ro lhe Worker sCompeo.
el on p'ov eonsol ihe Labor code, yo! mu$ lorrhw rh compry wrh such p.ov's'onsor lhrs pe.m'l
shall be deemed revoked
Conrracror use Only
ADDR!SS
CIIY
\+xJ.--,Subtola
Penalty Fee (when applicable)
(s0.00)Violation Fee
Plan Check 65./" of subtotal (minimum 20.00)
Receipt No Pc#Date
flan Check (Adjustmen0
lssuance Fee 10 00
TOTAL PERMIT FEE (minimum S35.00),J--
Erpirrrton
Applicanl's Oeclaralion
c6rv wm a clly ordn.nces and slale laws rslatno to b
)ze.ep,e*^6nv6sot th6cryroenrer Lpo.lheabove
//ftfi
oarc //-2-2 -PERMIT NO,99
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OSTS
T4-PEBMII TSSLIED BY {SE I ,\Y
ttS.mll/gyB9 11:51flt 413
VALIDAIION (OFFICE USE ONLYI
Distribulion: l.lnspectorCopy 2 FileCopy 3. FinanceCopy 4. Applicant Copy c s .613
n
Swilchboard. motor conlrcl center or sub-
panels
Each
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