HomeMy WebLinkAbout2655 S Orange Ave Bldg 5 - Misc. Permit (4)APPLICATION AND
ELECTRICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
O .,r"oraoNrAANA
20 CIVIC CENTER PLAZA
834-4186
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APPLICANT FlLt IN AREA BELOW
@c
9zo
oIt
N
X"AiS- -t, /,ton -.--Xq"""E aesdenlj.r E tnousrna to EACH TOTAL
n.., Hot.t., tror.t8. Apt, So Fr 03
G.r. o, C.rport. Sq Fl(t :A )b-
tL 50 b-SIATE/ZIPCITY
7\)1..9
I {'20 00 +
2-Approv€d Facrory Wned Unri 500 /b-
Bu3ways 3pocial recoways. und6r tloor oucl,
trollsy or plug-in buswayE oa 10O'5.00
Ftr€ Siohahng Sysrem Minihum l.e
Oullel. smoke or ieal s6nsor
r0.00
.50
5.00
1.00
Own r{dld.r H.r.do.r
lh€Eby8finm 6.r lrfr erempr lr@ rlE Co.r,.cror's L'cen* Law fd the lolrow.g r@$n lsec
703r.5, Busin ss and Prot*sn ns Cod. A.v ciry d c@nly which i€qunos a pon ro co.srucl,
.lr.r, impror, dsmolash, q @p.i 6ny s1r!ctor6, 9r'or lo
'ls 'ssu.ne, .le equ@s lhe apphc.nl tor
luch p.rm'r ro lils a signad srira@.r lh6r he B lE6ns.d pu6@nr ro rh€ provrs@3 ol rtE c@rac-
ror's LEsn* Law lch.pro. 9 lcoomon
'ng
wrh Slcrlon ?000, ol DMeon 3 oi th€ 86n6$ ahd
ftoreieons Co&l d lhar h6 6 6r.opr rh..ot.m .nd lh€ b.es ld tn€ arresed er.6oion. Ary llora,
rid ol S.cto^ 7031 5 by .ny .polt.nr ld a p6mn .ub,ocrs rne opprica $ a civrr O.n€ty ol nor
more $an nw hundr6d dolhrs ( S5OOI
I Seion 7O44A I, as own€r o, rho plopertv: or hy 6mproy6es wiin wso6s 6s rh6( sore com-
p6.$rio., will do rhe wo.k, .hd rh! srrucro€ E nor 'nl6nd6d or oltered ,or ele
E S.cl'o. TO aB l, rs o*n, ol the proporg, 6m €xclus'wlr comra.rno wrh lEo.$d con-
lnctds to coNrucr th6 9.oFcl
D.re- ow.e. isig
Mar.renance Permir (annuar)50.00
Conrrrdo, Uaa Only
COIITBACTO'/ffi-,azt-t {-4r/-PHONE/7/)ltr Up lo 400 emps. ixr mdsr
Ov€r 400 amp6, psl lnrler
Ov€r 1200 !mps. pe, mcler
15.00
35.00
75 00
Signs and hrgh polontaat ges tube tignting i
s*immrng poors, lountains, spas 35 00
$vhchboard, molor conlrcl oanler o. aub.panel8
Each
r5.00
Temporary conslruclion m€lar a€tuica pols
Each distibution pole
15.00
3.00
I h..eby .t rm thrr r .m r6sn$d under rh6 povrsions ol ch6oier 9, Division 3 ol rh€ Edsrn$s 6nd
Pror.$ions Cods, ..d my license E in lurl lorce and en@r
s izP
2c
4 d 2_/"-
200
a00
Tom9orary corulruction lighlingg)0 lamp6 or less
Ov€r 50O lamps
Tirn6 clock or photo glectric csrt 300
POWEA APPABATUS: Gsn.ratols, molors,
ranslorm66, r€ctili€rs, industrial h€aiino,
cooking, or baking equipmonl aod olhor
epperalus as lollows:
Up io end including I HP. KW, XVA
Ov€r 1 end nol over !0 HP. XW. KVA
Over l0 and nol over 50 HP. xW. xva
Ovor 50 and nol ovsr 100 HP. (W. XVA
Ovor 100 and nol ov€. 500 HP, XW, KvA
Oroi 500 HP XW. KVA
2.00
5.00
10.00
20.00
30.00
40.00
1frd..6 CorrT..l..don D.cbr.rfo.t
I ha.oby aftm ih.r I h8w a con'l'6r. ot con$nr lo ell-osurc, or 3 cenilicale ol Wod.r'3 Compen-
I conifu rhar '. th€ p..tona.ce ol tns wo.t ior whEh ihis lErhll rs E$ed
p..sn in .ny m.nnor .o .s ro bocome subiea ro the Vvod<6r's Compen$r,@ L.*s o, Car'tornia
ottc. To ADplcd:
ll, slt6l hakinq rhB Cr.rillcale o, Er.mpnm, you 3hould b.cme sob,Et ro lhe W@tor's Cmpen
er,m orovis'o.s ol rha L.bor code, you mu$ lo.lhwrlh co.noly wllh such prov'!ro.! o. lhis !€mir$.rl b€ deemod ovok.d
O6re Apprica^rls!
7q.,rz
Penally Fs? (when apphcabl6)
Violarion Fee Iminimum 135.00)
10.00
\nt e:nrr rrr (hnimgh 33s oo)7q,s,
E (9Ho.l
Thrs p€rm'lshatlexprc by lrm'6r,6 6.d b@rn nulr.nd vo'd d rh€ wqt surhd'..d by rh6 p€rmrr rs
rc1 cofrh.nc€d wihh 180 d6ys lr@ rhe d6e ol lhl! o..mfoi i, wdl 5uth6E6d by rh6 pe.mn
's3usD6.ded d ab.nd6.d .t.^v rdn€ arer lha wort E co6e.nc.d lor a D.nodol180 drvs A,w
p6mtr sh3ll !. otrrned n.sr hio.6ruch worrca. bs lscoodencrd
App{canr'a Harailon
lcenrtylhar lhsve r.6d rh's 3ppl'et'o ..d al8le fi.r h. abow..lom8l'@ 6 csel l39.os lo
comply *irh 6llcirv dd'^....s..d sl.le laws.6l6rn9 lo bu'rdno consrtucr'o^, a.d h.,.bv.ulha
ruercpre*nrsnvesol lhrsc't,y ro en|el opon rne.bove.
/","h{e -- (z-/Y- Yb PEFTI' IIO
?t*ilshl?, u,,,,o,,,", n,,4a, /---PEiMII ISSUEO 8Y I SB
5AiR 151 9950=b 3183t
VALIDATION IOFFIC! IJS€ ONLY)
tAccouNT ,]r,4r3l
Disriburion: l.lnspectorCopy 2.FileCopy 3 FrnanceCopy 4. Applicant Copy
o2
50
50
Each
Ljghling slandads w,th one Lrmp
Each Add'l tnure on 6ame slandard
15.00
Pran Chack Foe (mioimuh 315.00)
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