HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (31),r--
APPL1CATION AND
ELECTRICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o o CITY OF SANTA ANA
206 W. 4rh Sr.
667 -2738
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/APPLICANT FILL IN AREA BELOW
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P
$
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/x Residentral lndustnal Commercral NO EACH
E
?.03
02
TOTAL
Gar. or Carports Sq. Ft.
Res. Hotels, Motels, Apt. Sq. Ft.
.50
,JOB ADDBESS
)RESS
?,3t 5
&- ?262h
5
S T T
37 0 e J
Ad-f,a-?aq-t a-
V;*t-',-,o ,e Receptacles
Switches 50
50
Air Conditioners
Each I 20.00 )o.oo
Approved Factory Wrred Unit D la/.
Lisr Olgpl - *ood (.5.00 3o,oo
5.00
Busways, special raceways, under floor
duct, trolley or plug-in busways ea. I l0 or
traction thereof
Fire Signaling System. Minimum lee
Outlet, smoke or heat sensor I 10.00
.50 €o
Lighti
Each
ing Standards with One Lamp
Add'l trxlure on same slandard
5.00
1.00
Maintenance Permit (annual)50 00
Fa-A"",Z;z ;:;rli,t #tu 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
/.f. o o
tJ--44- 4--
fT-tY. v-, 3)V -E..
=-E',,.o Sb. 3ru-4r,,4L4J-.4 t|*Signs and high potential gas tube lighting 15.00
4ruT -7740 Swimming pools, tountains, spas 35.00
CITY H.r S TA T t tzlP ?,7,Switchboard.
,afim)
tach
molor control center or1@l 15.00hw /fr oo
afi .tl the ptovrsr orl
oLs Code Icer ts I rill and Temporary construction meter service
pole
Each dislribution pole
25.00
5.00Lrceo,2t"?,4 3 a x Temporary construction lighting
500 lamps or less
Over 500 lamps
Contraclor (Srg )
2.00
4.00
Workers Comp6nsation
I herebv allrm thal I have a certricale of consent 1o self-rnsure, or a ceilrlrcate ol Worker's Compen Time clock or photo electric cell 3.00
{":"inffi
?'b rth he Crly ,l,1r,rt lft POWER APPARATUS: Generators,
motors, transformers, rectifiers, industrial
red By lStg )
Appl rcant {Srg and
U p to 2.00
5.00
10.00
20.00
30.00
40.00
cer that he perlor ol work OI lr hrs not ernploy an Over
person ln any mAnner SO lo become lo ker s Compen ron aw of Calif or nra Over 10 and nol over 50 HP, KW KVA
Over 50 and not over 100 HP, KW KVA
Over 100 and nol over 500 HP KW KVA
Over 500 HP, KW KVA
Date Applrcant {Srg )
Notlcs To Appllc.nt:
ll, atter making lhrs Cerlrtrcate ol Exemptron, yoe should become s!blect to ihe Worker's Compen
satron provrsrons of the Labor Code, Vou musl lorlhwrth conlply wrlh such provrsrons or thrs permrt
shall be deemed revoked
Subtotal o
Jhrs permrr shar exprre blrm,ratron and b":X::[: "" a I ihe work aurho.zed by lhrs permrr rs
not commenced wrthrn 180 days from the date ol rhrs p€rmrt or rl work authoilzed by lhrs permrl rs
suspended or abandcned at any lrme alter the work rs commenced lor a penod ol l80 davs A new
trErmrl shall be oblarned trsl belore such work can be recommenced
Penalty Fee (when applicable)
(s0.00)
Plan Check 65% of subtotal 70. O (minimum 20.00)
Applicant's Declaration Receipt No.1 'l ec*Date
Plan Check (Adjuslment)
lssuance Fee
,","/1-2'fq PERMIT FEE (minimum S35.00)
Appl€anl or Agenr (S,g
o^rE // -z-F1 PERMIT NO.
BUITDING
PERMIT No 54 boj VERIFIED BY lSrg Y1,0t-r:lflf,lll r:,51 {i)Ljv,:;,,r l^!> 3e,
VALIDATION IOFFICE USE ONLY
tACCOUNT fl 1-413)&5LY 4 tt/E/99 S:SSPfi +1I tll?.m
10.00
Distribution: 1. lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy
71c/
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Fixlures
I
violatrl*g'+'l/2 pl 4 r, 7 A
I,'l,RCI
Owner Builder Oeclaration
(/
rs rssued, I
Date lnspector Approval
(Signaturel
=.-Z
eretnrcAL TNSPECnoN nectos
Rernarks
!
I Srrirs. 11
4 l,'u,r,.
Trar
/./7.?o 56.
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