HomeMy WebLinkAbout2205 N Poplar St - Misc. Permit (3)o o llpAPPLICATION AND
ELECTRICAL PERMIT
(TYPEWRITE OB PBINT IN INK)
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
834-4186
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APPLICANT FILL IN AREA BELOW
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2zos tl,o. Art/arJOSAODEESS
E nos'oe"r'a, El tnousr.,a, E) conme.crar rio EACH TOTAL
n.3. Hot.l., Xot.l., Apr. Sq Fr 03/Szrntr qlz -zq)/PHONE
G.r. o, C.rgon. Sq Fr
50
50
STATE/ZIP€aala
50
Each
20 00
Approved Facrory Wned Unrt 500
Busways, special rac€*ays, undor lloor oucl
tolloy or plug-in butways sa 100'5.00
Firs Signalin9 Systom. Minimum l6e
Oullel. smoke or hsal iensor
10.00
.50
Lighting SlanOdrds wirh One Lrhp
€ach Add'l linure on Bam6 3landard
5.00
100
Ownar-& da. Dacbrauon
lh..€by6fim thar l6m ercofl l.oh rhe Conracror's Laen* L.r,or lhe ldrwng.es$n lse.
7031 .5, 8uire$ and Plolssslons Codo Any cil o. .ou.rv whch r6autes 6 p€.m'r ro c@3r,ucl,
,116., mprove, domotsn, o. r6Oanlnyslrucrue, pior lo it5,*u6^ce, de requres the appl6.nt lor
sch p.rn{ $ lile 6 sig@d sral6m.nr rh.r he 's lsnsd pursusni lo lhe rrossons ol lhe Conr.&-
ror's Lnlne L.w lchap|.r 9 lcomh€nc69 wnh S@rE. 7000, ol Div'eo. 3 o, lh. Sosness ahd
ftola$ons Codol d rnd h€ $ 6x.mor rh6r€lo.n and lh€ bars lor lhe.lleged eEmpr'@ Anv v'ora-
lio. ol Seion 7031 .5 by any sppraant tor a pa.mt $bj.crs rh" 6pplica.l lo s .ivil pemlty ol nol
mde tEn live hund.sd dorrars I $ 500)
E Se.ton 7Oa{A l, Bown6r o, rh! p.ope.iy, d mt onploys.s wi$ wag6s asrh.irsore com-
pa^arlon, willdo lhe wol|,6nd |he srtuclure
's
not nronded or ofie.ed,or s.le
Mainlenance P6rmil {6n6ual)50.00
Contrctor U!. Only
PBONE Up lo 400 emps, ber m.ter
Ov6. 400 arhp6, p€r malcr
Ovsr 1200 amps. per mol6r
siqns and high pobnliel gas lub€ lighting 15.00
AODRESS
swimming poors, iounr.in6, 66'35.00 4<;oc
Swtchboard, moto. conlrol csntor or sub-Denol8
Each
15.00
Tomporary construction mrlor Eervice pol6
Eech distribution pol6
15.00
3.00
I heebv nrm thar I .m lcm*d !nd.r $a Drovisions ol ChsDrg 9, DrBon 3 o, rh6 gus'ness rnd
Prolessbns Cod€, .nd mv hco.ro is n iull lorca and etlEr
L6.eNo.- C1... CryLr
Drre- Co.rr.cio' ls'g Tomporary consituclion lighiing
500 temps or t6as
Ov€r 50O llmps
200
4.00
Time clock or pholo 6loctric cell 3.00
POWEA APPABATUS: Gsncr'toB, motors,
tsanslormors, r6clili6B, induslml hearing,
cooking, or bating aq'/ipmonl anc, olher
apparalus .3 lollowi:
up to and rncrudng r HP, Kw. Kva
Over 1 and nol over i0 HP, l(\4, Kva
Over l0 and noi ovcl 50 HP, KW. KVA
Ovs. 50 and nol ovc, 100 HP. (W. KV
Over 100 and nol ov6. 500 tlP, XW. XvA
Ovs. 500 HP, KW. Kva
2.00
5.00
10.00
20.00
30.00
40.00
lvoal(.'. Coll|paoaadon D.da.nho
I h..6by at nm lh I hrE. cerlilEae o, cons6ni ro eli-..eE, or 3 cen'l€ale ol Wdle.'s Comp.n-
si ion l.3ur.n € Cortlbd copy is lir€d uth the C'ry bu ding rnlpocion d.p.nn.nr
. slrdh.ranoih'sconill. reolErempron,y@shourdb.co.nesubFcrDln€wo.t.'sco.nc€n-
$r'on !.ovisros ol rhs Lrbor Cod6, yoo m6r ro.rhwirh cmplv wlrh 3u.h pr@sos d rhis p.mrr
sh.ll b. d.em.d revo*ed
ore Erprer voit€d ay rslq
rs Bs0ed, I shall no1 o601oY anyI conrly thsr in rhe perlomEnce ol rh€ wo.k
,.r3on h dnfmanmr $ as ro b..om 3u
o"," ?/G,t* o,o,.",,""
?grD
Penally F€e (wh€n aPPlicabl€)
vioretion F€e {minimum 335'001
Pla^ Chsck Fee (mrnimum 31500)
rco-
10 00
IOTAL PEi IT FEE (m,n,hum 33500)16o')
&plr.doll
ThB9arB(shallexp obyimLutonandbscomenullshdwidilthr*o*6urhorE€dbyth6p.rm{'s
not commencod wilhrn 180 .,ays ,.oh rh! dare ol lhis pem or il *o* aurhon ed by th6 pemd
'3susoondEd or.b.donodal sny time.hsth6*olk 'sc@menc.d
lora penod ol r80 drvs Aea
p.rh'! 3ha0 b. obl,n€d n.sl b.id. such wo( sn b. r.c@m.rced
Arp{cd'. O.drrrthn
I certt rhar I have r..d rn8 aDorr.rlo. 3^d sule lhal rhe ,bow 'nlo.m8lro. rs c6Er I 3qr@ ro
cohrlv *'lh 3l c'tv od'M.ces and s6ie la*s.6larn9 ro buid,no consructoh, and h€'eby aulho
are ropio*nranws oi th's cny ro e.l€r upon lhe 9.Openy lo. nsp.ct @ porposes
PENTIT IIO r1OATE
PERMIIISSI]EDBYISI9 )3il"3,i[" 3/ ze >VEfiIFIEO BY lS'9
%r'"t oa /Es-c r)%4 n$rrf tltt?=
VALIOAIION iOFFICE I]SE ONLY)
(ACCOrJNr rlr-4r3)
Drstr bulion 1 nspectorcopy 2 FaleCopy 3. Frnance Copy 4. Appl copv
if
o2
15.00
35.00
75.00
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\TION AND
NG PERMIT
PBINT IN ]NKI sPh CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
834-4186
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APPLICANT FILL IN AREA BELOW
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Fhesrdentiar ! tnousrriat E Comrnerc,at | *O. I eacx
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TOTAL
FIXTURES
JOB 22><
each plumbing f ixture/trap 4.00
Dental Unit or Medical Gases 10 00
SEWERc[Y STATE/ZIP
lst 100' + Conn 10.00
Ea Add'lConn 3.00
3.00
30.00
GAS PIPING )
GAS SERVICE I lo4OutLets 500
Ea. Add'lOutlet 1.00
Temporary Gas Service 20 00
MISCELLANEOUS
Own -&dld.r O.d.rldoo
lh€@byafinm |harlam erempr fiom 6e Conraclor's Lic6nse Law lor rhe tottownq .6as l5@
7031 5, Ausin6$ 6.d Prolessids Code: Any crly orcounty which.equnes a pormrl roconslruct,
alDt .mprove, demolish, or .epair any slruclure, pnor ro rc issuance, slso equtres the applicant ,or
such p6rmn lo tile a signod slaromenr rhar he ls !6en$d pursuanl lo lhe provisions ot lhe Con[ac.
lor'sLicens Law lchagrerI lcommenchgwnh S€clron 7000r of Division 3 ol $e Blsrnossa.d
Proloseons Code, or 6al he is oxempllhor€l.oh and rhe basis lor fie.rreged exempnon Any!iol6.
lion ol Section 7031.5 by a.v applrcanr lor a p€rm I subjecB lhe applicanl ro a civi penalty of .ot
more than tive hund.ed dollars l$5001'
Ul S@noh /O.aA r.asowne'orrr6r,oo€rry.orrlerr'oveesw,lisdgesssrl-erso.ecom.
!
lsig ,
B l, as Mno. ol the prop..lY,
and ihe struclu@ Enor ini.nded or olleBd lq$16
Water Healer - Electric orGas 5.00
Contractor ue6 Only .---?
Water Piping Ea. 100'CONTfrACIOS
Rain WaterPiping (buried)Ea. 100'4.00
Water Soflener 4.00
AODRESS
Ah. or Repair of Drainage -Vent PipingCITYSIATE/Z P
Lawn Sprinklor 3.00
Sain System - Por Drain {insidel 4.00
lnd. Wasle lnterceptor 800
!^dd rho provrs'on3oi Chaphr S, DNision 3 ol the Bosin€s5and
Clas. Clvl$ne
my li.en* isin lull lorc6 and all€ct
Rool Drain System Per Draln 3.00
Repair/Alt. Drainage or Vent 3.00
Vacuum Breakers 1-5 5.00
Over 5 1.00
BacKlow Device 2" or Less I 'n,/l I 5.00
Ovet 2"10.00
5'4
Wo.L,l Corlp.n''rbn Hrrt oll
Ih€reby6tli.mihatIhawacorrilicabolconse to s6rl-ins!E. d a csrtilic6t6 ot Wbrk6.'s Comp€n
$lion lne.a.@. ConifEd eopy b ft6d wnh rh6 Cilt buildi.g inspe$on dep3nmsnt.
O6t€Exorc. Ver''sd8v(Srg ,
I c.nily tnar in rh8 p€riomance ol lhe work for which
ll, 6116, m.li.g ihiB Conjfi.aro ol Exemprion. you shdld b*om. $birt to th€ 1 /o.ter! Comp6.-
slio.r provirro.s ot na [abo. C{d6, you Dusr tdrhwith cmpt wirh such pbvisions or rhis ,.mn
lral b6 derEd Gwt6d.
o€r€- Appricanitsig
so as ro b4omo sobjer lo r
Water Service
Subtoral
Penalty Fee (when applicable)
Violation Fee {minimum S35.OO)
Plan Check Fee (minimum $ I 5.OO) Acct.# 1 1-402
Receipt No PC No
lssuance Fee / /10.09\
FEE (mi s.oo)TOTAL 3r;"
DNET/ > /b)PEBJT4IT N{
Explrrtlon
ThBpemirshallexpnebylmilaronandbecomenullandvodilrhswor!authorzedbyth'spermnrs
nolcomme.c€d wilhin lSOdaysrion rhe daleof thrs perm r or r, work.urhorzed by thrs p€rmrr rs
sospondedorab3nd@edaiany Iime 6,10r rhewdk rscohmen@drora period ol180 days A n6w
pe,mn stulLbeobtal.ed nrsr b6toG suchqorkcan b6recommenced
Appllclnt'a Doclffadon
I ceni,y thal I haw r€ad thls applicaton and sbro rhar th6 abow information is co.recr I agree ro
comply with allcity ddi.aocesand sral. laws r€larinq to buiding consruct,on, aod hereby aulho.
rE repro$.r8tiws of this city lo entor upo. th6 6bov6-menrined
Applica.rorAgenl rsig.)610?
?i#iit" ? / 2b 7 "EF'F'ED
BY'sis )w,PERMIT ISSUED SY ISi
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35p0: b 805ts8VALIDATION IOFFICE T]SF ONIYI
Distribution: 1. lnsp€ctor Copy 2. FileCopy 3. Finance Copy 4. Applicant Copy
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Ea. Add'l 10O' or Fraction
Private Sewage Disp. System
3.00
PoolTraps 5.00
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PHONE
.-SATR 3?5
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