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APPLICATIONAND
<br />MECHANICAL PERMIT
<br />(TYPEWRITE OB PRINT IN INK)
<br />O.,r"orroNrAANA
<br />20 CIVIC CENTER PLAZA
<br />834-4186
<br />o
<br />APPTICANT FILL IN AREA BELOW
<br />@c
<br />9z6
<br />t'
<br />NO EACH TOTAL! Residenrial E lndusrrial2ts5 =.
<br />JOEADORESS
<br />FIXTURES#iG -r?rB EACH FURI{ACE IiICL. DUCTS AITO VEITTS
<br />up to 10o.oo0 BTU r 0.00
<br />Over100.0008TU 15.00
<br />EACHAASORMO SYSTEM€_*= a-l lS
<br />cl STATE/ZIP
<br />up to 100,000 BTU 600
<br />100,0O1 to 5O0,0OO BTU 11.00
<br />500,001 to 1,000,000 BTU 15.00
<br />1,000,001 to 2,000,000 BTU 22.50
<br />Over2,0OO,OO0 8TU 37 50
<br />EACH COMPf,ESSOR, AOILER, OR HEAT PUMP
<br />up to 5 HP 600
<br />6io15HP r 1.00
<br />l6to30HP 15 00
<br />31 to 50 HP 22_50
<br />Ownx-&f,d..Mn
<br />I h.r.by .ttim rh.t I om exompt lrom ths Conrador's Uc6ns. L3w lor th6 lollowing roason {S€c.
<br />7031.6. &rino$ .nd ftor.!.ions Cod6: Any city o. county whach EquiEs a p6mit lo co.rslrucl,
<br />db.. imploE, d6mda!h, d 6pat 6.y sttucluo, prior ro it3 ie.rc!, d$ oquiBs th6 6ppli@nl lq
<br />!!ch p.mir ro lilo . sismd stalomdr rhd h. is lEensad Dlrsua.t ro ih. provisions of rh€ cmrr&-
<br />to.'s tics..s bw (Ch.Or.r 9 tcomnafting wi0r S€crio. 70OOl ol Oivis66 3 ol rr$ Businoae and
<br />Prolssio.! cod6l o. rh6r h. is 6t6.nd rhml.o.n E.d rh6 b.sis to. dE 5[ogEd €Emo{oi, any vror+
<br />lid ol S.ctio. 7031.5 by ..y lop[c8nI !o. a p.mh 3uuFcl! ih6 a@la.nt lo ! civil C...lry ol no!
<br />mo.e th.^ fiv€ hund.€d d.lL.8 195@l:
<br />E s-ri- zo.l,{A l. ar owi6r ot rtB p.op.rry, or my smploy€.s wi$ wa9$s3 r!6i sors c.rE
<br />p.n$lio., will do hr wqr, !.d ths salctrrs is nol inierd€d o. olisrsd lor !.1s.
<br />E S*ti- ZOit4e l, as owno, ol rh€ aroo€rty, s.n oxclusivsly conr'acnng wirh lixns.d cc
<br />trElorl to constlrct tr€ troi€cl.
<br />Over 50 HP 37 50
<br />Cooir.cior Urc Only EACHAIA HANDUI{G UNIT
<br />Upro 2,0O0 CFM 4.50
<br />4.502,001to l0,000CFM
<br />Ov6r10,000CFM 10.00
<br />PHONEq
<br />AODSESS
<br />-)-
<br />a\ a\ =MISCELLANEOUS
<br />Outdoor Oual Packaged H€ating & Cooling >- 20.00 40'CITYS---="- o.---,,.*-
<br />STAIE/ZIP
<br />e-* qa:,€
<br />ro 00
<br />10.o0
<br />10.00
<br />I horeby a,nm thar I afr liconsd uhdor th€ provisiihs ol Ch.pt6r 9, Dvtion 3 ol tn6 8Bi.6ss and
<br />anl7ab9+qo{tProlo$ir-s Cod., 6.d mv
<br />Docor6live Fir€placs
<br />Repair, Altoration or Addition to any Heating or
<br />Cooling Syst€m 600
<br />4.50Hen93 Hood Including Ductand Fan . ^LSEach vent Fan Connect€d ro a Ducr 4.00
<br />Fan Coil lnstallarion 6.00
<br />Dry Chomical Syslem I O.OO
<br />500Each Evaporaive Cooler
<br />hcidontal Gas Piping 5.00
<br />Fire Damper lnslallation 500
<br />Each Appliance or Equipmeni Regul6ted by
<br />this cod6 bul not specifically lisred above 6.00
<br />wurt* componltonoocraon \ I
<br />I ho6bv at nm thrr I h.w . conilicao ol consonr ro s€ll inruc, or a c€nilicale ot Worlor's Compen-
<br />lt, slro. d6ring lhis Cen ic.lo oi E 6mpli@, y@ shooH b6c@6 sbircr ro rho
<br />$rjo.r prdi9oG of rho L$d Codo, you musl loinwiih comp, with sch provtions
<br />*'.[ b. d.oo.d Bvorod.
<br />Appllc.nrr
<br />rh€ ciry buildino ircpo.ion d6psnm6nr.
<br />Z- , l- a1-ra.<-.o-
<br />o.Go. i. any danner e as 1o b.come sblfr
<br />lcoirily th3r in ths perlofi.nc€ ol th6 wo.t
<br />DllL Applicshl lsig
<br />450Hood wilh ouci enct Fan
<br />Subtotal 40'
<br />P€nalty Fee (whsn 6pplic6bl€ )
<br />Violarion Fee (minimum 335.00)
<br />2U^Pla6 Ch€ck Fee (minimum S15.00)
<br />No
<br />10.00
<br />TOIAI9GRMIT FEE {minimuh 035.00}
<br />ErDL.d(,t
<br />Thb p6mn shsll.xpno b, l,mat3lion 6nd b€cmo null rnd rcid n lho wo.t .uthdiz€d by this Fmh is
<br />nol cortr.lEmod wilhin 180 dry8 t 6 lh. dat6 ol rhE pemn or il wort aurhoriz6d by thb Fmit i!
<br />arsp.r'd.d or !b..do.Bd al .ny tmo !ft& ln. wo.t il clmmoncod tor . ,€nod ol 18O dry3. A mw
<br />O.,mn $.ll b. obbin6d ,ilst b.lor6 slch wo.t 6n b6 lmmm@ld.
<br />I c6.!ity rhar I h6w.@d thas aDDli@tion and slri. ihai tho
<br />comply whh Ell oily odi.6.@s .nd sl,l6 laws 6hti.g
<br />.i26 r.p@r6.r.!ws ol rhis ciry ro 6nr6, lpon ths abo$
<br />Aoohe.r or Aoonr tsiq.
<br />Apptrclnt'r D.drr.dor
<br />oarr- '1 'n -'7Q nenmn no. I
<br />PERMITNo VEBIFIEDBY(Si9 Z?IBUILDING
<br />PERMIT ISSUEO BY ISI,
<br />\IAIIOATION IOFFICE USE ONLYI
<br />(accouNTrll-415t
<br />ry/-[liaI-
<br />a
<br />Distribution: l.lnspectorCopy 2. FileCopy 3. FinancoCopy 4. ApplicahtCopy
<br />10.00
<br />r0.@
<br />t-<=-
<br />etM lnen.n.. C.nrird
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