HomeMy WebLinkAbout2655 S Orange Ave Bldg 5 - Misc. Permit (3)APPLICATION AND
ELECTRICAL PERMIT
(TYPEWRITE OR PBINT IN INK)
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834-4186
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APPLICANT FILT IN AREA BELOW
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LAb1 5 0ra-vr4,<--E Resdenr,a
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9(lndusr,,ar L,comme,clar EACH
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MAILINGAODBESS
50 ,5c
Each
Lrsl W.X:"A, nklpt^500 SttD
5.00
Firc Signaling SlstsB. Mininum leo
oull6l, smoke or h€al senso.
10.00
50
Lighting Slandards wilh On€ LaBp
Each Add'l linure on same slandard
5.00
100
Own.?-BdH.lH!.'rn n
lh€.6by alltrh lhar lad €xempr lrom rheC@r&ror's Licens€ t?w lor lhe foliow'ng.eaen lsec
7031 5, Busne$6nd Prolessions Cod6: Anycity orcounly which Gqunosa psrmil lo consfilcl,
alto., improvo, demolish, or epananysr!.ture, pnorloirsisuon.e, al$.€qurcs lheapplicadlor
soch permir lo lile 6 eg@d nareme.l lh.r he is lice.sed puEuanl lo lho provisrons ot tho Conlrac-
ldr's Licens Law lchapE 9lcomm€ncng wirh S@ton T0O0lol DMsion 3ollhe Busine*.nd
Prolssnons Code, o. lhar he is€x6mpr theretromandlhe bsis tor thealLEgedexemplion Any viola.
lio ol Secion 7031 5 by any applrca.r lor a pemrt subje.ts lhe apprE.nl to a civil penalv ol nol
mor6 lhan I ve hundred dollaB l$ 5001:
! S."tl- lOaa I, as owner ol the p.opertv. or ny employoes wnh w6ges as rhen sb com-
ponsarid, wir do fio wo.t, and $€ $tucru€ is nol inlended d oftered lor $le.
E Saton TOaaB l, as owner ol lhe prop".ly, sm exclusNery conlraclng wirh licon*d con-
PHONECONTF
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Conrractor Uso Only
relds ro consitucr rho proi&r.
D6re- Own.rlsig
50 00
15.00
35.00
7500
Up lo 400 amps, pe. m€t6.
Over 400 amps. per m€lsr
Over 1200 amps, per melsr
S'gns and h'gh polenlial gas lut e lrgnting r5 00
35 00Swihmlng pools lountains, spas
Swilchboad, motor conlrol c€nler or sub-pansls
Each
r5 00
?Temporary conslrucrion m6ier service pole
Each disiribution pole
2 00
00
Temoorary construciion liqhting
500 lamps or less
Ove. 500 lamps
Tim6 clock o. pholo €leclnc ceil
I
2.00
5.00
10 00
20 00
30.00
40.00
5,oo
PowEF APPABATUS: Gen€.arors. molors,
Iranslormers, re.tiliers, indusrial haating,
cooking, o. bakiog equipmenl and olh6r
apparaius as lollows:
Up io and includino 1 HP. KW, KVA
Ov€r 1 and noi over 10 HP. KW. KVA
Over l0 and not ovsr 50 llP. Kw. KvA
Over 50 and nol ovsr 100 HP, Kll/, KVA
Over 100 and nol ovsr 500 HP, KW, KVA
Over 500 HP, KW, KvA
.(k_ t,('ovanv€*,a(t\>.
'1.1 (I 4.oo
frro*cocomprn:rdon Ded*don 7 |I
r heEbl afinm rhsr I rsve a centcdle ot con*.r ro *ll'nre or d c€n
'cars
o' Wote' { Corpen.
lcenifylhar in the pedomance of lhe work torwhich rhis pemi
po.en in a.v manoer e.srobecm subjer ro 6e Wbrke.'sComp€n$lion Laws ol Calid^6
tlate- Aool,canr ls'q. )-
elron lnsurance Corlilied copy sirledwlhihe
o",. u,0,." I z 1 &/o u"'" n,
o","Y153/o**,.,o,
)l.oc)
Penalry Fee (when app lcabre)
viorarion Fee tm nrmum 535.00)
Plan Check Fee (minim0m 515.00)
PC No
10 00
4<LtTOTAL PEAUIT FEE (minrmum $35.00)
ta7 dq
Erptr! ioo
Thispermirshallexpr6bylimiialionandbecome^ullandrodillh6wolkaolhonzodbythBpemil6
norcommo.ced wrhrn 180 &ys lrom Ihe dale o, rhis peon or ilwolk eulhoized bv lhs pe.mil is
suspsndodorabando.eddanyimoahorth€workrscommoncedlorapeiodorrS0days A new
o.dn shall b€ obrarn6d li.sl bolore such wo.k can bo reommonced
Apolc.nt'. D.cbr.ton
I cen4 dlar I haw r6ad lhE applr@to. and sr6re rhal rh€ abovo rntormaton is cor6or I agree lo
comp[ wnh .ll ciry ordnances 6nd sbre laws relar'ng ro building cosr.ucli@, rnd h€rsby.urh]
ize repB$.ranves ol rhrs crty lo e.to, u pon fie abow mentoned
I
OATE PENMIT NO
zWPEBMITISSUEDBYISTs,
VALIDATION IOf FICI USE ONLY)
laccouNTrlr-413t
Distribution: l lnspector Copy 2 FileCopy 3. FinanceCopY 4. Applicant CopY
k R ,kmd.<-r stl.,"'"'
CITY
ic!. Bot6ti, fot6t{ Apt. Sq Fr
Grr. or carport Sq Fr
Bus*ays. special race{ays, unde. lbor ducl
trolley o. pluq-in busways sa 100'
Mainianance Pe.m( (annual)
AUILOING
PEnM!T No
-vEnlFlED
BY ls'q I
ATR O1A .,
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lrl...........LL
/l .50 | ,30
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odc. fo Applc.nr:
ll, atbrmakng rhrs C6rti,i€re o, Exehpnon, yo! should b€com6 subF.r ro 6e Woder'sCompen
sion p.ov6ro.s of lhe L.bor Code, you m!$ to.rhurh comply wirh such p.wrsionso.thlsperoil
shall be d@mod revokod.
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