HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (32)Resrdentral lndustnal{Commercrat l* lEA.Hl
rorAL
.03Res. Hotels, Motels, Apt. Sq. Fl.
Gar. or Carporls Sq. Ft.02
Receptacles ?50 ,/.oo
3+€A Snarrn Fe V,ute,:
Fnrc u;d r?ond
OWNER
.J1,4;tbeen 546'otloAssxnres
,',.Q,'aG?L
'Hi;'5'
"'&to r77qn Switches 50
Fixtures .aq .50 4-t o<)a1 /.
Air Conditioners
Each
20.00
Approved Factory Wired Unit
LiSt 500
Busways, special raceways, under floor
duct, lrolley or plug-in busways ea. 110' or
traction thereof
500
Fire Signaling System. Minimum fee
Outlet. smoke or heat sensor
10.00
.50
Lighting Standards with One Lamp
Each Add'l fixture on same standard
5.00
1.00
Owrrer Brrilder Declaration
l
Maintenance Permit (annual)50.00
Service Meters
Up to 400 amps, per meter
Over 400 amps, per meter
Over 1200 amps, per meter /15.00
35.00
75.00
-o6/b
Signs and high potential gas tube lighting 15.00
Swimming pools, fountains, spas 35 00
Switchboard, motor control center
panels
Each
/15.00 /f
Temporary construction meter service
pole
Each distribulion pole
25.00
5.00
/ 7 o tl BEncH BLvb.
Huunryro.o tm.a
"'Q)6
y7
Use Only
CONTBACTOR
ADDRESS
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I hereby rnder the o,Chap
rs Ilrl
No lass-
Date-
tfl,- 3 SE
t'lilrl"L?w,md-
lr2.
Conraclor (Srg I Temporary construction lighting
500 lamps or less
Over 500 lamps
Z.00
4.00
Time clock or photo electric cell /3.00 300
POWER APPARATUS: Generators.
motors, transtormers, rectifiers, industrial
heating, cooking, or baking equipment
and other apparatus as follows:
Up to and including 1 HP, KW, KVA
Over 1 and nol over 10 Hq 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 HR KW KVA
2.O0
5.00
10.00
20.00
30.00
40.00
Workers Compen ."tion dl"hr"tion L
I hereby allrrrir lhal I trave a cc{lrlrcal{J ot consenl lo sclf.rnsure, or a certrlrcale ot Worker's Comper'.
salron lnsrlrance. Cerlrfied copy is filed with the Crty burlding
Dare !xp,rcs FAO vor,t,pd By is,a r
*" l1-ffiAp, canris's )
I cerlrly thal rn the perlormar)cc ol the work
person rn any manner so as to become sublect to the Worker's Compansalron Laws of CaLlornra
Date----.- ,-- - Apphcanl (Srg.)
I{otico To AppllcEnt:
ll, alter makrng thrs Cerlrlrcate ol Exemptron, you should become sublect to the Worker's Compen
salron provrgons of lhe Labor Code. you must forlhw,th comply wrth such provrsrons or thrs permrl
shall be deemed revoked
tor
deparlment
shall nor employ anypermrt rs
Subtotal 6y. b
Penalty Fee (when applicable)
Violation Fee (s0.00)
Plan Check 650/o of subtolal O (minimum 20 00)
Receipt No.Pc#32}.o^r"
Plan Check (Adjustment)
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00)7q,02
Expl[tion
Thrs permrl shall exprre by hmrtalron and become null and vord rl lhe work authonzed by thrs permrl rs
nol commenced wrlhrn 180 days lrom the dale ol lhrs permrl or rl B,ork aulhoftzed by thrs permil rs
suspended or abandcned at any lrme arler the work rs commenced tor a perod of lSO days A new
permrt shall be oblarned frrsl belore such work can be recommenced
Applicant's Declaralion
Ior rnspecton purposesflze representaliveS ot lhrs ctly lo enter upon lhe
Applcant orAgent {,"lLbfi
DATE tl-L-y?NO.
VERIFIED BY (S,g I PERMIT ISSUED 8Y (Sig r_
d,S,lY )tl/wlw 3:55p; 415 ,?4.
?iti|ii&b0
VAI,IDATION IOFFICE USE ONLYI
(ACCOUNT f1 1.413r
APPLICATION AND
ELECTRICAL PERMIT
(TYPT\/VRITF OR PF]INT IN INK)
3+
a 1bass PruE-. t
Btx'e-
APPLICANT FILL IN AREA BELOW
CITY OF SANTA ANA
206 W. 4th Sr.
667 -2738
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NDistribution: l. lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy c s.6t3
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Remarks
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Errs Dur:l
l-;ir:tory W'trrti l_lrrrl
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' lv'l,rrtor Corrtrol bentcr
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Date lnspector Approval
(Signature)
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