HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (67)NO. EACH TOTALlndustrial Commercral(Resiaentiat
Res. Hotels, Motels, Apt. Sq. Ft. / / / O 03 73.70
Gar. or Carports Sq. Ft.B7 02 9,7 y
Receptacles 50
JOB ADDRESg
- i-"zee Jr,.ezeW4iad'. f -Hi**:'-r-ffi4//o-
-77/YM-"'bEy/** -il'T;rir
Switches 50
Fixtures 50
IAir Conditioners
Each
/20.00 lo.Oa)
Approved Factory Wired Unil f,t tU. !P.List l/.nl 7 5.00 3f,ao
Busways, special raceways, under floor
duct, trolley or plug-in busways ea. 110' or
fraction thereot
5.00
Fire Signalilg-System. Minrmum tee
Outlet zsrtr-okaor heal sensor
10.00
.50 ,54
Lighting Standards with One Lamp
Each Add'l trxture on same slandard
5.00
1.00
Owner-Bullder Declaratlon
I hereby allrrm lhar I am erempl lrom lhe Contractor's Lrcense Law lor lhe followrng reason {Sec
7031 5, Busrness and Prolessrons Code: Any crty or county whrch requrres a permrt lo construct,
alter, rmprove. demo[sh, or repatr any struclure, pnor lo rls rssuance. also requfes lhe applcant lor
such permrt to ile a srgned statement thal he rs lcensed pursuant lo lhe provrsrons o, lhe Contrac-
tor's License Law lChapter I lcommencing wrth Sectron 7000) ol Drvrsion 3 ol the Busrness and
ProlessronsCodelorlhathersexempltherelromandlhebasrsforlheallegedexemptron Anyvrola-
tron of Seclron 703'1 5 by any applcant for a p€rmrl subtecls lhe applicanl to a crvil penalty ol nol
more than lrve hundred dollars I S500)
E S""uon 7044A l, as owner ol the prope.ry. or my employees wrth wages as therr sole com-
pensalron, wrll do the work, and lhe slructure rs not rntended or ollered for sale
n Seclron 70448 l, as owner o, the property, am exclusrvely contractng wrth ltcensed con-
traclors lo conslrucl lhs prolscl
Dale Owner lSig.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, cO
Signs and high potential gas tube lighting 15 00
Swimming pools, fountains, spas 35.00
motor control center or@W"o'tach
/15.00 /f.d-O
Temporary custruction meter service
pole
Each distribution pole
25.00
5.00
I hereby afrrm lhal I am |censed rlnder the provrsrons ol Chapler g, Drvrsron 3 ol the Buslness and
Cont?actor Uss Only
CONTFACTOF 'prror.rt
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lc+ ?rz<r
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lorce and effact
Citv Lrcen
-fmporary construction lighting
500 lamps or less
Over 500 lamps
2.00
4.00
Time clock or photo electric cell 3.00
POWER APPARATUS : Generators,
/notors, transformers, reclifiers, 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)4 and not over 50 HP, KW KVA--MftO and not over 100 HP, KW, KVA
Over 100 and not ovrar 500 HR KW KVA
Over 500 HP KW KVA
2.00
5.00
10.00
20.00
30.00
40.00
I cerlrfy that rn the perlormance ol lhe work for whrch
Workers Compensation Df,.lratto n /
I hereby alfrrm thal I have a certitrcaie ol consenl to sell'rnsure, or a cerlrlrcate ol Worker's Compeo.
salron lnsrrrarrce Cerlrtred copy rs frled wrlh lhe Crty burldrng rnspeclron deparlmenl
ll, alter making this Cerlricate of Exemplion, you should
slron provrsrons of lhe Labor Code, Vou musl lorthwith comply wrth such provrsrons or lhrs permrt
shall be deemed revoked
Notice To
subjocl to lhe Worker's Compon-
Date Erpnes /-/SAventred By lsrg
o"," /l -28:
X,Appr,can, (s s )
Subtotal /27st
Penalty Fee (when applicable)
Violation Fee (50.00)
Plan Check 65% of subtotal f J, 7L (minimum 20.00)
Receipt f.lo/ 76 7 Pc # A3 23 Dare
Plan Check (Adiuslment)
lssuancg,Fee 10.00
-ldTALpERMtr FEE (minimum S35.00)I 37c!
Explrstlon
Thrs permrt shall exprr€ by hmrlalron and become null and vord rl the work authorzed bv lhrs permrt rs
not commenced wrthrn lB0 days lrom the dale ol thrs permrl or rl work authonzed by thrs pe.mrt rs
suspended or abandcned at any trme aller the work ls commenced lor a perrod ol 180 days A new
permrl shall be obtarned frrst belore such work can be recomm€nced
Applicant's Declaration
'tt,l
,,",,,1 I 2-g1 o,,u,,u.,,, o,u,,,
fize representatrves ol lhrs ctty lo enler upon the
D^rE lt-Z-f1 | eenurrno. 23553
Tl* sjf;4ry PEBlvltT ISSUED BY {Srq )
M/0ettfr rfffiiil +gld, f)Y
VERIFIED BY lSrg )
BUILDINC
PEBMIT No
VALIDATION (OFFICE USE ONLY}
(ACCOUNT f,l 1-413)
APPLTCATTON AND a
ELECTRICAL PERMIT
(TYPEWRITE OR PBINT IN INK)
o CITY OF SANTA ANA
206 W. 4rh Sr.
667-2738 W3APPLICANT FILL IN AREA BELOW
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Distribution: 1. lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy
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nol anyrs
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Remarks
Motor Control Cr:rrter
. t'
I,,r)llJ()l.rty I glrtrn(l
:r: l''.,.r.
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Date lnspector Approval
(Signaturel
l,
j.-qa.ct ' 2.2>on-r,
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