HomeMy WebLinkAbout46584 - Misc. ReceiptPlanning & Bul It Agency
Building Safety Division
10 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-5800
www.santa-ana.org
•
MISCELLANEOUS
RECEIPT
PROJECT ADDRESS: 1rL4!S W C k\j ]_C1
PAID BY: �� i�' 1�ESQ t�
(11�-Y f�, SUITE #
C4 _ LAC DATE:
-
'I —
Bldg - Plan Check # --
011-01-5401
$ vi
Plmg -Plan Check #
011-01-5402
$
Elect- Plan Check # Q
011-01-5403
$ 10
Mech - Plan Check #
011-01-5405
$ ,
Fire - Plan Check #
011-01-5401
$
Bldg Permit- Trust/Special Inspection
011-01-5911
$
Plmg Permit - Trust/Special Inspection
011-01-5912
$
Elect Permit - Trust/Special Inspection
011-01-5913
$
Mech Permit - Trust/Special Inspection
011-01-5915
$
Fire Trust
011-01-5911
$
Acc Bldg PIC # c- aQa" hrs.L4n 011-01-5621-508 $ C
Acc Plmg PIC # hrs. 011-01-5621-508 $ lqecc
Acc Elect PIC # h rs. 011-01-5621-508 $
Acc Mech PIC # hrs. 011-01-5621-508 $
Boarding Fee 121-01-5579 $
Statement of Fact/Record Search 011-01-5911 $
Microfilming of Records $ per 011-01-5911 $
SMIP - Category Val$ 089-01-3611 $
Xerox Copy 11-508-6311 $
Residential Development Fee - Specify District # 301-01-5070 - $
Temporary Certificate of Occupancy 011-01-5911 $
30 Day Temporary Fee - Gas 011-01-5912 $
30 Day Temporary Fee - Electrical 011-01-5913 $
Bond: Demo, 30-Day, Relocation, Sign 098-01-3611-507 $
TOTAL $ _9 t. lc�_
NOTICE: Applications for plan checking issued under
the provisions of Section 107.4 of the California Building
Code will expire if no permits are issued within 180 days.
Receipt
Prepared by:
Misc. Receipt # 46584 Validation
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-5800
www.santa-ana.org
PROPERTY ADDRESS
BUILDING OWNER'S NAME
BUILDING RERMIT NO
30-DAY TEMPORARY
ELECTRICAL SERVICE
,rr AM: 1 /
SUITE
OTHER PERMITS— 2-0 1 2-UC2
Request is hereby made for the temporary release of electrical service on the subject property prior to final release.
REASON al N11 - i 0
am fully aware of Section 109.1 of the California Building Code which indicates, in part, that no building or
structure shall be used or occupied until the Building Official has issued a Certificate of Occupancy for the
building.
Furthermore, it is not our intent to use or occupy this building until all City regulations and conditions concerning
this building have been complied with, and the City of Santa Ana is hereby authorized to order discontinuance
of service for any violations of the above conditions prior to the final approval of the structure by the Building
Official.
AT THE TIME OF APPLICATION FOR TEMPORARY POWER THE OWNER SHALL POST A ONE THOUSAND
DOLLAR ($1,000.00) CASH OR SURETY BOND CONFORMING TO THE SANTA ANA MUNICIPAL CODE SECTION 8-
1768 FOR EACH SERVICE METER. THIS BOND SHALL BE RELEASED UPON REQUEST AFTER THE CERTIFICATE
OF COMPLETION OR CERTIFICATE OF OCCUPANCY IS ISSUED.
THE ISSUANCE
APPR0V OFF`
OF A TEMPORARY ELECTRICAL SERVICE PERMIT DOES NOT IMPLY• NOR CONSTITUTE
�CUPANCY OF THE PROPERTY.
Sianatare - Owner
EachMeter ...................................................................$168.50
nt
Print Name Tele hone No.
Address City State Zip Code
Approvals Required:
E
Plbg./Mech.
Structural
OFFICE USE ONLY
Total Fees Pd I 1 I "(�� ou
Date �� Misc. Receipt # 'J` �b
Date -W Date
Date Surel
Edison Notified by f�j - z Date 7-/(-d (_ ProcE
Forms/30 Day Temp Elec.: Revised 7-1-05 '
7