HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (64)APPLICATION AND
ELECTRICAL PERMIT
(TYPFWRITE OR PRINT lN INK)
a t CITY OF SANTA ANA
206 W. 4th St.
667 -2738 'ffid3APPLICANT FILL IN AREA BELOW
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}rResidential EACH TOTAL
Res. Hotels, Motels, Apt. Sq. n. I 73b 03 3 7.09
Gar. or Carports Sq. Ft.14{02 f,n7o
Beceptacles 50
?i ru;4zz<Jurkol-'"'C*h, /n-n-a-a-
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AILING ESS
C+ ?zozt
k-c-FI
J08 ADDRESS
3706
Switches 50
Fixtures 50
Air Conditioners
Each
20 00 2o. rYo
Approved Factory Wired Unit
List 7 5.00
Busways, special raceways, under floor
duct, trolley or plug-in busways ea. 1 10' or
lraction thereot
rylrngSlstem. Minimum fee
Gmotrelor heat sensor
Fire Sigr
Outlet./10.00
.50 .s0
Lighting Standards with One Lamp
Each Add'l frxture on same standard
5.00
1.00
Owner-Eullder Declaratlon
I hereby aflrm lhat I am exempl lrom the Contraclor's Lrcense Law for the lollowrng reason {Sec
7031 5. Busrness and Prolessrons Code Any crly or county whrch requrres a permrl to construcl,
alter. rmprove, demolsh, or repaI any slruclure, paror to rls rssuance, also requrres lhe appllcant lor
such permrt lo trle a srgned statement that he rs lrcensed pursuanl lo the provrsrons ol the Conlrac-
tor's Lrcense Law lChapter I lcommencrng wrlh Seclron 7000) ol Drvrs,on 3 of the Eusrness and
ProlessronsCode)orthathersexempilheralromandthebasrslorlheallegedexemptron Anyvlola,
lron ol Seclron 7031 5 by any applcanl lor a permrt sublects lhe appllcanl to a crvrl penally ol not
more lhan lve hundred dollars t55O0)
E Su",,on 7044A l, as owner ot the property, or my employees wrth wages as therr sole com.
pensatron, wrll do the work, and the structure rs not rntended or olrered for sale
tr Secrron 70448 I, as owner o, lhe properly, am exclusrvaly contractrng wrth lrcensec, con-
lractors to construcl the pro|ecl
Owner (Srg.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
/f,/OO
Signs and high potential gas tube lighting 15.00
Swimming pools, fountains, spas 35.00
motor conlrol center o@Switchboard,
,6'ne-l6)-=e66
/15.00 /{,n
Temporary construction meter service
pole
Each distribution pole
25.00
500
tuae@-iSDREas --- ^_zzL{e_I.-I-h*d-arLM
I hereby allrrm rhat I am |censed ilnder the provrsrons ol Chapler I, Drvrsron 3 o, the Busrness and
Prolessrot'sCodp and mv lrcensers,ntull lorcearrdelluct
k7,,*("E
=
t 4? r'"," --C- : 1. Q -.- c,,v t,""n"n Q /21 gd
,",11481 con,,ac,or (s s, lltUu4
Contr6ctor Uso Only
CON]EACTOR f{6- 7r/3
4q_?
STATE]ZIP
Temporary conslruction lighting
500 lamps or less
Over 500 lamps
2.00
4.00
Time clock or photo electric cell 3.00
POWER APPABATUS: Generators.
motors, transformers, rectif iers, industrial
heating, 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
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
workers compensarion De{/rario n U
I hereby alfrrm lhat I trave a certrfrcate ol consenl lo self-rnsure, or a certricate ol Worker's Compen
satron lnsrrrance Certrfredcopy rsfiled wrth lhcCrly buildrng rnspeclron depailment
It, aller mak.ng thrs Certrfrcate ot Exemplron, you should bscome sub|ecl lo the Worker's Compen
gtron provrsrons ol lhe Labor Code, you must ,orthwrlh comply wnh such provrsrons or lhrs permrt
shall be deemed revoked
ortu E,pon" 142-e\nif red By ISiq. )-
,""/f -e€3 Appr,canr(ss )
lor whrch rl rs rssued
t,,,,,
14
Nolics To
nol employ any
ol Callornta
I certrly that rn lh€ porformance of lhe
Subtotal /<t.1*
Penalty Fee (when applicable)
Violation Fee (50.00)
Plan Check 650/0 of subtotal ,C. (( @inimum21.O}l
ReceiptNo. lZCl ec* f,y';J oate
Plan Check (Adiustment)
lssuance Fee 10.00
TOIAL PERMIT FEE (minimum $35.00)/4t.y9
Expiratlon
Thrs permrt shall expfe by limrtalron and become null and void rf the work authonzed by this permit rs
nol commenced wrthrn 180 days lrom the date ol thrs permrl or rl work aulhonzed by lhrs permrl rs
susp€nded or abandcned at anv lrmeafler the work rs commenced lor a penod ol l80 davs A new
permrl shall be obtarned irsl belore such work can be recommenced
Applicant's Declaration
,","))4'$1 ApplEsnt or Agsnt lS
DATE l)-z-81 PERMIT NO.235s0
| ,,**,, SSL.J.DByrSrl t Z.A-Sn
d- I al I u/w./s s:ispr{ 41r r14r.+g
VALIDATION (OFFICE USE ONtY)
tACCOUNT *|.4r31
BUITDING
PERlrillT No
g(At 7 vr*rrrroevrs,gr 4-7-n-
Distribution: 1. lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy c s.613
5.00
3f, o'o
,r#*rcAL rNSPEcroN *r.frr,
Remarks
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Errs l)ur:l
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f ar:trtry W'rrrr j Ljrrrt
llitr,r Drtr.t
l!4()lrrr:; ;in(i (i,,nr'r,rlrtrs
Motor Corrtrol C*rrter
l,,rl)lr()l.rly I r(llrlrn(l
Oate lnspector Approval
{Signature)
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