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Bfesidential Elnduskial !Commercial NO.EACH TOTAY'Try;tf 5o4hz-14ilr4. r,l^,- /4 EACH FURNACE INCL, DUCTS AND VENTS <br />Up to 100,000 BTUffi-a/o <br />Over 100,000 BTU 20.00 <br />EACH ABSORPTION SYSTEM <br />NG <br />CITY LZ 6 100,000 BTU to 1,000,000 BTU 25.00 <br />Oun €ulkt r Ordrtbfi <br />I hereby Itlirm lh8l I am sxmpt lrom tll€ Contracto/s Licans€ Lrw tor the tollowing reasoo (Se. <br />7031.5. Busin* and Prore$ions Code. Any city or county which r€quiras a pormil lo construcl. <br />altar, rmprove, damolish, or repair any slrucluro. prior lo als i3suance, also r€quir6 lhe applicant <br />,or sch pormil to lile a signed slalemGnt thal h6 as licensed puBusnt to the provisions ol lh€ <br />Conlraclot's Lrc€nta Lm (Chapter I (commencing with Selion 7qn) ol Divbion 3 ol the <br />Business and Prol6dms CodB) or that ha is oxempl th€retrom 8nd the bBE lor th€ allegod <br />exemption Any violation o, Soc,tion 70ill.5 by any sptrlrcanl tor 8 lErmit subiacls tho applicant to <br />E civil p€nslly ol not more than live hundrod (bllars (35&): <br />E S."tion 70444 l, as owner ot lhe proporty, or myomployeo3with wagB a lhear3ole comper <br />Salion, will do lhg wort. and the struclure B nol intended or oltff€d lor sale. <br />E S*tion 70448 l. ag ownq ol the prop€rty, am exclusBely conlreling wrth licensod <br />contracto6 lo construct lhe pro,trt. <br />Oate <br />- <br />Owrer (Sig.) <br />I hereby allirm that I am licensed under lhe provisions ol Chaptor 9. <br />ProFssions Code. and my hc€nse isl,#l!*.@71a .,n" <br />on"t24?-t7 conrracror <br />Contrrloa t,.. Only <br />/2 <br />T <br />O/rh--rr <br />STA <br />oiils}ow$inBsand <br />7lo <br />in lull ,orce and otlect <br />81N <br />Woila CoiIl.tt tbn OadrlSo <br />I hq6by allirm thsl I have a csrtitaote ol @ns6t to $ll-insuro, or a co.tilicate ol Worltr's Com- <br />I certify thst in theperformancoof lh€worklorwhichthis <br />poBon in any mnnor so I !o b.come 3ubiocl to th€ <br />Cslilornb <br />l{oilc. To Appllol: <br />ll alter making thrs Ce.lricate ol Exemplron. you shoutd become sub,st to the Worke/s Compen- <br />sation provisrons ol ihe Labor Code. you must forthwith comply with such provrsrons or this <br />permrt shall be demed revoked <br />with the City <br />Drte <br />-- <br />Applient (Sig.) <br />Compemalion Lils o, <br />I shall not employ any <br />inspetion department <br />( <br />EACH COMPRESSOR, BOILER, OR HEAT PUMP <br />Heat Pump Compressor less than 5 HP <br />EACH AIR HANDLING UNIT OR VAV BOX <br />Outdoor Dual Packaged Healing or Cooling <br />Repair, Alt. or Add. to any Heating/Cooling sys. <br />Hood with Duct and Fan (Type ll) <br />30.00 <br />tfl <br />or by <br />abore <br />(r-?) <br />(n <br />Range Hood with Duct and Fan r) <br />(minimum <br />1,000,001 BTU to 2,000,000 8TU <br />5HPto30HP <br />31 to 50 HP <br />Over 50 HP <br />Air Handling less than 2,000 CFM <br />2,000 CFM to 10,000 CFM <br />Over 10,000 CFM <br />MISCELLANEOUS <br />Floor Furnace <br />Heater; Suspended, \r{all or Unit <br />VentsCom'l <br />Decorati\e Fireplace (Wood or Gas) <br />Each Vent Fan Connected to a Duct <br />Fan Coil lnstallation <br />Fire <br />Each Evaporatilre Cooler <br />lncidental Gas Piping <br />Fire Damper lnstallation <br />25.00 <br />40.00 <br />25.00 <br />30.00 <br />10.00 <br />10.00 <br />10.00 <br />25.00 <br />15.00 <br />15.00 <br />15.00 <br />15.00 <br />15.00 <br />10.00 <br />15.00 <br />15.00 <br />20.00 <br />15.00 <br />15.00 <br />10.00 <br />15.00 <br />1 <br />Subtotal <br />Fenalty Fee (when applicable) <br />Violation Fee <br />Plan Check 650/o ot subtotal <br />(50.00) <br />DateReceipt No.Pc# <br />Plan Check (Adjuslment)// ,zr <br />lssuance Fee 10.00 <br />TOTAL PERMIT FEE (minimum $35.00)-+ <br />Erpkdon <br />This tprmit shall expire by limitetion and b6ome nufl and void it th€ work suthdized by this <br />permrt B not commncod within 180 days rrom ths date ol this p6rmit or irwork authori2ed by this <br />p€rmil is suspended or abandoned at any time arld lhe work is commenced for I p€riod o, 18O <br />days A n* pdmit shell be oblainod titst bslore uch work can bo recommmced. <br />Ape0canl't D.drdo.r <br />I certily thal I have read this applicalion and slala thet tha above intormstion is corrsd. I agreo to <br />comply walh all city ordanancB and slate l8m relating lo building cmgtuclbn. and heroby <br />authorized rapro6enl8lion ol this city to onte upon lhe abol/e-mslioned prcpdly tor intaroction <br />purpos6 <br />o',JAL48?Applrcant or Ag€nl (Sig PERMIT NO.DATE <br />BUTLDTNG 61qlrt|1penurr r.to. v_ '__ uvenrrreo av (sig.)9L/qlvYPERMIT ISSUEO BY (Sig ) - <br />cL. <br />f/"*//-/o8/rUSE ONLY} <br />1-412)44 _J <br />APPLICATION AND . <br />MECHANICAL PERMIT <br />(TYPEWRITE OR PRINT IN INK) <br />o CITY OF SANTA ANA <br />206 W. 4th Street <br />667-2738 <br />APPLICANT FILL IN AREA BELOW <br />@g-q <br />zo <br />oof, <br />ma)o <br />5 <br />Drst(bulron 1 lnspeclor Copy 2 Fne Cogy 3 Frnance Copy 4 Appticant Copy <br />cs-6r8 <br />\ <br />15.00 <br />I <br />/ <br />I )n,r't-) <br />AO.,r-a <br />oo