HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (63)APPLICATION AND
ELECTRICAL PERMIT
(TYPEWRITT OF PRINT IN INK)
a a CITY OF SANTA ANA
206 W. 4th Sr.
667 -2738
3 APPLICANT FILL IN AREA BELOW
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(Besidential I I lndustrial commerc ar
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03 42azLl2+Res. Hotels, Motels, Apt. Sq Ft.
Gar. or Carports Sq. Fl LB1 02 3,7 tr
Beceptacles 50
-ffiie Q-ta.Z*-r"@ aS;id@*-M-*t t.r4q-*W
Switches .50
Fixtures 50
Air Conditioners
Each
20.00 d0, t'a
Approved
List
Faclory Wired Unit buJ, OP-
Vs--d-b 5.00 7o, s'n
Busways, special raceways, under floor
duct, trolley or plug-in busways ea. I10' or
fraction thereof
5.00
Fire Siqnalino Svstem. Minimum lee
Outle[ q!6@or heat sensor /
10.00
.50 ^SnLighting Standards with One Lamp
Each Add'l fixture on same standard
5.00
1.00
L)wner Builder Declaration
Maintenance Permit (annual)50 00
Service Meters
Up to 400 amps, per meter
Over 400 amps, per meter
Over 1200 amps, per meler
/15.00
35.00
75.00
,/e (n
Signs and high potential gas tube lighting 15.00
Swimming pools, lountains, spas 35.00
motor control center ordm-)Swittboard.
Aanels)
Each
r 5.00 /{, o-1)
Temporary construction meter service
pole
Each distribution pole
25.00
5.00
4empr ary construction lighting
500 lamps or less
Over 500 lamps
2.00
4.00
Time clock or photo electric cell 3.00
POWER APPARATUS: Generalors,
motors, transformers, recliliers, industrial
zheating, cooking, or baking equipment
and other apparatus as follows:
Up to and including 1 HP KW KVA
Over 1 and nolover 10 HP, 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 HP KW KVA
2.00
5.00
10.00
20.00
30.00
40.00
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ADDFESS
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I he.ebyarlrrm lhat I haveacertrficale ol consent Io sell-rnsure, or a cerlrficale ot Worker's Compen
salron lnsLrrance Certrtted copv rs filed wrlh the Crty burldrnq rnspeclron department
ll, alter making lhrs Ceiliircale of Exemptron. vou should become sublecl lo the Worker's Compen-
satron provrsrons ot the Labor Code, you m!sl lorthwtth co[rply wrlh such provrsrons or thrs permrl
shall be deemed revoked
Expiration
Applicant's Declaration
Contractor Use Only
I sTArE/zrP
Darcexpres111 /lfuve,rred By {s,s I
,"" /1-2 €9 Apprcan, (s,s )
not employ any
dIl*1*, a .A,,r
CONTRACTOR PHONE
CITY
rS
theT'ffi&tr as to become
whrchI ce.trly lhal rn the perlormance ol the
Apphcanl (Srg
Notice To
Workors Componsation
r / , ' I r I r , n r I i ' !, , , , , ) I I I r . , r I ! I t , r , r r I . , r r I I r I I r r I I r
Subtotal /.7e,(to
Penalty Fee (when applicable)
Violation Fee (s0.00)
Plan Check 650/o of sublotal ffi, trO (minimum 20.00)
Receipt No. 6 7/l Pc # b 127 oate
Plan Check (Adiustment)
lssuance Fee 10.00
4otatPERMrrFEE (minimum $35.00)/ye-
oarc // -f, - f,fl PERMIT NO.23s49
ii-i,i:,"*4/6_VERIFIED BY lSq I PERMIT ISSUED BY {Srg.)
a$rY )
tu t& sn
Lt/ww 5:5EPt{ 413 t142.m
VALIT]ATION (OFFICE USE ONLY)
IACCOUNT #t 1.413)
Distribution: 1. lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy (, S 6r I
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I herebv alIrm thal I am hcensed rrnder lhe provrsrons ol Chapter g. Drvrsron 3 ol Ihe Busrness and
Proless,or,s Code, and mv lcensr rs rn lull lorce and ellectt?*(S_1{} 9 2- c,",,. e_,/ o c ,v L ceqsc 0/21 |-ff
,",112 8q con,,ac,o,,s,s, Xd*d*+
,.r?*rcAL rNsPEcrroN *r.t ,t
Remarks
Errg Drrr;t
I at;ttlry Wrrr,:ri lJrrrl
f ltx,r Drrr.l
I ir;irt f i!,1trrilrr r i';
Liotor Conlrol Crrr lter
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Sub Pirrrr:ls I
I,'I1ll)()r.rlv I r(ltlttrr(l
I ent[)0t.rrv Sen,rr.'rt
l..J rrrl: lt rl t crr I rtrj
i
Date lnspector Approval
(Signatura)
J..p.?c .Q.ZZ.--,
I I lts 3r
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