HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (91)Resrdenlial lndustrial Commerctal NO.EACH TOTAL
Res. Hotels, Motels, Apt. Sq fL//f2 03 ,7. 2k
Gar. or Carports Sq. Ft. C/ ql .o2 8,?o
Receptacles 50
,frlnro ^5"'x- +r- -Vr7!-fr*.,eAD{*nfu a*+*.fr2 €fb Jouo
33tS /".;-"':'*' ,€L"'biTu 7:z** d)"'|Ae *l'Switches 50
Fixtures .50
Air Conditioners
Each
Dwry I 20 00 )o.co
Approved Factory Wired Unit
List -7 5.00 35,0o
Busways. special raceways, under floor
duct, trolley or plug-in busways ea. 110' or
lraction thereol
500
Fire Sionalino Svstem. Minimum fee
Outlei 66[dirr heat sensor I
10.00
.50
Lighting Standards with One Lamp
Each Add'l frxture on same standard
5.00
1.00
Ownor-Builder D.chratlon
I hereby allirm lhal I am exempl lrom lhe Conlractor's Lrcense Law lor the lollowrng reason lSec
7031 5, Busrness and Prolessrons Code Any crly or counly whrch requrres a permrl to construct,
alter, rmprove. demohsh, or repair any structure, pror lo rls rssuance, also requrres the applicant ior
such permrl to lile a srgned stalement that he rs Icensed pursuant to the provrslons ol lhe Conlrac-
tor's Llcense Law (Chapter I (commencing wrth Secilon 7000) ol Drvrs,on 3 ol lhe Busrness and
ProlessronsCodelorthatherserempttherefromandlhebasrsforlheallegedexemptron Anyvrola"
lron ot Sectron T03l 5 by any applcant lor 6 pg16l1 5p6lecls the app[cant to a crvrl penaltv ol nol
more than lve hundred dollars I S50Ol
E S""oon 7O44A l, as owner o, lhe property, or my emptoyees wrth wages as ther sole com-
renslron. willdo the work. and lhe structure rs nol rntended or olle.ed lor sale
tr Secton 70448 l, as owner ol the properly, am exclu$vely contraclrng wrth lrcensed con-
lractors to construcl lhe prolecl
DatB--. ,_ Owner lsro )-
-
-- ,_-
Maintenance Permit (annual)50.00
Service Meters
Up to 400 amps, per meter
Over 400 amps, per meter
Over 1200 amps, per meter
I 15.00
35.00
75.00
/5.o
Signs and high potential gas tube lighting 15 00
Swimming pools, fountains, spas 35.00
sffis'"
motor control center qr666-)
I
r 5.00
1,fr ot
Temporary construction meter service
pole
Each distribution pole
25.00
5.00
,tlempor 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,
molors, translormers, rectiliers, industrial
heating. cooking, or baking equipment
and other apparatus as follows:
Up to and including 1 HP KW KVA
Over| and notover 10 HP, KW KVA
Oyer 10 and not over 50 HP KW KVA
OQer 50 and not over 100 HP, KW KVAl}ver 100 and not over 5OO HP, KW KVA
Over 500 HP, KW KVA
2.00
s.00
10.00
20.00
30.00
40.00
Rt*r',lofr'ol ?/^L
I hereby atfrrm that I am hcensd under lhe prousrons of Chapter 9, Drvrsron 3 ol the Busrness and
I her€by allrrm that I have a certrfrcato ol consent to slf-rnsuro, or a certrficate ol Worker's Compen-
glron lnsurance CertrlEd copy rs frled wtrh the Crly burldrng
I certrly that rn the perlormancc ol the work for whrch thrs
ll. alter makrng lhrs Certrficate ol Exemptron. you should become sublect to the Worker's Compen-
$lron provrsrons ol lhe Labor Code, you must lorthwrth conrplv wrlh such provrsrons or lhrs permrl
shall be deemed revoked
Contraclor Uss Only
CONTRACTOB
ADDRESS
& Ttzaf'/nru
6 /)t.f ,{L City
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lron departmenl
Venfred By lsrg I
Apphcanl lSrg.)
I shall not employ any
Cf""r--€-/oL,No
Conlraclor (Srg )
Notice To
Workers Componsation
ol CaIlotnta
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and my kceose rs rn lull to.ceand ellecl
Subtotal l7l.l(.
10.00
/r-z- ?
, ,,,,'" f{L7 0 VERIFIED BY (Srg I PERMIT ISSUED BY (Sis.l VI-IFn
el ,ry)
5:,
I
DATE
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*. I L2, fiappr can, cr Asen, ,s,
It/VtlW Ss5$il +13 t1+1.66
Receipt No.7b Pc#
OIilze represenEUves o, lhrs crty to enler uoon the
Penalty Fee (when applicable)
Violation Fee
Plan Check 650/0 of subtotal
Plan Check (Adjustment)
Fee
PERMIT FEE
(s0.00)
Date
(minimum 20.00)
(minimum $35.00)
PERMIT NO.
Expir:rtion
VALIDATION IOFFICE USE ONLYI
(ACCOUNT #11.413)
Applicant's Oeclaration
APPLTCATTON AND o
ELECTRICAL PERMIT
(I YPEWRITE OR PRINT IN INK}
o CITY OF SANTA ANA
206 W. 4th St.
667-2738 MsAPPLICANT FILL IN AREA BELOW
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Distribution: l. lnspector Copy 2. File Copy 3. Finance Copy 4, Applicant Copy
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