HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (2)NO.EACH TOTAL{"'ou^u^'lndustrial Commercral
Res. Hotels, Motels, Apt. Sq. Ft.03
Gar. or Carports Sq. Ft.02
Re.eplacles 50
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JOB ADDRESS
MAILING ADDSESS
N'[-t
4(Saclapg_
tti be A.rL.
I pHorrrL
rzb
UI
.*#il., i: cowck
ts*ncney'L 50 t-.vtffis 50
Air Conditioners
Each
20.00
Approved Factory Wired Unil
List 5.00
Busways, special raceways, under floor
duct. trolley or plug-in busways ea. 110' or
fraction thereof
500
Fire Signaling System. Minimum fee
Oullet, smoke or heat sensor
10.00
.50
Lighting Standards with One Lamp
Each Add'l trxture on same standard
5.00
1.00
owner-tldcr Occlaratlon
I hcreby afffim thal I am exempl from lhe Conlractor's Lrcense Law lor the followrng reason lSec
7031 5, Busrness and Proressrons Code Any crly or counly whrch requres a permrl lo conslruct,
aller, rmprove. demolrsh, or repatr any structure, pnor lo rls rssuance, also requres lhe applcanl lor
such permrt to irle a srgned statement lhat he is lrcensed pursuant lo the provrsions ol the Conlrac-
lor's Lrcense Iaw lChapter 9 (commenc.ng wrlh Sectron 7OO0) ol Drvrs,on 3 ol lhe Busrness and
ProfessronsCode)orlhalhersexempttherelromandthebasrslorlheallegedexemplron Anyvrola-
lron ol Sectron 7031 5 by any applrcant tor a permrt sublecls the applicanl to a crvil penaltV ol not
more lhan five hundred dollars lS5OOl
E S"",,on7044A l,asowneroftheproperty,ormyemployeeswrthwagesasthelrsolecom-
pensatron. wll do lhe work, and the structure rs nol rnlended or otlered lor sale
tr Secton 70448 l. as owner ol the propertv, am exclusrvely conlractrng wrth lrcensed con'
tractors lo conslrucl the prolecl
Date-
-
Ownsr (Srg )---.--
Mainlenance Permit (annual)50.00
Service Meters
Up to 400 amps. per meter
Over 400 amps, per meler
Over 1200 amps, per meter
15.00
35.00
75.00
Signs and high potential gas tube lighting 15.00
Swimming pools. fountains, spas 35.00
Switchboard, motor control center or sub-
panels
Each
15.00
Temporary construction meter service
pole
Each distribution pole
25.00
5.00
Contractor Use Only
Co^tt1to t J *d',
Co[Loufrl,o #e '
iin*",a U
I hereby atlrrrn that I a9lhcenseri rrnrler lhe p.ovrsrons ol Chaple. I
Prolessror,s Code, and my hcense rs rn lull lorce and elleul
,,"un""tff/fDk ,,r", QID c,tvrfenseoa )33
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CONTEACTOR
kac4sS
AODBESS
31 p tz.
qb
o- bt >o.
lhe Busrness and"':i:!,
27_
Temporary constructron lighting
500 lamps or less
Over 500 lamps
2.00
4.00
Time clock or photo electric cell 3.00
POWER APPARATUS: Generators,
transformers, recliJiers, industrial
Over 10 and not over 50 HP, KW KVA
Over 50 and not over 100 HP, KW KVA
Over 100 and not over 500 HP, KW, KVA
Over 500 HP, KW KVA
cooking, or equipment
L 2.00
s.00
10.00
20.00
30.00
40.00
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OloEQnTDn
, i.;
Notice To Applicant:
' 'r ir trr i ,r; ,r ' 1r, ,r ..i. i rii, r,f,,r L i
'I
I hereby atfrrm that I hav€ a certificate of consenl to s€lf
l,,r.r, , ,r , r,r,r. .r I 1,, n, l. 1l ll'
co ^pens arfig) cr a,(!!)n
,S
:?too,, , (flrt I
'::l:!?
Venied By {Srg
Dl Applcant t
perlormance of the wo.k lor
or a certtrcat€ ol Worker's Compen-
Worksrs
I shall not employ any
Laws of Calrlornra
stron lnsurance Certrl'gd copy rs ilod wrlh the Cily
nvt--Subtotal
Penalty Fee (when applicable)
Violation Fee (50.00)
Plan Check 65% ol subtotal (minimum 20.00)
Receipt No.Pc#Date
Plan Check (Adjustment)
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00)55-
E x pirat ion
Appllcant's Doclaration
I certrlv that I have read thrs a,rphcatron and state lhal the above rntor
comply wrlh allcrtv ordrnances and slale laws relatrna to buLldrng
"*ftfr
rs correct I aqrselo
lron. and hcreby aulho-
rnspeclon purposesrEe,epresnlalrvesol thrsqty losnter upon the a
DAr+ -;.b-rc PERMrrNo. 2497 8
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0BY (Stgl
0y26/90 l:slPf{ ofo(
BUILDING
PERN,IIT NO
VALIDATION IOFFICE USE ONtY)
TACCOUNT lll'413r
APPLICATION AND
ELECTRICAL PERMIT
(TYPEWFITE OF PRINT IN INK)
I o CITY OF SANTA ANA
206 W. 4th Sr.
667-2738 W
APPLICANT FILL IN A BELOW
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Distribution: 1. lnspectorCopy 2. FileCopy 3. FinanceCopy 4. ApplicantCopy
T
,.r?*rcAL INSPECT'N *=.#o,
Remarks
r.rl ) "
Bi)rlrlrn(J
Bus Dur;t
Dur.t
M0tor Control Certtor
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Date lnspector Approval
(Signature)
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