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JOB AOORESS <br />3708 Santa Fe Vl11age Dr., Unit B <br />Ehesidential !lndustrial ECommercial NO.EACH TOTAL <br />EACH FURNACE INCL. DUCTS AND VENTS <br />OWNERSunflower Associates <br />PHONE <br />714-546-0rLO Up to 100,000 BTU 15.00 <br />MAILING AOOR€SS3315 Fairvlew Rd.Owr 100,000 BTU 20.00 <br />EACH ABSORPTION SYSTEMCITYCosta Mesa <br />STATE/ZIPcA 92626 100,000 BTU to 1,000,000 BTU 25.00 <br />Our-lufl.bt D.dtilil <br />I htroby sltirm lhat I sm sxgmpl lrom tha Contracto/t Licffs6 Law lor tho tollowing raaon (Soc. <br />7(x}1.5. Busim md Pror6sions Code. Any city or county which toquiro! 8 pormit to construcl, <br />all€r. improvo, d,gmoligh. or ropeir any 3truclurs. prior to itg isurnco. also r€quirss the sgplicanl <br />tor $ch pdmit to tila I signod alat6m6nt that ho is licons€d puBuanl lo tho provisiom ol lhs <br />ContTaclor's Licffle Law (Chepler I (@mmencing with Soction 7@0) ot DivBion 3 ot th€ <br />Busins 8nd Prolasions Code) or that ha is orempt thot€lrom end the b83B tor th€ slleged <br />exomption. Any violetion ol Saction 7031.5 by 8ny 8pplicant tor a p€rmil ilbjecB the applicsnt to <br />a civil psnelty ot nol more than tivo hundrod dollaB ($sm)l <br />E S""tion zOga l. as ownor ol th6 proporty, or my omployoe3 with wag€s a3 thsirsolacompan- <br />salion. will do th6 wo.t, and th€ 3tructuro B nol inlmdsd or ollerod for !ale. <br />E S*tion 70448 l. as ownor ot the property, am oxclusively conlreling with licenssd <br />@ntracloG to conslTuct thg pro,et <br />Oate Owner (Sig ) <br />1,000,001 BTU to 2,000,000 BTU 30.00 <br />EACH COMPRESSOR, BOILER,PUMP <br />Heat Pump Compressor less than 5 HP 25.00 25 .00 <br />5HPto30HP 25.00 <br />3t to 50 HP 30.00 <br />Over 50 HP 40.00 <br />EACH AIR HANDLING UNIT OR VAV BOX <br />Air Handling less than 2,000 CFM 10.00 <br />2,000 CFM to 10,000 CFM 10.00 <br />Or,er 10,000 CFM 10.00 <br />MISCELLANEOUS <br />Outdoor Dual Packaged Healing or Cooling 25.00 <br />Floor Furnace 15.00 <br />Heater; Suspended, Wall or Unit 15.00 <br />Com'l Dryer Vents 15.00 <br />Decorative Fireplace (Wood or Gas)15.00 <br />Repair, Alt. or Add. to any Heating/Cooling sys.10.00 <br />Range Hood with Duct and Fan (Type l)15.00 <br />Each Vent Fan Connecled to a Duct 3 15.00 45.00 <br />ConlrElo[ t,.. olrly <br />CONTRACTORSteel T A/C <br />AODRESS <br />3180 Broken Arrow <br />STATE/ZIP <br />9t760 <br />I h€reby attirm thal I am licensed under ths provisions o, Chtpter 9. Division 3 ol thq8usinBs 8nd <br />ProlB3rons Corre, md my liense rs in tull lore and alt6cl. -l-O-' <br />.-."12*/nP o_l! 9 L I 7",*"c20 015012 <br />o*" rttl -X? conrrscror (sie <br />Y <br />tlod(.rt Comgrmalbn Ordrlbn <br />I hereby affirm that I have a cerlrricate ol @nsent lo *ll-rnsu.e, or a certilicale ol Works s Com- <br />pensalron lnsurance Certa,ied copy is fil6d wrth lhe City building inspetion department <br />which lhis mployany <br />pe'3on in any mannsr !o !3 to b€come subiocl to the <br />Calilomh <br />Compensation Lils ol <br />Dale Applicant (Sig.) <br />l{otlc. To Appllcil: <br />ll alls makrng thrs Certrtrcale ol Exemplron, you should become subltrt to lhe Worker's Compen- <br />Salron provrsrons ot the Labor COde. you must lorlhwrth comply with such provisrons or thrs <br />permal shall be deemed revoked <br />Fan Coil lnstallation <br />Fire Extinguishing System <br />Each Euaporative Cooler <br />lncidental Gas Piping <br />Fire Damper lnstallation <br />Each Appliance or Equipmonl B€gulated by <br />this Code but not sp€cilically lisled abo€ <br />Hood with Duct and Fan (Type ll) <br />Subtotal <br />1 20.00 20.00 <br />15.00 <br />15.00 <br />10.00 <br />15.00 <br />15.O0 <br />15.00 <br />90.00 <br />Penalty Fee (when applicable) <br />Erp.rdoa <br />ThE permit shall expire by limilalim and b@me null end voad il the work &rhorizod by this <br />pormit E not commanced within 180 days rrom tha dste ot thb parmil or il work suthoriz€d by thi3 <br />permit ,s Suspendsd or abandoned al any limo alt€r the work ig comrn€ncad ror a poriod ot 180 <br />deys. A nfl psmil ghtll be obtained tiBt boloro $ch work can be recommonced. <br />A9olbmat O.drifon <br />I certity that I hava rBd this spplacatiof, and stats that the abds inlormetion B correct. I aoree to <br />comply with all city ordinanc€a and state laws r€lsting to building con3tuc{ion.8nd h€reby <br />for iiltpstionaulhorired <br />purpos6. <br />.epr6enlstion of lhis city to enler upOn the abovlmentioned <br />o^";.''''L7'9 Applicant or Agent (Sig <br />Violation Fee (50.00) <br />Plan Check 65% of subtotal 58.50 (minimum 20.00) <br />Receipt No.Pc# 69L7 Date 213 <br />Plan Check (Adjustment)Credit 3.25 <br />lssuance Fee 10.00 <br />TOTAL PERMIT FEE (minimum $35.00)-0- <br />oArE / A -2A.91 PERMrrNo. 1 3 7 60 <br />eurr-orHco f {ba}ERTFTED By (sie.)PERMTT rssuEo BY (s,q ) - Vlz- >q eL, <br />APPLICATION AND .a CITY OF SANTA ANA <br />206 W. 4th Street <br />667-2738MECHANICAL PERMIT <br />(TYPEWRITE OR PRINT IN INK)&*APPLICANT FILL IN AREA BELOW <br />(DgrIzo <br />oo <br />f, <br />maa <br />(, <br />!o <br />@ <br />(/) <br />0,irt <br />0, <br />rrl <br />o <br />H.HP <br />9, <br />oco <br />UI <br />c <br />E <br />H.rt <br />t, <br />Oislribulion '1. lnspmtorCopy 2 FileCopy 3 FinancoCopy 4 AppticantCopy <br />cs-6r 8 <br />I <br />PIIONE <br />279-3200 <br />CITY <br />Nnrnn <br />Oale <br />Expirs Vtrilied By (Sig.) <br />Date Applicant <br />I ceniry th8t <br />ALL FEES PAID ON M10865 <br />-2