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3710 Santa Fe Village Dr., Unit C <br />JO8 AODHESS <br />OWNEF <br />CITYCosta Mesa <br />a <br />Sunflower Associates <br />iew Rd. <br />Oura?-lulld.t Dadraabn <br />I hsraby atrirm lhal I em exempl lrom tho Contraclo/g Licmse Lsw d lho lollowing roeaon (S€c. <br />703 1.5, 8u3an€ss 8nd Prol€alions Code. Any city or county which roquirgs r p€rmil to con8ttucl. <br />altor. improve. demolish, or repair any slructura. prior lo ils i$uancg. als roquirs3 lhg applicant <br />lor 3uch permit lo tile E 3En€d 3talement thsl ho is lioensed pursuanl to lha povi3ionE ol lhe <br />Contrsctor's Licms Lil (Chaptd I (@mmncing wilh S€clion 7@0) o, Division 3 ol thg <br />B6ine$ and Protsasims Code) or thll he is exempl theretrom 8nd the bais lor the slleged <br />exemplion. Any violslion ot S€61ion 7031 5 by 8ny spplicanl tor a p€rmit ubiects the sgplicanl to <br />a civil penalty ol not more lhan tivs hundrod (bllsrs (gsm): <br />ES."tionUOIU l.asownorotthspropsny,ormyemployEswilhwag€sasthoiTsolacompan- <br />salion. will do lhe woft, and the slructure is not intmded o, ottsed lo.3ale. <br />E S*tion 70448 l, 8s ownor ot th€ poperty. am oxclusrvoly cmtr&ling with licef,sed <br />contraclm lo comtrucl lho prolffl. <br />Oate Owno, (Sig.) <br />Conlrrlo[ t,3. Only <br />I h€reby allirm that I am licensed und€, the provrsaons ol Chapter 9, Orvisaon 3 <br />l2 <br />t^+7EOate @ntraclor (Sig ) <br />in lull for@ and etlecl <br />c20 Licsse <br />ottYit*d <br />"''hotco <br />AODRESS3180 Broken Arrow <br />Prol6sroN Code. md mv license rs <br />,-,"""1""2#o 5507ra*" <br />m Residential E lndustrial E Commercial <br />EACH FURNACE INCL. DUCTS AND VENTS <br />Heat Rrmp 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 />Range Hood with Duct and Fan (Type l) <br />25 .00 <br />.00 <br />TOTALNO.EACH <br />PUMP <br />1Subtotal <br />4 <br />1 <br />by <br />abow <br />15.00 <br />20.00 <br />25.00 <br />30.00 <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 />15.00 <br />10.00 <br />15.00 <br />15.00 <br />10.00 <br />15.00 <br />15.00 <br />20.00 <br />15.00 60.00 <br />20.00 <br />Up to 100,000 BTU <br />Owr 100,000 BTU <br />EACH ABSORPTION SYSTEM <br />100,000 BTU to 1,000,0@ BTU <br />1,000,001 BTU to 2,000,000 BTU <br />EACH COMPRESSOR, BOILER, <br />5HPto30HP <br />31 to 50 HP <br />Over 5O HP <br />Air less than 2,000 CFM <br />2,000 CFM to 10,000 CFM <br />Orcr 10,000 CFM <br />MISCELLANEOUS <br />Floor Furnace <br />Heater: Suspended, Wall or Unit <br />Com'l Drlor Vents <br />Decorative Fireplace (Wbod or Gas) <br />Each Vent Fan Connected to a Duct <br />Fan Coil lnstallation <br />Fire Extinguishing System <br />Each Evaporatiw Cooler <br />lncidental Gas Piping <br />Fire Damper lnstallation <br />Hood with Duct and Fan il) <br />Uort.lt Conpfi rlbn Oaciribn <br />I hdeby atfi.m lhel I have a ce.lificalo ol @nsl to slt-insur6. or a cerlilicaleol Worts's Com- <br />pensation lnsurance. Certified copy is lalsd with the Cily blJilding inspsclion deparlment. <br />I certity lhsl in tho porlormanceot th€ worl forwhich thi3 <br />person rn any manner I as to become subiect lo the <br />Calilornra <br />Lotc. To Af'pllcit: <br />ll attgr makrng lhrs Ce.iricate of Exemplron, you should become sublet lo the !Vo,ker's Compen- <br />salron p.ovrsrons ol lhe Labor Code, you must lorihwith comply with such provisrons or thrs <br />permil shall be dmmed revoked <br />Applicant (Sig <br />Date Applicant (Sig.) <br />Compensation Laws ol <br />I shell not employ any <br />on lVLlST <br />Dsre L I qO <br />Exprro3 'r -- VeriliedBy(SE) <br />Penalty Fee (when applicable) <br />Violation Fee (50.00) <br />Plan Check 650/o of subtotal 68.25 (minimum 20.00) <br />Receipt No.pc # 6gL7 Date 213 <br />CreditPlan Check (Adjustment)13.00 <br />lssuance fue 10.00 <br />TOTAL PERMIT FEE (minimum $i|5.00)-0- <br />Erpkrabo <br />This pormit shall expira by limitation snd b€com€ null and void il the work authorized by lhi3 <br />petmit is nol commencod withan 180 days lrom th€ dal6 ol this pormit or il work aulhorizgd by this <br />p€rmit is s3p€nded or abandonod at any timo erl6r lh€ work is commnced lor 8 poriod ot l8O <br />days. A nfl pdmit thall b€ obtained liBt bclora such work can be rscommencod. <br />ADelc.ril'a Dadraaldr <br />I conity thal I h8v6 rsd lhB applrcalion and slate that lhe above into(malion is corracl. I Egree lo <br />comply wath all city ordinanca and slate l8ws relaling to building constuctbn. and horoby <br />authorizod roprG€nl8lion ol tlris city to onter u pon tho rbove mantioned propsty ld inspsction <br />Appricsnr or Aeenr (s.s.) -'A *, <br />'4purpos€8 <br />on"WLl-fl DAIE ta-ut.f4 PERQurNo. 13766 <br />BHAiliS. -5U,,nq^F,Eo By (sis ) <br />q,?, <br />PERMIT ISSUED BY (S'9 ) - <br />'tJ- <br />ALL FEES PAID ON M 10865 <br />Y)c -"L <br />VALIDATION (OFFICE <br />(ACCOUNT r11-412) <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 W <br />APPLICANT FILL IN AREA BELOW <br />Orslribution: I lnspelor Copy 2. File Copy 3 Finance Copy 4. Applicanl Copy <br />E)grIzo <br />ool,m <br />U) <br /><n <br />(,{ <br />o <br />cn <br />0,prt <br />0) <br />hd <br />o <br />H.HH <br />0) <br />0co <br />U <br />H <br />p <br />14rt <br />C) <br />\\ <br />cs-618 <br />PHONE <br />7 t4 I 546-Ot| <br />STATE/ZIPcA 92626 <br />1 <br />CONTRACTOR I PHoNEI zts-zzooSteel T. AIC <br />I STATE/ZIP <br />I er76o <br />l