HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (74)Resrdentral lndustnalftomm"rc,rt NO.EACH TOTAL
Res. Hotels, Motels, Apt. Sq. Ft.03
Gar. or Carports Sq. Ft.02
Receptacles 7 50 q-
fu Srq,um Fc y'r"rtGa
S/"urn@ez ' ssosnras 5Y6-o/ lo
33r t F,+kvieut
Cosrn fiesn Qte>e Switches 50
Fixtures A1 .50 e7-
Air Conditioners
Each
20.00
Approved Factory Wired Unit
List 5.00
500
Busways, special raceways, under floor
duct, trolley or plug-in busways ea. 1 1 0' or
fraction thereof
Fire Signaling System. Minimum fee
Outlet, smoke or heat sensor
10.00
.50
Lighting Standards with One Lamp
Each Add'l ftxture on same standard
5.00
1,00
Owner-Builder Declaration
I hereby afrrrm thar I am exempl lrom the Contraclor's Lrcenso Law for lhe lollowrng reason lSec
7031 5, Eusrness and Professrons Code Any qty or counly whrch requrres a permrt lo construct,
aller, rmprove, demolsh, or repaI aoy struclure, pfior lo rls rssuance, also requrres lhe appicant lor
such permrl lo lile a srgned stalement that he is lcensed pursuant lo the provisrons of lhe Conlrac-
lor's Lrcense Law lChapter I lcommanc,ng wrlh Secton 7000, of Drvrs,on 3 of the Busrness and
Prolessrons Cod€l or lhat he rs exempt therelrom and Ihe basrs lor the alleqed exemplron Anv vrola-
non ol Seclron 7031 5 by any applcant lor a permrl subiects lhe apphcanl lo a crvrl penalty ol not
more lhan,rve hLndred dollars lS500t
I Sua,,on 7044A l, as owner ol lhe property, or my emptoyees wilh wages as therr sote com-
pensalron, wrll do the work, and lhe slruciure rs ool rnlended or oflered lor sale
t] Sect'on 70448 l, as owner ol the properly, am exclusrvelv contraclrng wrlh lrcensed con-
lraclors lo conslrucl lhe Prolecl
Date
----
Owner lsrq )------
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
3s.00
75.00
/f '
Signs and high potenlial gas tube lighting 15.00
Swimming pools, founlains, spas 35.00@Switchboard, motor control center
panels
Each /15.00 t{-
Iemporary construction meter service
pole
Each distribution pole
25.00
5.00
FAs to e ul h t- Efr4con, r"tor u se onrv
/zorr Baca 84ua'"hbrrrgToD Bm-tt l"Q'| arp
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CON IBACT
ADD SS
f€ (-3't3
tfut'aeo+
Temporary construction lighting
500 lamps or less
Over 500 lamps
2.00
4.00
Time clock or photo electric cell /300 3.oo
POWER APPARATUS: Generators,
motors, transrormers, rectiliers, industrial
heating, cooking, or baking equipment
and other apparatus as follows:
Up to and including 1 HP, KW KVA
Over 1 and notover 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.O0
5.00
10.00
20.00
30.00
40.00
Workers Compensation Dec#atio n U
I cortrly thal rn the perlormance ol lhe work fo. whrch
person rn any manner so as to become sublect to lhe Worker's Compenstion Laws ol Cahlornra.
Dals---- Applicanl(Srg.l-
Notice To Applicant:
C rly
Apphcanr lSrg )
a ce(rlrcate ot Worker's Compen
departmenl
certrlcate ol consent to sell-rnsure
is rssued,I nol employ any
I hereby atlrrm thal I have a
salron lnsuratce Certrf€d
oar.r,o,.d-t
,",.1p{ffi
copy rs filod wrth lhe
rveilfred By (S'g )
Subtotal Gy. *
Penalty Fee (when applicable)
Violation Fee (s0.00)
Plan Check 65'/" ol subloEil ql /. f O 1minimum2o.0o)
Receipt No.Pc# (e Date
Plan Check (Adjustmenl)
,lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00)ry4Df,
Expiration
Applit:ant's Declaratiorr
ri
,",, lltLffiApplcailr,,'A,rcnl s, flurN,,//-2{7DATE NO.
Lk**rr,
'r,0,PERMIT TSSUED BY (S'g )
t?4.m)Y)
JrtYt*tC..'
tl/M,/w lrs/5Pll +13
BUIL DING
PERMIT
VALIDATION IOFFICE USE ONLY)
(accouNT #1 r.41 3)
APPLICATION AND
ELECTRICAL PERMIT
ITYPTWBITE OR PRINT IN INK)
c+o
a HOusr Zn-st_
Broe- 4
CITY OF SANTA ANA
206 W. 4th St.
667 -2738
o
\$'/
APPLICANT FILL IN AREA BELOW
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Distribution: l.lnspectorCopy 2. FileCopy 3. FinanceCopy 4. ApplicantCopy
ELE;.#r,RICAL INSPECTION RE
Bemarks
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lnspector Approval
(Signaturel
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