HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (69)apFlrcATroN AND
ELECTRICAL PERMIT
(TYPIWRITE OR PRIN T IN INK)q-
o o CITY OF SANTA ANA
206 W. 4th Sr.
667 -2738 WAPPLICANT FILL IN AREA BELOW
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ooamaa
MResidential lndustrial Commerctal NO.EACH TOTAL
Res. Hotels, Motels, Apt. Sq. ft'7 5f 03 22.7L
Gar. or Carports Sq. Ft fu4 .02 +3tr
Receptacles .50
'ZL
STAl lZIP
# )ue
.&. 4
PHONE
Switches .50
Fixtures .50
Air Condilioners
Each
20.00 2o.a'o
TB["*o Facrory wired v^ttp*Lfl L 5.00 70.w
Busways, special raceways, under floor
duct, kolley or plug-in busways ea. 110' or
lraclion thereof
5.00
Fire Sionalino Svstem. Mrnimum fee
Outle[ 6ffi&ior heat sensor /10.00
.50 ,@
Lighting Standards with One Lamp
Each Add'l ftxture on same standard
5.00
1.00
Owner Brril<ier Deciaration
Maintenance Permit (annual)s0.00
Service Meters
Up to 400 amps. per meter
Over 400 amps, per meter
Over 1200 amps, per meter
/@
35.00
75.00
/f, rtzs
Signs and high potential gas tube lighting 15.00
Swimming pools, fountains, spas 35.00
motor control center @Swrlctboard
1Pglelt^Eacn
'r5.00 K.@
Temporary construction meter service
pole
Each distribution pole
25.00
5.00
frazrY *-rO *,
ADDRESS3'ar. So,-5frh't
CITYSarrtrA-,-
I hereby alrrrm thal I am hcenspd llnder the provrsrons ol Chapler 9, Drvrsron 3 of lhe Busrness and
Proless,q,S Code, anc, mv Lcense rs rn Iull lorce and ellect
L:,7:,1! 37{raz .,",, o 4 o c,yl,cens.e o/R/ s-trr
,^"lf-?ffi ,onuu",o,*',fuol,/1L/l JfuAM-
STATE ZIP
Contractor Use Only
CONTRACTOR
5&_q!7
Tzzar
PHONE
W
Jbmpor 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, rectiliers, 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 KVA
-ziver 50 and not over 100 HP KW KVA
Over 100 and nol over 500 HR KW KVA
Over 500 HP, KW, KVA
2.00
500
10.00
20.00
30.00
40.00
workers Compensation oJr{ratio " U
I hereby aflrrm lhat I have a certrlicale ol consent to selt-rnsure, or a certrficate of Worker's Compen-
$ton lnsurance Certrfred copy rs lrled wrlh the Crty burldrng lnspacno6 department
It, atter making thrs Certrficate ol Exemptron. you should become sublect to lhe Worker's Compen-
salron provrsrons ol the Labor Code, you musl lorlhwrth comply wrth such provrsrons or thrs permI
shall be deemed revoked
as to become ,s:w;en
o"r" t*pn", /-:-lf4vert,ed By
on"fl'2ffio,,,"",,s,g
o,
nol
{Srg. }
I cerlrly lhal rn the perlormance ol the work rch lhrs
Apphcanl (
Notico To
smploy any
Subtotal /o7, ?D
10 00
//7,","11-2-87 Applrcant c.r Agenl
PERMIT ISSUED BY lSrg l-
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lL/W,/g 3:55P1{ +13 lll?.ql
EUILD
ITPEBM
VALIOATION FICE USE ONTYI
iACCOUNT
'1
.413t
Plan Check 650/0 of subtotal 0rl)(minimum 20.00)
Receipt No.Zb7 pc* /,3)s
nze represnlatvesof thrscily loenler upon the rnspeclron purposes
Penalty Fee (when applicable)
Date
Plan Check (Adjustment)
lssuance Fee
PERMIT FEE (minimum $35.00)
PERMIT NO.
Violation Fee (s0.00)
Expariltion
Applicant's Declaration
j l i'l )l
o^rE /t-> - F7
Distribution: 1. lnspector Copy 2. File Copy 3, Finance Copy 4. Applicant Copy
w
't7t*
Date lnspector Approval
(Signature)
? zoo^*
44 d(
ere?nrcAL rNSPEcnoN nec&os
Remarks
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lv'l(\t.)rs af)d (;{ nt'r(ttors
M0lor (lonlr.)l ( crtl()r
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Notes
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3',2.b
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