HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (93)r,ro.
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TOTALq 7.72
lndustrial 'Commeroal
Res. Hotels, Motels, Apt. Sq ndly
IResidential
03 )**z-
Gar. or Carports Sq Fl Tl I 02 &rt
Receptacles 50
7,- lJkf h- E
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Switches 50
Fixtures 50
Air Conditioners
Each I 20.00 2o. oo
Approved Factory Wired Unit
LiSt (5.00 Jo.oo
Busways, special raceways, under floor
duct, trolley or plug-in busways ea. 110' or
lraction thereof
5.00
Fire Sionalino Svstem. Mrnrmum lee
Outle[rs66Rt 6r heat sensor I 10.00
.50 f,a
Lighting Standards with One Lamp
Each Add'l ftxture on same standard
5.00
1.00
Owrrer BuilderDeclaratiol
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
/S.oo
Signs and high potential gas tube lighting 15.00
Swimming pools, ,ountains, spas 35.00
molor control center or6ub)Switchboard.,@
Each
/15.00 /5, oa
Temporary construction meter service
pole
Eaci distribution pole
2s.00
5.00
-*6porary construction lighting
500 lamps or less
Over 500 lamps
2.OO
4.00
Time clock or photo electric cell 3.00
POWER APPARATUS: Generators,
' motors, transformers, rectifiers, industrial
heating, cooking, or baking equipment
and other apparalus 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 HR KW KVA
Over 50 and not over 100 HP, KW KVA
Over '100 and nol over 500 HP KW KVA
Over 500 HP, KW KVA
2.OO
5.00
10.00
20.00
30.00
40.00
Cont.actor Us€ Only
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I hereby alfrm that I am lcenscd rnder the provrsrons ol Chapter 9, Drvrsron 3 of lhe Busrness and
I hereby al, rrm lhal I have a cerlrrrcate ol consenl to selt rnsu re, or a cer lrl rcale ol Wor ke r's Compen-
salron lnsrrrance Cert.frodcopyrsiled wrlh the Crly burldrng rnspectrondepartmenl
I certrly that rn the perlormance ol th6 work for which
ll, atter makrng lhrs Cerlrlrcate of Exemplron, vou should become sublect lo lhe Worker's Compen
salon provrsrons ol lhe Labor Code. you musl lorlhwrth comply with such provrsons or thrs permrl
shall be deemed rsvoked
) 7to
permrl is rssued
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STATI ,/II''L ?]zr
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IDate(StgBy
ntDate {Stg
and tn lu ll
IL )Class c
Contraclor
Laws of Callo.nra
nol employ any
Workers Compensation
theas lo become
Applcant (Srg
Notics To
' ,,*r*(zrrt)
€f,6' ,Et)
5o. 5f..4a4/-
444-,
Subtotal ffi
10.00
/) -
VEHIFIED BY (S'g )PERMIT ISSUED BY lsrg )f,rc ta ZlrA
Date
FEE
DATE
T,-lr-
tt/oE,tw 5:55PH +1S U+z.mJrey
i ol crl uer lhopon
,^"il Z t Agent.i1
Penalty Fee (when applicable)
lssuance Fee
Violation Fee
Plan Check (Adjustment)
Plan Check 65o/o of subtotal
Pc#Receipt No.
(50 00)
A fiinimumz}.O})
(minimum $35.00)
PERMIT NO.
Erphstion
Thrs permrl shall expIe by Imrlatron and become null and vord rl the work authorEed by thrs permrt rs
nol commenced wrthrn 180 days lrom lhe date ol lhrs permrl or rl s,ork aulhoilzed by lhrs permrl rs
suspended or abandcned al any lrme alter the work rs commenced for a perod ol lS0 days A new
oermrl shall be obtarned Irrst belore such work can be recommenced
BUILDING
PERMIT No
VALIDATION (OFFICE USE ONLY)
IACCOUNT rlr,4l3)
Applicant's Oeclaration
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APPLTCATTON AND o
ELECTRICAL PERMIT
(TYPEWBITE OR PFINT IN INK}
r
a CITY OF SANTA ANA
206 W. 4rh Sr.
667 -2738 MAPPLICANT 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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Remarks-
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Date lnspector Approval
(Signature)
I
3./5 ?o R?+Wll a:{
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