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: = ,411* 71.-'4Z7=i//:, lalil I , i '44 <br /> i <br /> k <br /> CITY OF SOUTI-AN: FRANCISCO <br /> BUILDING INS • ION DIVISION , <br /> 400 Grand Avenue, South San Fra i. , CA 94080 Phone 877 -8545 <br /> APPLICATION FOR ELzcTRICAL PERMIT <br /> Permit EA. — $15.00 Supplement $4.50 QTY AP FEE Name <br /> See Table #3B Nat. Elec. Code for specific t$44,01;---Z-Y, ' o= Address ff <br /> � <br /> details. — Ordinance No 1072 -89 <br /> t ��� w z � % <br /> SYSTEM FEE SCHEDULE o City � <br /> g �� 8 <br /> T el N o. t� > n <br /> New Residential: <br /> Name y -, / 4 <br /> New Multi Family $0.03 per sq. ft. - , <br /> Address ress , y T <br /> New Single Family $0.035 per sq. ft. 14t 4 <br /> Other types of residential occupancies & a City ,',`, , t 1 <br /> alterations — Unit Fee Schedule ; Tel No " ' g <br /> � <br /> Swimming Pools .....$30.00 � o o Z State License No. „ ,-i " <br /> Carn C Expositions City Bus. Lie_ No. 5 g4, , <br /> Electrical Generators & Rides ....... $15.00 ea. <br /> Display lighting for rides ..... ..... ..... $ 4.50 ea. A WORKMAN'S COMPENSATION INFORMATION w <br /> In conformity with the provisions of Sec. 3800 of the Labo l <br /> System & Booth lighting $ 4.50 ea. Code of the state of Calif. each applicant shall file wit � <br /> Permanently installed rides eto: ea. <br /> the Building Inspector the certificate designated in (1) belo <br /> use Unit Fee Schedule • , , . � e4' or shall sign item (2) whichever is applicable. b <br /> _ (1) Certificate (or exact or duplicate copy) of Workmen 'a , 4r <br /> Temp Power $15 ea. Compensation Ins. issued by an admitted insurer. ' <br /> Temp Lighting/Outlets .. ..........: $ 7.50 ea. • t f I certify that in the performance of the work fo $ <br /> UNIT FEE SCHEDULE wh h this permit is issued that I shall not employ any per p " <br /> son in any manner so as to become subject to th k t <br /> Outlets -- Plu s, Switches, Controllers � £ Workmen's Compensation Laws of Calif. s�� ; V" <br /> First 20 .. ... ..... $ .75 ea. R i <br /> Additional ... .. ... ........ $ .45 ea. roNED: ' . <br /> (5 ft. or fraction of multi- outlet assy. is one outlet) x b acknowledge that I have read this appiication� <br /> and state that the above i s correct and agree to complyt 4 ;" <br /> Fixtures —First 20 $ .75 ea. with all City Ordinances and State Laws regulating buildin., s�" <br /> construction. <br /> Additional .. $ 45 ea. 4 <br /> Appliances Residential $ 3.00 ea. 1 / ,, % �( /t <br /> / Policy No. , �. - , I <br /> Non Residential Less than 1 hp. .........$ 3.00 ea. / SO <br /> less than 1 kw:.... $ 2.00 ea. c <br /> Expiration Date <br /> less than 1 kva. . .....$ 2.00 ea. L > <br /> Power Apparatus: --- � <br /> (hp) (kw) (kva) (kvar) $ a T application is an Electric Permit when properl s <br /> Up to and including 9 $ 3.00 ea. if y filled out, signed and validated for the correct fee In -q <br /> • � the validation space. Permission is therefore granted ; <br /> 10 tO 50 .... $15.00 ea. to do such work as indicated in this application in ac ,. <br /> , 51 to 100 ... . $30.00 ea. • ' 1 cordance with and subject to all of the provisions o <br /> 100 + $45.00 ea: the Electric Code of South San Francisco and ai <br /> t related laws. Renew once at full fee. ' = . <br /> *Note: Multi - motor equipment -- use sum of • 'r Th perm becomes null and void if work is not com <br /> combined rating. Fees include all related Control menced within 18 0 days f rom th d ate of issuance, o "<' <br /> equipment. • 4, if work is suspended at any time for more than 18® <br /> Busways 100 ft. or fraction ....$ 4.50 ea. ';',,,::/.:P.,10,' ` days, or if any work is done in violation of any city or <br /> y dinance or state law relating thereto. No materials ma , , 1' <br /> Signs One circuit $15.00 ea. .T ,, i be stored on the street or public property without art ° -,: <br /> Additional circuits for same sign .... . . $ 3.00 ea. encroachment permit from the City Engineer. <br /> ' <br /> Services ` a Approved <br /> less than 600 V @ 200 amps max .......$18.50 ea. / 4 - <br /> less than 600 V @ 200 to 1000 amps ....$37.50 ea. o y By t '4 4 Date � �. e= <br /> more than 600 V or over 100 amps $75.00 ea. Building inspector y<' <br /> Apparatus not listed herein ... ....... .. $11.00 ea. -.Q. 2 ;` <br /> RECEIPT # . r ,./ �' T Apparatus: <br /> TOTAL PERMIT FEE s� ., <br /> ,: 7 . � � <br /> ; 414.44%itt hi <br /> WHEN PROPERLY VALIDAThDTHIS IS YOUR PERMIT, <br /> ',, WHITE — `Bldg. YELLOW App (oatstt PINK Inspector's Copy <br />