HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (39),uo l.o"rl roro,-ial , lndustrial Commercaal
Res. Hotels, Motels, Apt. Sq. Fl 1729
l/f.es,oent
2).?7
Gar. or Carports Sq. Ft.) t.?
.03
02
Receptacles 50
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)):", /b/* Z.- /L%r" 4 -.G
iefu /aa.:-i4 " y, f !' !,,0
39 /, 7.---y.^St 4,,
k-Z* 7tu-z* &., 7?c2/e Switches 50
Fixtures 50
(20 00 ?o,ooAir Conditioners
Each
Approved Factory Wired Unit
List 500
Busways, special raceways, under floor
duct, trolley or plug-in busways ea. I10' or
fraction thereof
(500 j)o. oo
Frre Signaling System. Minrmum fee
Outlet. (66n'aor heat sensor I 10.00
.50 ,f,D
Lighting Standards with One Lamp
Each Add'l fixture on same standard
Ownsr-Bullder Doch?atlon
I hereby allrrm thar I am exempt lrom the Contractor's Lrcenso Law lor the followrng reason (Sec
7031 5, Bus,ness and Prolessrons Code Any crty or county whrch requrres a permrl to conslruct
aller. rmprove, demoish, or repaf any slructure, pilor to rts rssuance, also requtres lhe apphcanl Ior
such permrt to file a srgned slalemenl thal he rs hcen$d pursuanl io the provrsrons o! lhe Contrac
lor's Lrcense Law lChapter I lcommencing wrlh Sectron 70001 ol Drvrs,on 3 ol the Buslness and
Prolessrons Code) or thal he rs exempt therefrom and the basrs tor the alleged exemptron Any v ola
lon ol Seclron 7031 5 by any appllcanl lor a permfi sublects the applcant lo a crvrl penalty of not
more lhan lrve hundred dollars I S50O)
E Su",,on7O44A l,asowneroltheproperty,ormyemployeeswrthwagesastherrsolecom
pensatron, wrll do lhe work. and lhe struclu.e rs nol rntended or ollered tor sale
n Secnon 70448 l, as owner ol the property, am exclusrvely contraclrng wrth hcensed con
lractors lo construct the prolect
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
I 15.00
35.00
75.00
tU, oo
Signs and high potential gas tube lighting 15.00
Swimming pools. fountains. spas 35.00
ffiSwitchboard. molor control center @
I
15.00
/f,'o o
Temporary construction meler service
pole
Ea/' distribution pole
25.00
5.00
XmWt ary construction lighting
500 lamps or less
Over 500 lamps
2.00
4.00
Time clock or photo electric cell 3.00
POWER APPARATUS: Generators,
motors, transformers, rectif iers, industnal
\Aaling, cooking. or baking equipment/and other apparatus as follows:
Up to and including 1 HP KW KVA
Over 1 and not over 10 HP, KW KVA
Over 10 and not over 50 HP, KW KVA
Aver 50 and nol over 100 HP. KW KVA
Over 100 and nol over 500 HP, KW. KVA
OVer 5OO HP, KW KVA
2.00
5.00
10.00
20.00
30.00
40.00
lrcensed under the prousrons of Chapter 9, Drvrsron 3 of lhe Busness and
I hereby alhrm lhal I have a cerlrlcate ot consent lo sel|rnsurc, or a cerlrfrcale ol Worker's Compen-
salron lnsurarrce Certrlred copy rS Iled wrlh the City burldrng rnspectron departmBnt
lr. alter makrng thrs Cerl,lrcate ol Exemptron. you should becom6 sublect to lhe Worker's Compen
salron provrsrons of the Labor Code, you must lorlhwrth coftrply wrlh such provrsrons or thrs permrl
shall be deemed revoked
ADDRE
/,,2a t I
I hereby allrrm thal
Crty Lrcens-
Workers Compensation
5c. $7*'44--L2- 1o
9I2tandlu ll andhcenselorce e
71bI
I cerlrly lhal rn the perlornance o, the work I
I smrrrzre 72+
_ Contractor lSig. )
rt rs employ anv
as to become L nratl,,.
Apphcanl (Sr0
Notic6 To
5TL '3 el3
'rr,Nr (ZrO
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cj.
Verrfred By (Srg l
Applrcanl (Srg I
Orr,,trp,,,,,rtF
,r,,,"//'r:!tq
I 1,,( Iclo
hTtr
tn"""'fiffi
Subtotal / 07. to
Penalty Fee (when applicable)
Violalion Fee (s0.00)
Plan Check 650/o ol subtolal 7 O. o-, (minimum 20.00)
Receipt No.I ec*
^
Date7
Plan Check (Adiustmenl)
lssuance Fee 10.00
PERMIT FEE (minimum $35.00)
Explrrtlon
Thrs permrl shall exprre by lim'talion and become null and vord rf the work authorrzed by thrs permil rs
nol commenced wrthrn 180 davs lrom the dale ol lhrs permrl or r1 s,ork aulhonzed by lhrs permrt rs
suspended or abandcnedal anv lrme alt€r lhe work rscommenced lor a peflod ol lSO davs A new
permrl shall be obtarned trrsl berors such worl can be recommenced
Applicanl's Declaration
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*-l l->8{ appr,",nr o, ns"nr rs,s ,
PERMIT NO.
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PERMIT ISSUED BY (Sig )^y''!v 5a
rv{Et8P SsSPtt tls lll?.m
VALIDATION {OFFICE USE ONLYI
iACCOUNT
't1-413)
!o aAPPUCATION AND
ELECTRICAL PERMIT
(TYPEWBITE OR PRINT IN INK)#>
CITY OF SANTA ANA
206 W. 4th Sr.
667 -2738 W
APPLICANT FILL IN AREA BELOW
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Distribution: L lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy c s .613
5.00
1.00
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Oate lnspector Approval
(Signature)
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