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APPLTcATToN AND a
<br />MECHANICAL PERMIT
<br />(TYPEWRITE OR PRINT IN INK)
<br />o CITY OF SANTA ANA
<br />206 W. 4th Street
<br />667-2738 NAPPLICANT FILL IN AREA BELOW
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<br />RBesidential !lndustrial nCommercial NO.EACH TOTAL
<br />EACH FURNACE INCL. DUCTS AND VENTS
<br />15.00Up to 100,000 BTU
<br />Owr 100,000 BTU 20.00
<br />EACH ABSORPTION SYSTEM
<br />JOB AOORESS Dr., Unlt C
<br />/ s46-Ott
<br />MAILING AOORESS
<br />3315 Fairview Rd.
<br />STATE/ZIPcA 92626Costa Mesa
<br />CITY
<br />OWNEESunflower Associates
<br />3708 Santa Fe Vil
<br />100,000 BTU to 1 ,000,000 BTU 25.00
<br />30.001,000,001 BTU to 2,000,000 BTUOrffi{uld.r O.drtlbo
<br />I hereby atlirm that I am oxmpt lrom tho Contractor's Licenso Law lorlhe tollowing rsaon (Se.
<br />70:]1.5. Busin6s 8nd ProlaSiong Code. Any city or counly which roquirs 8 p€rmil to construcl,
<br />alter. imp,ovo, domolish. or repair any struclura. prior lo ils isuance, d$ r€quirB the applicsnl
<br />lor such pffmit to tile e signod 3lalsm6nt that he is licansod pucuanl lo tha prcvisions ot tho
<br />Contractor'3 Licsnse Lil (Chapter I (commsncing with S€ction 7@) ol Oivision 3 ot th6
<br />Businass and Prof6dom Cod6) or that h6 iB sxsmpt th€relrom and tho b83B ,or th3 allog€d
<br />axamplion. Any violltion o, Soclion 7C[}1.5 by sny applicant tor 8 parmil subiects tho epplacent lo
<br />6 civil pen8lly ol nol mora than liva hundrod (bllars (tso):
<br />E S""rion 70444 l. as owner ol tho propsrly. or my Bmployeeswilh wag6 as th€ir solecompon-
<br />Sation. will do lhe wort, and the slruclure B rct inlmdod or otfored lor salo.
<br />E S*tion TOrl,lB l, e3 ownor ol the prcporty. am exclusivoly contretang with licens€d
<br />@ntrEcloG to @mtrucl the p7ol6t.
<br />Oate Owner (Srg.)
<br />I hereby attirm that I am licensed under lhe provisions ol Chapttr 9. Oivision 3
<br />Prol63ro.js Code, md my ticonse is I
<br />."*L3/.90--150212,..
<br />orn t?..Lit -fr contraclor
<br />Conlrrlo[ (,la Only
<br />CITY STA
<br />Norco 9t760
<br />3180 Broken Arrow
<br />in lull lorc€ end otltrt
<br />(Srg )
<br />olthe BusiBsand
<br />-fl-lct
<br />CONTRACTORSteel T AIC
<br />Heat Pump Compressor less than 5 HP
<br />EACH AIR HANDLING UNIT OR VAV BOX
<br />Range Hood with Duct and Fan (Type l)
<br />25.001
<br />or by
<br />3
<br />1
<br />Fire Damper lnstallation
<br />lncidental Gas Piping
<br />Each Evaporative Cooler
<br />Fire Extinguishing System
<br />Fan Coil lnstallation
<br />Each Vent Fan Connected to a Duct
<br />EACH COMPRESSOR, BOILER,
<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 />Owr 10,0@ CFM
<br />MISCELLANEOUS
<br />Outdoor Dual Healing or Cooling
<br />Floor Furnace
<br />Heater; Suspended, Wall or Unit
<br />Com'l Dryer Vents
<br />Decoratiw Fireplace (Wood or Gas)
<br />Repair, Alt. or Add. to any sys.
<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 />10.00
<br />15.00
<br />15.00
<br />15.00
<br />15.00
<br />'15.00
<br />20.00
<br />10.00
<br />15.00
<br />15.00
<br />Each
<br />this
<br />45 .00
<br />20.00
<br />Hood with Duct and Fan ffype ll)15.00
<br />Subtotal 90.00
<br />$orfa.. Coltfaralbn Oaat tabn
<br />I heraby allirm lhal I have a certitaete ol @nst to sll-insure. or a certiricete o, Work6's Com-
<br />pensalion lnsurance. Certiliod copy as lil6d with the City building inspgction departmenl.
<br />I cartrry that in lhe perlo,msnc€ ol the work fo, which this
<br />poBon in any mannor so 8s lo bgcomo gubiacl lo lh€
<br />Calilomia
<br />Lollcc To AgplbIt:
<br />ll aller making thrs Certilicate o, Ex€mption. you should become subiet to the Worke/s Compen-
<br />salron provrsrons ol the Labor Code, you must lorlhwith comply with such provrsons or this
<br />permrl shall be deemed revoked
<br />Veritied By (Sig )
<br />Applacant
<br />l shall rctomploy any
<br />Comp€nsslion L8w3 ol
<br />Deto
<br />-
<br />Applicant (Sig.)
<br />3:1"*. 4/90
<br />o"r" ttz'\-*?
<br />Penalty Fee (when applicable)
<br />Violation Fee (s0.00)
<br />Plan Check 65% of subtotal 58. JQ (minimum 20.00)
<br />Receipt No.Pc* 6917 Date 213
<br />Plan Check (Adiustment)Credit 3.25
<br />lssuance Fee 10.00
<br />TOTAL PERMIT FEE (minimum $35.00)-0-
<br />Erpkiba
<br />ThB tE mil shell erpare by limitation and bocoma null and void i, th6 work aulhorizod by this
<br />p€rmit is not comm€nc€d within tSOdays lrom the dat6 ol this tpimit o. it wort authoriz6d by this
<br />permit is sBpendod or abandonod at any tims alts the work is commncsd lor a p€riod o, 180
<br />deys. A n6{, psmil shall bo obtainod firlt betore 3uch work can b€ recommancod
<br />Applbmtl O.dr.0on
<br />I certity thsl I hsve read lhis spplicstion and stale that lhe abovs inrormetion is correct. I 80re to
<br />comply with 8ll city ordimncas and stato lffi rolating to buitding constuction. 8nd heraby
<br />euthorized r6p.€6entation ol lhis city to 6nt6r upon thG abovemstionod
<br />Applicant or Agsnt
<br />lor inaptrlion
<br />:::Lpfr DArEre.z"t-E4 PERMIT NO.
<br />Esl,.,si$"5_1/ 64 aL.,,,,
<br />o "",,,n,aE PERMrrrssuEo av $,gt ?Lb fi -CL
<br />ALL FEES PAID ON M10865 Ir-4r 2)
<br />rcE usE oNLY)
<br />Orstflbutron I lnspecto. Copy 2 File Copy 3 Frnance Copy 4 Applrcant Copy
<br />cs-6r8
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