HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (38)commerciar l* lEA.Hl rorALFFesidential lndustrral
Res. Hotels, Motels, Apt. Sq Ft.l.l ,O 03
Gar. or Carports Sq. Ft U4 ?02
E7o
?.72
Receptacles 50
f7df 5*ro- 7p -/4*r$r
, a**.-2.- _fyl - O/to
73 /-f ?*oq*A: .?.2-"'b;rn- >tua--
JOB ADDRESS
STATE/ZIPO- rxtt Switches 50
Fixtures 50
Air Conditioners
Each I 20.00 P.oo
Da.wApproved
LiSt
Factory Wired Unit
ila41 7 5.00 JScto
Busways, special raceways, under floor
duct, trolley or plug-in busways ea. 110' or
fraction thereol
5.00
Frre Signalrn&System. Mrnimum lee
Outlet,6moll 9r heal SenSor I 10.00
.50 .s;'t2
Lighting Standards with One Lamp
Each Add'l fixture on same standard
5.00
1.00
Owner-Eullder Decla?atlon
I hereby alltrm thar I am exempl lrom lhe Contractor's Lrcense Law lor the followrng reason lSec
7031 5, Busrness and Prolessrons Code Any crly or county whrch requrres a permrl to conslrucl,
alter, rmprove, demo|sh. or reparr anv structure, pilor to rls rSsuance, also requrres lhe applrcanl tor
such permrl to frle a srgned statement lhal he rs |censed pursuanl lo th€ provrsrons ol the Conlrac-
lor's Lrcense Law lChapter I (commenc.ng wrlh Seclron 7000) ol Drvrs,on 3 ol lhe Busrness and
ProfessronsCodelorthalhersexempltherelromandthebasrslorlheallegederemplron Anvvrola-
tron ol Secton 7031 5 by any applEant lor a permrt sublects the applrcanl to a crvrl penalty 01 nol
more than five hundred dollars ( S500|
n Sect,on7044A l,asownerollheproperly,ormyemployeeswrlhwagesaslhersolecom-
Densalron, wrll do the work, and lhe struclure rs nol rntended or oflered ,or sale
n Seclron 70448 l, as owner ol the property, am exclusively contraclrng wrth lrcensed con-
liaclors lo conslruct the project
Dale--- Owner (Srg )---.--
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
/.fo o
Signs and high potential gas tube lighting 15.00
Swimming pools, fountains, spas 35.00
Switchboard, motor control center o@@Each /
15.00
/600
Temporary construction meter service
pole
Egch distribution pole
25.00
5.00
'+"o^ ;2*L, n|,;)t''t
I
, fia*e.-tt
L//H{ecI
I hereby atfrrm thal I am lcensd !nder the provrsrons ol Chapter I, Drvrsron 3 ol the Business and
ADDR ESS
CITY :,rdr-wq:7?ofb#+-?-?
and mv lEense rs in
Lrcense No b7-
oateI Conlractor 4empor ary construction lighting
500 lamps or less
Over 500 lamps
2.O0
4.00
Time clock or photo electric cell 300
POWER APPARATUS: Generators.
motors, transtormers, rectif iers, industrial
/heating, cooking, or baking equipment
and other apparatus as follows:
Up to and including 1 HP KW. KVA
Over 1 and notover 10 HP, KW KVA
z 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.OO
5.00
10.00
20.00
30.00
40.00
I hereby affrrm that I havo a ceilricate of consgnt lo slf-rnsure, or a certrlrcate of Worker's Compen
$lron lnsurance Certified copy rs filed wrth the City burldrng
li, alter makrng lhrs Certricale ol Exemptron, you should become sublect to the Worker's Compen-
$llon provrsrons of the Labor Code, you musl lorthwrth cotrrply wrlh such provrsrons or thls permrl
shall be deemed revoked
workers Compensation Decl(lLtion
V
rgl
lor which thrs
ron depailment
Notice To
s rssued, I shall
Laws
,1 #aam,:;._
employ any
Subtotal 2
Penalty Fee (when applicable)
Violation Fee (s0.00)
Plan Check 650/o of subtotal 7 2 . 7 jt*inimum 20.00)
ReceiptNo L7 l7 Pc# f,])) oate
Plan Check (Adlustment)
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00)Bz.rt,","1l2'9q App can, ., Asen,'r rfuV
E x l)iralion
Applicanr's Declaration
,:
r,,l)' L' Ii,,1, r|,:,,,
oArE / l-2'a?PERMIT NO.
/A- | ,',nr,,, sslrtt)uY Slr) >\'orJa
clf JY I n/w,/w srtrtrFtl lts lll?.Ea
, 5t(/2 VERIFIED BY (Srg )
VALIDATION IOFFICE USE ONLY)
iACCOUNT#11.413)
o oAPPLICATION AND
ELECTRICAL PERMIT
(IYPFU,/RITE OR PFINT IN INK)
CITY OF SANTA ANA
206 W.4th St.
667-2738 /W
L APPLIcANT FILL IN AREA BELOW
@g-ozo
00amaa
qt
\\
\
N.
F
l-
t
)t
Distribution: 1. lnspector Copy 2. File Copy 3. Finance CopV 4. Applicant Copy c s 613
Crty Lrcense
lotce1u ll and ellect oCI 6l "l .?9,dffi.
=.=?*rcAL rNSPEcroN *r.frr,
Remaks 5
('
I
[-ii(;t()r,,, W]r.--rj t-_jrr rt
i
I rlfrt !it l:
l. l
t!Jt,
I, rnll)()r.lty I rgtrlrrtg
Tt ilt r5l( rr tt ), rt (i
1../rtrJr:tgrCrr I rrd
.:l
Date lnspector Approval
(Signaturel
3.&-qo Q.z7a,o>1,
U
2
-
---r-rT:-
-
+'\-