HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (28)"j'i') e |a.^trn- 7:-
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Res. Hotels, Motels, Apt. Sq.r{2.fb 03 72a*
Gar. or Carports Sq. Ft 4{f .02 ,. ?d
Receptacles .50
Switches .50
Owner Builtler Declardtiorl Fixtures 50
Air Conditioners
Each I 20 00 20,oo
Approved Factory Wired Unil . D t+)
_List Dp Hoad
Busways, special raceways, under floor
duct, trolley or plug-in busways ea. 110' or
lraction thereol
7 5.00 3-f,oo
5.00
Fire Signaling System. Minimum fee
Outlet, smoke or heat sensor I 10.00
.50 fo
Lrghting Standards with One Lamp
Each Add'l fixture on same slandard
5.00
1.00
Maintenance Permit (annual)50.00
2VO 9o.
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I hereby ali nYr that I sed ilnder lhe provrsrons ol Chap!er I
ce and ef,
STATETZIPT ?)&
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Workers Compensation
I herebv alfrrm that I have a cerlrfrcale of consent lo sell.rnsure, or a cerlr|cate of Worker's Compefl-
satron lnsu.aice Certrfred copy rs trled wrth the Crty burldrng rnspectron department
Notice To Applicant:
'rrl
Service Meters
Up to 400 amps, per meter
Owr 400 amps, per meter
Over 1200 amps, per meter
/15.00
35.00
75.00
tCo o
Signs and high potential gas tube lighting 15.00
Swimming pools, founlains, spas 35.00
W"o'
motor conlrol center oooo.15.00 tf,oo
Temporary clnstruction meter service
pole
Fach distribution pole
25.00
5.00
Temporary construction lighting
500 lamps or less
Over 500 lamps
2.00
4.00
Time clock or photo electric cell 3.00
POWER APPARATUS: Generalors,
motors, transformers, rectifiers, industrial
hegting, cooking, or baking equipment
-arfd other apparatus as follows:
Up to and includrng 1 HP, KW, KVA
Over 1 and notover 10 HP, KW KVA
Over '10 and not over 50 HP, KW KVA
Orcr 50 and nol 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
Subtotal / 3l .LL
Explratlon
Thrs permrl shall exprre by Imrtalron and become null and vord rl the work aulhonzed by lhrs permrl rs
nol commenced wrthrn l80 days lrom the date ol lhrs permrl or ri u,ork authon2ed bv lhrs permrt rs
sugpeodod or abandcned at anv lrmealler lhe work rscommenced lor a penod ol lS0 days A new
permrt shall be oblarned lrrsl before such work can be recotrrmenc€d
scrty loenter upon the
Applrcant or Agenl I
Applicant's Declaration
|1:
I certrly that I have read t
comply wilh all crty ordrn
rrze repre*nlalrves ol lhr!
,",,' ll'2-t 1
Penalty Fee (when applicable)
Vtelalioo-Eeo-(50 00)
Plan Check 650lo of subtotal * q.SG (minimum 2O.OO)
ReceiprNo. C7U,7 Pc# $ jyloate
Plan Check (Adjustment)Az+
lssuance Fee 10.00
I foTAL PERMTT FEE (minimum $35.00)bl ,fu
oA[E //-2. 31 PERMIT NO,
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VALIDATION {OFFICE USE ONtY
(ACCOUNT flr-4r31
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PERMIT ISSUED BY (Sig.l lb sn
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APPLICATION AND
ELECTRICAL PERMIT
(TYPFWRITE OR PRINI IN INK)
o o CITY OF SANTA ANA
206 W. 4th St.
667 -2738
APPLICANT FILL !N AREA BELOW p
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Distribution: '1. lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy C S 61:l
D"r"Erp,,"l&#-.ver,t,edBytS,o,--- /-
:""(#:#:'":::^:::: . %lcertfy lhat rn the per6rmarrc| ot rhe work lor whrch thrs q9 't rs rssued.
peason rn 6ny manner so as to become sublecl lo lhe Workct s Compensalron Laws of Cahlornra
Date --- Applrcanl{Srg)-
=.r?*rcAL rNSPEcroN *=.to,
Remarks
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Date lnspector Approval
(Signaturel
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