HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (19)NO.EACH TOTAL
03
02
Res. Hotels, Motels, Apt. Sq. Ft.
Gar. or Carports Sq. Ft
Residential' llndustrial dCommercral
Receptacles lLl 50 7./
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JOBADDRESS'3zoa.
MAILING
2,: I (v-'-J
ESS
STATE/ZIP
/*.-
A-n-k- ??Leb Switches /D 50 fr
Fixtures )7 50
Air Conditioners
Each I
20.00 /o./
Aooroved Factorv Wired Unit
Liist t1 /1,-.,i lZuAt*/U.*. /rn^r t7 500 Lq/
Busways, sftcial raceways, under floor
duct, trolley or plug-in busways ea. 110' or
lraction thereol
5.00
Fire Signali4qSystem. Mrnrmum fee
Outlet, gtrokA or heat sensor I
10.00
.50 .50
Lighting Standards with One Lamp
Each Add'l trxture on same standard
5.00
1.00
Owncr tsrrilder Declar.rtior)
';',
l
Maintenance Permit (annual)50.00
Service Meters
Up to 400 amps, per meter
Over 400 amps, per meter
Over 1200 amps, per meter
I
15.00
35.00
75.00 lSoo
Signs and high potential gas tube lighting 15.00
Swimming pools, tountains, spas 35.00
^Q@Each
Switchboard, motor control cenler or slE
(
15.00
3oEI- o ct
Temporary construclion meter service
pole
Each distribution pole
25.00
5.00
Contractor Use Onlyt.4- 824-F*i> pr-rnr':r (zrt)
CA)
I
o.
ffi
t,aDDRESq3 a {a
CIT ,&^fi.- cLA-trr/*,7lZOd
of lhe Busrness and
./ ?z.tAb,
Temporary clnstruclion lighting
500 lamps or less
Over 500 lamps
2.OO
4.00
Time clock or photo electric cell )3.00 L. oo
POWER APPARATUS: Generators,
motors, transtormers, rectitiers, industrial
heating, cooking, or baking equipment
and other apparatus as follows:
Up to and including 1 HP, KW KVA
Over 'l and not over 10 HP, KW KVA
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
2.00
5.00
10.00
20.00
30.00
40.00
workerscompenr"tion//"1"r:rtlon /
I herebv atfrrftr lhat I lrave n certrlrcate ol consenl lo self-rnsure, or a cerlrlLcate ol Worker's Compcn-
salron lnsrlraflce Cerlrled copy rs Irled wrth lhe Crly bu ldrng rnspeclron departmenl
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p4rsorr Irdrryrnanrr{rrs().islObc(roftlIsrrt)tr.ll{)llr{)Worker'\(lonrtrrnsatrorrL,rws()lCalloilra
llotlce To Applicanr:
ll, after making thrs Cerlrlrcale 01 Exemptron, you shoulcl become subtecl to lhe Worker's Compen
salron provrsrons ol the Labor Code, you must Iorlhwrth comply wrth such provrsrons or th s permrl
shall be deemed revoked
Oate.Apphcant lSrg.l
Subtotal /ff.ro
Penalty Fee (when applicable)
Violation Fee (50 00)
Plan Check 650/o of sublotal / 0r. L / (minimum 20.00)
ReceiptNo. L7 L-7 Pc# l-g j\ Dpte
Plan Check (Adiustment)fA-- qL)r/
Y/- l'Lln 10.00
rorAL penirurr #e /(minimJm dsslodl'q{,J-"
ExpiI.tion
Thrs permit shall exprre by lmrlalron and become null and vord rf the work authoilred by thls permrt rs
not commenced wrlhrn 180 days lrom the date of thrs permrl or r, work authonzed by lhrs permrt rs
suspend€d or abandcned al any lrme altor the work rs commenced for a penod ol lS0 days A new
permrl shall be oblarned trrsr belore such work can be recommenced
Applicanl's Doclaration
I corlrlV lhal I have read lhrs applrcaton and stale thal the abovo rnlormat on rs correcl I agree to
comoly wrlh all crly ordrnances and slate laws relalrng to burldrng construclron, and hereby aulho-
rre represenlalrves of lhrs ctlv io enler upon the
,"il' )-61 App,.anr cr Asen, {S,g
lor inspectro-n purposes
DArE /l-2-31 PERMIT NO.
PERMIT TSSUED BY lSrg I Ylbra
il l,zyj )98.9lyv,/g? ],zffiit *17:
BUILDING
PERMIT No
VAIIDATION IOFFICE USE ONTYI
(ACCOUNT #11-413)
APPLTCATTON AND a
ELECTRICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
206 W. 4th Sr.
667-2738
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$.)? APPLICANT FILL lN AREA BELOW
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Distribution: l.lnspectorCopy -ZTileCopy 3. FinanceCopy 4.ApplicantCopy c s '613
I hereby al,'rm
my lrc6n* rs rn
,.=?*rcAL TNSPECT'N *r.#r,
Remarks
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Date lnspector Approval
(Signaturel
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