HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (62)NO.EACH TOTAL!{'Residential -tlnduslnal Commercial
Res. Hotels, Motels, Apt. Sq.n. f 6*03 2).?L
Gar. or Carports Sq. Ft.2/q 02 +,3 f
Receptacles 50
JOB ADDRESS
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Switches 50
Fixtures 50
Air Conditioners
Each /20 00 20n)
(UApproved Factory Wired Unit
List L 5.00 J o.oo
Busways, special raceways. under floor
ducl, trolley or plug-in busways ea. 110' or
fraction thereof
5.00
Fire Siqnalinq Svstem. Minimum lee
outte[ @pr heat sensor
10.00
50 ,.fr
Lighting Standards with One Lamp
Each Add'l hxture on same standard
5.00
100
Owrrer Builder Decla,olion
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
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Signs and high potential gas tube lighting 15.00
Swimming pools, lountains, spas 35 00
molor control center o(@S@hload.
@elP
Each
15.00 /ft ttz)
Temporary construction meter service
pole
Eqph distribution pole
25.00
s00
I hereby alfrrm lhat I am lrcenscd under lhe provrsrons ol Chapler 9, Drvrsron 3 o{ lhe Busrness and
Prolessror,s Code, and my lrcense rs rn tull Iorce and etlect
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Contractor Uso Only
PH(lN ICONIRACTOF
n_l_@'!E/s
r'r
ESS
3 Z
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-#mpr 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, rectifiers, industrial
heating, cooking, or baking equipment
and other apparatus as follows:
Up to and including 1 HP, KW KVA
Over 1 and not oGr 10 HP, KW KVA
Qver 10 and not over 50 HP. KW KVAzOver 5O and not 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
I hereby att'rm that I have a cerlricale ol consent to sell{nsure, or a certfrcal€ ol Worker'5 Compen-
satron lnsurance Cerlrfied copv 's I'led wrlh the Crty bualdrng rnspeclron deparlment
ll, after makrng thrs Certrlrcate o, Exemption, you should become sublect 1o lhe Work6r's Compen-
sanon provrsrons ol lhe Labor Code. you musl lorthwrlh comply wrlh such provrsons or lhrs permrl
shall be deemed revoked
rg. I
's
oecta$/on U
whrch thrs permrl is
Workers Compensation
I cenrfy thal rn the performance of the I shall nol employ any
ol Calrlornra
Notico To
oare t,pr esl/ -1- ?O ve|t'ea av $,c t
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:::tru;frqH",:;
Subtotal /o7.to
Penalty Fee (when applicable)
Violation Fee (50.00)
Plan Check 650/o of subtotal 7 O, O 7 (minimum 20.@)
ReceiptNo6 7a '7 Pc # 6'5 23 Date
Plan Check (Adjustment)
lssuance Fee 10 00
-{ol,pltPERMrr FEE (minimum $35.00)/l7.ea
ExDir.rtion
Applicant's Declaratioo
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PERMIT NO.235 48oArE r/ -z.fl
VERIFIED BY lSrg )PERMIT ISSUED BY (Sig l Vl, glfuz^-
lr^E/8P S:Spt{ +13 t117.m
BYI',l,iff" &4rr
VALIDATION IOFFICE USE ONLY}
TACCOUNT fr r.413r
afpucATloN AND
ELECTRICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
I o CITY OF SANTA ANA
206 W. 4th Sr.
667-2738
/1 5 wf
APPLICANT FILL IN AREA BELOW
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Distribution: l.lnspectorCopy 2.FileCopy 3.FinanceCopy 4.ApplicantCopy
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Remarks
Brrs Dur;l
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Motor Contr(rl C.lltlor
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Date lnspector Approval
(Signaturel
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