HomeMy WebLinkAboutPermit Electrical 5-6-16
The follo,....ing project as "u,bmltlf)d.~as the ~:I!owjn~
. d doe" not r.....U1re SpechlC land yse
225 FIFTH STREET ' r;J~~ef.n " ~"1 ELECTRICAL PERMIT APPLICATION
~~~~i~:;>REg~~~~ 9~i6_3769cnina ,)y\., p/2.- Ci ty Job Number qt{OQ.,1
OFFICE: 726-3759 D;~t,~. 1./1/.; ~)
-tp- tJ K . COMPLETE FEE SCHEDULE BELOV
1. \-9CATIO~.. 9f ~IpSTALLArr.)!0Ned Signature
4-1 Pi .7YLU..{,
LEGfJ7~~~?f~ Oqq(){)
N~)\,~
Permits
if work
of issua
180 days.
2. CONTRACTOR INSTALLATION ONLY
ra e and expire
wit in 180 days
is suspended for
Electrical Contractor .s~M.L+~,,-,,<~f.ui. (~.jrll.
Address Z~D ~~e UCLj
Ci ty Lt)C: UA..e- Phone :3 c(c. ~ 510 ((
Supervisor License Number ZflJli. C;
Expiration Date [0.- ( -1'\"
Constr Contr. Number lD~<s(3
Expiration Date e;-((-'7~
s~~ure, ~f Supervising Electrician
K(~ ~2--,
owneL Name~., ~k1
Address!L~{jLf:f ~
Ci ty C,00b Phone 1Lt1:,-~'Zf/f1
I '
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------7~-----7.l.. ~------------------
DATE: IJ!/ ILt~ '1ib
RECEIPT #:
RECEIVED BY:
....,
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
~econnect Only \
C.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
,.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00 .9.(L
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~~r less
201 amps to 400 amps
Over 401 to 600 amps
Over. 600 amps or 1000
...'1'-
$ 40.00
$ 55.00
$ 80.00
vol t's see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
,.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$ 36.00
~.rJJ
.ou
.'m
't~~U)
40.00
40.00
20.00