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.APPUCATION AND .
<br />MECHANICAL PERMIT
<br />(rYPlwRrrE oR PR|NT rN rNK)
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<br />206 W. 4th Street
<br />6[,7-2738 h-'
<br />APPLICANT FILL IN AREA BELOW
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<br />EACH FURNACE INCL. DUCTS ANO VENTS
<br />15.00
<br />20.00
<br />25.00
<br />(
<br />JOB AODFESS
<br />crlY 10-
<br />30.00
<br />25.00
<br />25.00
<br />30.00
<br />40.00
<br />10.00
<br />10.00
<br />Orll.-tl{ll. O.Glr.llo.
<br />r rs.oy .tiit! ln.t I rn .xrnpr lrom tlr. Oonlr.clol! t-rcrr.. L., tor th. iorbring r.ro.r (Sd
<br />7(Bl 5. Bura.a! .id P,oLron. Cod.
<br />^.ry
<br />cty o, co!.ry rhich rcquir.. r pimli ro @air!cr.
<br />.ll.r,
<br />'mproy., d.frol6n, q rrDlr .ny .lrucluro. pno. lo rl. 6!s.nc.. .llo ..q!ir6 ih. Fdlc. l
<br />br &cn c..mn |o nl. . &9..d !l,.l.@rn tnd 6. a n cn..d Pirlllfll io llr. Provisb[ ol tn.
<br />Conlr.clorr'r L'car. L.u, lch. .. 9 (comm.cin! *llh S.ction 7@) ol Oivilim 3 oI lh.
<br />Bu.rn .! .nd Proi-.'o.B Cod.) o. th.r h, ir .t.mr{ rrdron .nd rh. b..i. ior th..rr.g6d
<br />.rdrpl'on Any vloL.lion o, S.clo. 7@r 5 by.ny 4pli.r.| lor. pdhrt &bi.cB lhc rppllclnl lo
<br />. civrl p.ndly ol ml mor.lh.n nv. h!nd..d !blr.6 (l@)
<br />o secr'o. Toaaa r, .. o{n.r ol lh. proc.ny, or my .mpbys. w[h w!9.. .. rh.tr loro cofrFn-
<br />rrlon *ill (1, lhc ,o . end llra tlr{rcturo a ml in|.idod or ofi.r.d lor t ]6
<br />E s-r"n ru.s r, s *nd ol rh. prcp.,ty. m 6xcrur(.ty cdr,etm! *nh rrc.n...t
<br />.oot,aclor! lo corlrlrud lha oroiocl
<br />10.00
<br />25.00
<br />15.00
<br />15.00
<br />15.00
<br />15.00
<br />10.00
<br />15.00
<br />coN
<br />CITY
<br />!.dsr rhe prorlslons olcha9rd q oNrson 3ot
<br />(2
<br />o^/-12.-5b- con,,'c,o, (s,s )
<br />Prot6rlo.r3 Cod.. Dd mv rrffi 6
<br />,. **?4_@1"*,
<br />15.00a20.00 10-
<br />15.00
<br />15.00
<br />10.00
<br />15.00
<br />15.00
<br />15.00
<br />/ -r.)//o-
<br />Uo.rrr C..f ir.tb.i D.dr.aba
<br />I h!.by rtlirn lha I h.w I @rtllclra ol corEair to a.ll-h.oru, o. t crtltE t. ot Wbrt.i! Coc
<br />c€nrrron lruurrno cdritl.d copy l! hr.d enh rh. cdy b{'rding rB!.cta.n d.pmm.nt
<br />V6fi.d By (SO I
<br />-
<br />I cenrry lholrnlheOc.lo.6.Eeollh.worklorwhrcnlnrsp6rm rs
<br />o€Bon h r.y |o bGcolno subpcl to th6
<br />ll ater mar'ng lh'3Cdtr,rc.reolEr€mprron. yo! shtuldb6@o.subl-ttoth.Wdk..rComp€c
<br />s!no. pr@oo.s oi rhe L!ao. code ,@ musl lorlh*in comply w.th tuch pror6o.! o. thr3
<br />P.rm'l 3h.llb. d.im6d r6rcred
<br />.24b
<br />CohDo.s on Lris ol
<br />10.00 .,
<br />=D*7(.,
<br />Erkttl.n
<br />lh! pom'r rhlll .Ipn! by lhn.non .]d b.com! null ..d vod rl tho rort .uthoriz.d by thB
<br />9.rmrl h .ol comh.ncod *nhin 160 (l.y! loh th. d.ro ol thl. p.rmi o. d *!.t tuiho.i.d t thitp..hh '! !!rrad.d or.b..don.d d .ny rrtr[ rt, rh. port it cmmn .d ior r p.nod ol 180
<br />d.y! a n6* 9dhir !h.rr b. oor.h.d nd b.rd. $ch *o.l c.. b. r.comn..tc6d
<br />led..,ra. rr.drdoi
<br />I cedry lh.r I hrv6 r6rd th6 trplicrtim rnd d.ts thd lne .bora rlorrl.lro.
<br />@mply wnh all oly ordr..n.6 .nd sl.te larr r€lrtr.g to buildi.g
<br />aulhontad r69ranLr'on olrhla cny lo.nrrutM llE
<br />o"y' /2Q
<br />Up to 100,000 BTU
<br />Owr 100,000 BTU
<br />EACH ABSOBPTION SYSTEM
<br />100.000 BTU lo 1,000,0@ BTU
<br />1,000,001 BTU to 2,000,000 BTU
<br />EACH COMPHESSOR, BOILER, OR HEAT PUMP
<br />Heat Pump Comp€ssor less than 5 HP
<br />5HPlo30HP
<br />31 to 50 HP
<br />EACH AIR HANOLING UNIT OB VAV BO(
<br />Air Handling less than 2.000 CFM
<br />2,000 CFM to 10.000 CFM
<br />O\€r 10.000 CFM
<br />MISCELLANEOUS
<br />Outdoor Dual l%ckag€d Healing or Cooling
<br />Floor Furnace
<br />Heater; Suspended, Whll or Unit
<br />Com'l Dn€r Vents
<br />Decoratiw Fireplace (Wbod or Gas)
<br />Repai( Atl. or Add. to any Heating/Cooling sys
<br />Range Hood with Ducl and Fan Oype l)
<br />Each Vent Fan Conn€cted lo a Ducl
<br />Fan Coil lnslallation
<br />Fire Extinguishing System
<br />Each Evaporaliw C,ooler
<br />lncidontal Gas Piping
<br />File Damper lnstallalion
<br />l-iood wilh Ducl and Fan (type ll)
<br />Sublotal
<br />Penalty Fee (when applicable)
<br />Violation Fee (50.0o)
<br />Plan Chsck 656/0 of sJbtotal (minimum 20.00)
<br />Receipt t'lo.Pc#Dale
<br />Plan Check (Adjustment)
<br />lssuance Fee
<br />TOTAL PERMTT FEE (manimum $35.00)
<br />OATE ')eenur ro. l
<br />0-)FrEO BY (99I
<br />,)BUILOING PERMII ISSUED 8Y (90I 0./)
<br />,/15
<br />USE ONLY)
<br />O6rnburron r lnspecror Copy 2 F,reCopy 3 Frnance Copy . Applic.nt Copy
<br />cs 618
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<br />lsrarE/ztPl-C_
<br />tr F€Eld€nrld tr ln&sfial (Comrylordd NO.EACH TOTAL
<br />Over 50 HP
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<br />CITY OF SANTA ANA
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