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ffiesidential E lndustrial ! Commercial NO.EACH TOTAL'"'?'E;Z ]rrn Zzvfl/#-il,,- /EACH FURNACE INCL. DUCTS AND VENTS <br />Up to 100,000 BTU 15.00 <br />20.00Over 100,000 BTU <br />STATE/ZIP EACH ABSORPTION SYSTEM <br />100,000 BTU to 1,000,000 BTU 25.00 <br />1,000,001 BTU to 2,000,000 BTU 30.00 <br />EACH COMPRESSOR, BOILER, OR HEAT PUMP <br />25.00 2r.taHeat Pump Compressor le$s than 5 HP <br />5HPto30HP 25.00 <br />Omr-aul(,.r O.drtbn <br />I hereby allirm lhal I am exompt lrom the Conlracio/s Liconso Law tor the tollowino t66oo (Soc. <br />7(81.5. Busin$ and Prot€$aon3 Codo. Any cily or county which require! e pctmit to construcl. <br />alter, improve. demolish, or roparr any structuT€. prior to ils isuance, d$ requiros lha applicSnt <br />tor sch permil to lile a sign€d slatomont lhst ho b licmsod puEuant to th€ prcvisions ot tho <br />Contrectoi's Licss€ Lil (Chapltr 9 (@mmencino whh Strtion 7m) o, Oivi3iof, 3 o, the <br />Business and ProlBims Crde) or thal ho is sxompl th€relrom and th6 basB td lh€ slleged <br />exemplion. Any violalion ol Saction 703t.5 by any applicant tor a permil sbiscis th6 applicant lo <br />I civil penally ot rct mors lhan tive hundred dollars (t5@): <br />E S*tion 7O44A l. I ownor ol the proporly, ry myemployosswrth wrg€G as thei. elecomper <br />sation, will do lho worl. and ths slrucluro B not inlend€d or oltored toa sala. <br />E S*'tion 7Oa4B I, a ownq of the proporty. em exclusively cmtr&ling wilh licms€d <br />contiactm lo construct the prolect. <br />Date Owner (Sig.) <br />Conlrrto[ t,.. Only <br />I <br />cr <br />I hereby allirm lhat I am licensed undor the provisions ol Chspter 9, Division <br />cesolzClss <br />Pro16srons <br />!!l?t""/)- <br />Code, md my lrcen$ is in lull fo.ce and €ftect fipsiaasana <br />o, @nsml to 3elf-insure. or a ce.lificate ol Worter's Com- <br />I certrty thal rn lhe pertormanceol the work lor which thrs <br />person rn any manner s as to be@me subjecl to the Worker's Compensatton Lils of <br />Calirornra <br />Nollcr To Appllcrt; <br />ll alla makrng thrs Cenrficateol Exemptron, you should become sublEt to theWorke/s Compen- <br />salroo provrsrons ol lhe labor Code. you musl lorlhwrth comply wrlh such provrsrons or lh6 <br />permrt shall be deemed revoked <br />deparlm6nt. <br />(Sr9 ) <br />,iled with the City <br />Oate Applicant (Sig.) <br />Wortm Con?.ndbn Oclrdbn <br />I shall mt mploy 8ny <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 />'0, r? <br />Hood with Duct and Fan (Type ll) <br />31 to 50 HP <br />Fire Damper lnstallation <br />Orcr 50 HP <br />lncidental Gas Piping <br />Each Evaporative Cooler <br />Air Handling less than 2,000 CFM <br />Fire Extinguishing System <br />2,000 CFM to 10,000 CFM <br />Fan Coil lnstallation <br />Over 10,000 CFM <br />Each Vent Fan Connected to a Duct <br />MISCELLANEOUS <br />Floor Furnace <br />Heater; Suspended, Wall or Unit <br />Com'l Dryer Vents <br />Decorative Fireplace (Wood or Gas) <br />Range Hood with Duct and Fan r) <br />30.00 <br />40.00 <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 />15.00 <br />10.00 <br />15.00 <br />15.00 <br />10.00 <br />15.00 <br />20.00 <br />15.00 <br />or <br />bul nol abo\e <br />by <br />Subtotal <br />Penalty Fee (when applicable) <br />Violation Fee <br />Plan Check 65% of subtotal <br />(50.00) <br />(minimum <br />DateReceipt No.Pc# <br />Plan Check (Adjustment)il.2r <br />lssuance Fee 10.00 <br />TOTAL PERMIT FEE (minimum $35.00)* <br />Erd?don <br />This pormit shsll erpire by limitatim 8nd beore null and void il the work 6ulhoriz€d by this <br />permit E not commonced within lEO d8y3 trom the dds ot thi3 permit or il wort autho(iz€d by this <br />permil is susp€ndod or abrndon€d 8t any time Ittr lhe work is cmmncod tor e poriod ol '180 <br />days. A n* pormit shall be obteinod liBt b€rore 3uch work can be rocommoncod. <br />AepLc.na'. D.dr.afm <br />I cenity that I have read this applrcstaon and stale that ths above intormation is correcl. I <br />authorized repr@ntation ol this caty to mt6 upon the <br />::T;u@ <br />agr@ lo <br />hereby <br />Applrcanl or Agent <br />comply wrlh all crty ordrnancG aod state laws to building consluclion, and <br />Propsly lor inspction <br />D rE /z-;u4? PERurrNo. 137 52 <br />E8A.-,rffi..fl llt ,ER,F,ED BY )PERMIT ISSUED BY (Srg ) <br />f*P d>L 1t-/034r )4/,(l-41 2) <br />APPLICATION AND a a CITY OF SANTA ANA <br />206 W. 4th StreetMECHANICAL PERMIT <br />(TYPEWRITE OR PRINT IN INK) <br />ffi7-2738 <br />&,,- <br />APPLICANT FILL IN AREA BELOW <br />E'g <br />7ozo <br />oo! <br />ma(r, <br />r <br />Oistribution 1 lnspeclor Copy 2 File Copy 3 Frnance Copy 4 Apptrcant Copy <br />cs-6r8 <br />\ <br />10.00 <br />0?) <br />15.00 <br />bat. n <br />COI{TRACTOR"2%;V r d-/n-?77-?ooPHONE <br />STATE/ZIP .TtzAo <br />on. lza?'*? conrracror (s,s <br />____Q__.