|
a
<br />. APPLICATION ANO a
<br />MECHANICAL PERMIT
<br />(TYPEWRITE OR PRINT IN INK)
<br />o CITY OF SANTA ANA
<br />206 W 4lh Slroel
<br />667-2738
<br />lCI-,
<br />APPLICANT FILL IN AREA BELOW
<br />s.
<br />\-
<br />X
<br />\
<br />\
<br />SS A
<br />crft
<br />Orrrl-, O..!.a!ir
<br />I n .by dt6 lnd I e urnpr !,Dn rlr c6rrdo/. lrff. L llo. nE rollowr9 ,.-d! (s.c
<br />Tdtr 5, &ai-r ad Proi.ro.r. cod. Any cry o, co(fry rnrcn r.qu'r- . r-Dh ro con tucl,
<br />drr. nr.ov.. d.6d$, or..prr rry iruclu,l. pno. io n. !.u.nc.. .!o,r'q,rn lL +rilctrl
<br />io. .och p..nx lo filr r r8D.d.rd.rn nl lhl h. n Lc.il..d Fr.lu.nl lo lh. provr.on ol lh.
<br />Conr,&rolt !rc.nx tr* {Ch*t!r I (corrrl.nclng rnrh S.crlon 7q), ot ONllim 3 ol rh.
<br />8utn .. lnd Prol.&oi. Cod6) or xr h. l. .I.np! xr.lrom .nd lh. br! lo. rl1. dl.o.d
<br />.r.fi9rlon An, vbhrioo ol S.dlon ,Bl 5 !y my F9lonl lo, . plrmn !!q.d! lh. ipplE.nl lo
<br />. c'er p.n.rly ol nor mo.. rh.n liv.6u^dr.d (burr l3gD)
<br />E S-t"" rc(e l.rdMoltn proo.riy,dmyrnoby6rnnr{--ri.,.or.c..trp.G
<br />.db.. rll (b fi. m.t. ..d tll .r.l]ci,r. a mr inErd.d d oi...o b. .L
<br />E sa- rorrg r. . osr ol rt5 o.!!..!y. ,n .rdu.r.r, co.tnrr.9 ,ih rrr..r
<br />co.n,Elo.r ro corarud |na DnotEr
<br />I .n h.tirld unrbr rh. ,.o'.ro.r. ol ctrd, t oirtro 3ol
<br />c
<br />5 Nl
<br />cr
<br />I
<br />vsAahc.@ 6 '. lurr ld6 ..d .lt&r olA"- 0-to
<br />u/.222-2- corr'do. tlia )
<br />Uo.rr CortF ab6 O.d.aaton
<br />I hr.by .tttrn rh.r I In!. r corlllrara ol corla.r to nll. h&6, or . crtilirt. ol Wbrt- a Com-p.6rl6. ln.u,mc. C.rrrll.d co9y l. fil.d $rh rh. Ciry b{nding iBpcclion dopdnlnr
<br />I crtry lhd o rh. p..lo.mrr.ol rh.to.t lo.tlrcnlh{ F (..t.4Irlr.[.orrndot.,V
<br />rl dt m.lrn9 ln't Cdl'lE .ol El.6p&o.r, yo!$ard b.corr uU-! iorEwo.t rrcorir..]lton ,o!'uo.. o, lrt L.!or Cr(b. yol, 66r tonhrnn compt rin qxn ]o@uro.r. d rh!
<br />rrhn .hatl lx araa ad Erol.d
<br />anY rr|.^iar - a. lo 66<om rubrct lo l|l.
<br />u../a-14--' 2?- ^rpxc,n recr
<br />t i.
<br />-
<br />Artri.rlt 6lig I
<br />Erpror
<br />-
<br />v.ii6d By (SE )
<br />q/.aqr
<br />Tnr p..mn tn.n .4ir. by I'nnnid .rd b..om ,i,I ..d vord rlt lort &rhaE.d by rni.
<br />,.rdl I mr com6.n6d nrnn rod.yr iron tL dr. ol thb p..mn o. d rorl.utho.E.(l by hr
<br />p..frn . i,rpai!.d o..brxbi.d a.ny rri. rt- lh. ro.t r. cdDnr..rd lo. r p..rod ol rorr.t A ,r.r p..nn ,r.ll !. o6a.,.d ftDr b.lo.. rrcn,o.t c.n !. nEr r|rE d
<br />ftac.ft fXdrtot
<br />I c-ltty rhx r nfta aa m..pt t!.tlrsr.rxt !aa$d tha aloa dldnrrbo b c!..-t I Q,- to
<br />.ompl, 'nn rl ory o.o,r.nc- md rl.r. l.ri r.lir{ io nxx,.tg c{.!rt.tb.. ,., h.rtby
<br />Er.armlaion ol rtxt cny io drd uron rll .boldr..rio.la(t
<br />a99hcr. o. ,96r (s{
<br />I lResidential I llnduslral NO.EACH TOTAL
<br />EACH FURNACE INCL. OUCTS AND VENTS
<br />Up to '!00,000 BTU 15.00
<br />O/er 100.000 BTU 20.00
<br />EACH ABSORPTION SYSTEM
<br />1m,000 BTU to 1,000.000 BTU 25.m
<br />1,000,001 BTU lo 2,0@,000 BTU 30.00
<br />EACH COiIPRESSOR, BOILER, OF I'iEAT PUMP
<br />Heat R rp ComprEssor less than 5 HP 25.m
<br />5HPto30HP 25.00
<br />31 to 50 HP 30.00
<br />olrer 50 HP 40 00
<br />EACH AIR HANOLING UNIT Of, VAV BOX
<br />Ar FlandlirE less ltEn 2.000 CFM {o-!o
<br />2,000 CFM to l0,(m CFM 10 00
<br />o\,€. 10.000 CFM
<br />MISCELLANEOUS
<br />OJtdoor Dual Packagod Healing or Cooling
<br />Floor Fuma@ 15.00
<br />Heater; Suspended, \ /hll or Unit 15.00
<br />Com l Drler V€irts 15.00
<br />O€co.ati\€ Fil€ple (Vt,ood or Gas)15.00
<br />n€pair Alt. or Add. lo dry Hodi{/Codirg sys 10.m
<br />RsrEe Fiood wirl Ouct and Fan fiype 0 15.00
<br />Eah Wnt Fan Cornecled to a Oucl 15.00
<br />Fan Coil lnstallation 20.00
<br />Firc Extinguishing Syslem 15.00
<br />Each E\€porati\€ Cooler 15.00
<br />lncidontal Gas PiparE 10.00
<br />FilB Oanper lnslallation 15.m
<br />15.m
<br />Hood witrl Orrcl and Fan (Iype ll)15.00
<br />Subtotal
<br />P6nalty Fee (when applicable)
<br />Violation Fee (50.00)
<br />Plan Check 557. ol subtotal (minimum 20 00)
<br />Receipt M.Pc*Date
<br />Phfl Cflgck (AdjusiII|€nt)
<br />lsslJance Fee -$40-
<br />TOTAL PERMIT FEE (minimum S35.00)
<br />OATE o-/PERMIT NO
<br />,.14 v€FIFTEO 8Y (S€ )
<br />IAUILOING P€FMII ISSUEO BY ISE )
<br />6?ttz-IJSE ONLY)
<br />IACCOUNr rr t.ala
<br />or.rnbltoo , rn.p.cior cort 2 fn.co9, 3...*"1011
<br />cs.6r6
<br />illa.rn o'Tfr
<br />-_W
<br />4
<br />IElZIP
<br />e
<br />azo
<br />oo,
<br />k"s
<br />l-$l--tL-
<br />l-.,NF-t+Lt\
<br />6s
<br />NFN)l\)
<br />INl\
<br />l>I-s-s
<br />q
<br />1o.o
<br />t r5!o
<br />{) " nc+ Bt
|