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[Residential lndustnal l Commercral r,ro lencxl roro.
<br />Res. Hotels, Motels, Apt. Sq Ft.h12 .03 37.ru
<br />Gar. or Carports Sq. Ft.q75 02 E?d
<br />Receptacles .50
<br />_#i;, 1o*ra- 7-,t Zdr, 4, - o
<br />W a/4e;.EL, ri7!)o,,oJ7/i ,ru'o''x* 7112/'' 'a/'' 7ac 2(Switches
<br />Fixtures
<br />50
<br />50
<br />Air Conditioners
<br />Each /20.00
<br />7 5.00 35.o0
<br />20.oa
<br />5.00
<br />Approved Factory WiredList D 12
<br />Busways, special raceways, under floor
<br />duct, trolley or plug-in busways ea. 110' or
<br />fraction thereoJ
<br />Fire Signaling System. Minimum fee
<br />Outlet, smoke or heal sensor
<br />Unrt Dtlt*ood
<br />10.00
<br />,50 e7
<br />Lighting Standards with One Lamp
<br />Each Add'l fixture on same standard
<br />5.00
<br />1.00
<br />Owner Builder Declaralion
<br />Maintenance Permit (annual)50.00
<br />Service Meters
<br />Up to 400 amps, per meter
<br />Over 400 amps, per meter
<br />Over 1200 amps, per meter
<br />15.00
<br />35.00
<br />75.00
<br />/tao
<br />Signs and high potential gas tube lighting 15.00
<br />Swimming pools. fountains, spas 35.00
<br />Switchboard, motor conlrol center or @<c@Each I
<br />15.00 /f, oo
<br />Temporary construction meter service
<br />pole
<br />Each distribution pole
<br />25.00
<br />5.00
<br />am licenscd lrnder the provrsrons of Chapter 9, Drvrsron 3 of lhe Busroess and
<br />ITY
<br />I hereby aflirm
<br />a
<br />ft#/'^r.1 gt;il;*.ru_
<br />BESS d oY
<br />,,,fft;r3r B
<br />Temporary construction lighting
<br />500 lamps or less
<br />Over 500 lamps
<br />2.OO
<br />4.00
<br />Time clock or photo electric cell 3.00
<br />POWER APPARATUS: Generators,
<br />motors, translormers, rectifiers, industrial
<br />heating, cooking, or baking equipment
<br />and other apparatus as follows:
<br />Up to and including 1 HP KW KVA
<br />Over 1 and not over 10 HP, KW KVA
<br />Over 10 and not over 50 HP, KW KVA
<br />Over 50 and not over 100 HP, KW KVA
<br />Over 100 and not o\er 500 HP, KW, KVA
<br />Over 500 HP, KW KVA
<br />2.00
<br />5.00
<br />10.00
<br />20.00
<br />30.00
<br />40.00
<br />worken compeneatton l/laratto n f
<br />I hereby aflrrm lhal I have a cerlrlcale ol consenl to sell-rnsurc, or a cerlrficale ol Worker's Compcn-
<br />salron lnsrrraDce Cerlrtied copy rs trled wrlh the City burldlng rnspeclron deparlmenl
<br />I certrly thal rn the performance ol the work lor whrch thrs permrt rs
<br />ll. alter makrng lh's Cerlrlrcate of Exemptron, you should become sub,ect to the Worker's Compen
<br />satron provrsrons ol the Labor Code, you must forthwrlh comply wrlh such provrsrons or lhrs permrl
<br />shall be deemed revoked
<br />,/r4,-'#/-t - ?a
<br />as lo become sub,ec
<br />Apphcant lSrg:::il*-rq
<br />Notice To
<br />salron Laws ol Cahlornra
<br />I shall not employ anv
<br />Oate E
<br />Date_
<br />Venfied By lSig I
<br />Applrcant (Srg )-
<br />Subtotal l3l . tz
<br />Penalty Fee (when applicable)
<br />(50.00)\ffiGPh pl f,i o t
<br />Plan Check 65% of subtotal (minimum 20.00)
<br />fleceiipt No. L7. L 7 Pc #4 3 >3 Date
<br />Plan Check (Adjustment)&
<br />lssuance Fee 10.00
<br />Explratlon
<br />Thrs permrt shall exprre by Imrtation and become null and vord rl the work authonzed bv lhrs permrl rs
<br />nol commenced wrthrn 180 days rrom the dale ol thrs permrt of rl s,ork aulhofized by lhrs permrl rs
<br />suspended or abandcned at anv trme atter the work rs commenced lor a penod ol lS0 days A new
<br />permrt shall be oblarned lirsl belore such work can be recommenced
<br />Applicant's Declaration
<br />,'",.I l' 2' f al
<br />A,,, ca,., ^,,'?,,,1,
<br />*/ h/r/^r--PERMIT FEE
<br />0 -z- tJDATE
<br />(minimum $35.00)
<br />PERMIT NO.
<br />PERMIT ISSUED BY (Stg.)
<br />f t't)
<br />xl-Sa
<br />ll/Wg 3:ffll {13 ,1+1.66
<br />VALIDAIION IOFFICE USE ONtY)
<br />{ACCOUNT ,1 I,413r
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />{TYPEWRIIE OR PHINT IN INK)
<br />e o CITY OF SANTA ANA
<br />206 W. 4rh Sr.
<br />667 -2738
<br />APPLICANT FILL IN AREA BELOW Id
<br />@croza
<br />00am
<br />@a
<br />!s
<br />lJ
<br />Y\
<br />t+
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<br />Distribution: '1. lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy
<br />I
<br />///r.&
<br />&-705
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