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3710 Santa Fe Village Dr., Unlt E <br />JO8 ADORESS <br />"oSStSoT5Trview Rd. <br />o*dtlr,f lor"r Assoc lates <br />c'tosta Mesa <br />h(hesidential Elndustrial DCommercial <br />EACH FURNACE INCL. DUCTS AND VENTS <br />NO.EACH TOTAL <br />1 25.00 <br />Up to 100,000 BTU <br />Owr 100,000 BTU <br />EACH ABSORPTION SYSTEM <br />100,000 BTU to 1 ,000,000 BTU <br />1,000,001 BTU to 2,000,000 BTU <br />EACH COMPRESSOR, BOILER, <br />Heat Pump Compressor less than 5 <br />5HPto30HP <br />3l to 50 HP <br />15.00 <br />20.00 <br />25.00 <br />30.00 <br />25.00 <br />30.00 <br />25.00 <br />EACH AIR HANDLING UNIT OR VAV BOX <br />Owr 50 HP <br />Air Handling less than 2,000 CFM <br />Ortrr-tsll(bt O.drabn <br />I hereby altirm thsl I am exompl lrom ths Cdlraclo/s Lic€n3€ Law lor the tollowing rsaon (S€c. <br />7031.5. Busin6!s and Prole3sions Code. Any city or @unty which r6quit63 8 pcrmit lo conrlrucl, <br />alter. impreve. d€molish. or ropair arry strucluro. prid to ils isluanco, also roquiroe lho appliclnt <br />lor ech permit to tils I signad stalem€nl lhat h€ i3 lic6ns€d tprsurnt to lh€ ptovi3ions ot tha <br />Contrector'3 Licons€ Law (Chsplor 9 (commencing wilh Soclion 7m) ot Divl3ion 3 ol tho <br />Bu3in6ss and Pror6$ioos Cods) or lhst he is sxmpt thorerrom rnd lho bais tor lh€ alloged <br />aremptaon. Any yiolalion ol Soclion 7G11.5 by any lppliclnt tor e permil $bioc'ts lho appliclnl to <br />a civil ponalty o, rcl more than liva hundr€d dollaB (t500): <br />E S""tion ZOga l, sr owner ol lho property, or my employ€os wilh wlg€s rs thsir sole compen- <br />sstaon. will do tho wort. and the strucluro b not intmdod or ottssd tor salq. <br />E S*tion 70448 l, as owner of th6 prop€rty. am exclusivoly contraclang wnh l,c€nsed <br />@nlracloB lo construct tho poect. <br />Oate <br />- <br />Owner (Sig.) <br />Conli&ton t .c Only <br />Norco <br />I STATE/ZIP <br />I srtoo <br />CONTFACTOB <br />CITY <br />Steel T. AIC <br />ADDRESS <br />3180 Broken Arrow <br />I hareby allirm that I am licensad undor lh€ provisions of Chapter 9. Division 3ol lho <br />ProleSsrons Code. ed mv lrcens rs <br />..13(?o---:souz,*" <br />o""fL'L?.Y contracror <br />and <br />(sig ) <br />rn lull lorce and aflet <br />Outdoor Dual Packaged Healing or Cooling <br />Range Hood with Ducl and Fan (Type l) <br />45.003 <br />Each or by <br />Repair, Alt. or Add. to Heating/Cooling sys. <br />10.00 <br />10.00 <br />2,000 CFM to 10,000 CFM <br />Fire Damper lnstallation <br />Owr 10,00O CFM <br />lncidental Gas Piping <br />M]SCELLANEOUS <br />Each Evaporative Cooler <br />Fire Extinguishing System <br />Floor Furnace <br />Fan Coil lnstallation <br />Heater; Suspended, Wall or Unit <br />Each Vent Fan Connected to a Duct <br />Com'l Drpr Vents <br />Decorati\€ Fireplace (Wood or Gas) <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 />Wortm Comemtbn Oadralbn <br />I hseby artirm that I heve e @rtitiote o, @nsmt to $lr-insure. or a csrtilicate ol Works's Com- <br />p€nsation lnsuranco. Cortiried @py is ,ilsd with the City building irupmlion d€parlment. <br />I cenity that rn lhe tErtormencg ol th6 work fo. which thas <br />p€lsm in any mannor $ as to be@mo gubjec{ to lh€ <br />Crlilomia <br />NollcC To Appllcfrl: <br />ll atter makrng lhrs Cenrfrcale ol Exemptron. you should b€@me sublml to the Worker's Compen- <br />salron provrsrons ol lhe Labor Code. you must lorthwith comply wrth such provrsrons or thrs <br />permrl shall be demed revoked <br />Oate Applicant (Sig ) <br />Vtrilied By (Sig.) <br />Compensation Lils ol <br />I shall not employ any <br />Bpkdon <br />This p€rmil shall oxpiro by limilalion and beom€ null and void il the worl authoriz€d by this <br />p€rmilisnotcommsncadwithln t80daystromth€dat6o,thi3pdmitoritwork6urhorizedbythis <br />p€imil rs suspend€d or rbandoned al any time sttor th6 wort ig cornmancod lor a poriod ot 180 <br />days. A ner ptrmit shall be obtainod liBl borois $ch woik can b€ recommenced. <br />A9Dfo.f'. D.drdar <br />I certity thal I have rsad this spplic8tion snd stol6 that th€ 6bove inrormation is corrst. I aoreo to <br />comply with all caly qdinanG and stato law! rolating to building cm3tuclbn. snd h€reby <br />authorizad roprBentation ol lhis cily lo onler upon tho lboEmslionod propsrty tor insp€ction <br />Ewq Applicanl or Agent (Sig.) <br />purpos6 <br />Oete <br />Plan Check 650/o of subtotal 58.50 (minimum 20.@) <br />Hood with Duct and Fan (type ll)15.00 <br />90.00 <br />10.00 <br />-0- <br />Pc * 69L7 Date 2 3 <br />Subtotal <br />Penalty Fee (when applicable) <br />Violation Fee (50.00) <br />Receipt No. <br />Plan Check (Adjustment) <br />lssuance Fee <br />TOTAL PERMIT FEE $3s.oo) <br />PERMIT NO.DATE t a-Zq.81 <br />BUTLD,NG {ltrZt qa <br />PERMIT ISSUEO 8Y (Sig ) <br />VALIOATION (OFFICE <br />(ACCOUNT t11-41a <br />EL ALL FEES PAID/s oN M 10855-JT- 9? <br />".*Vrfl, <br />APPLICATION AND O <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 />E)grIzo <br />0ol, <br />maa <br />(f,){ <br />o <br />U)piIrts <br />rd <br />o <br />ts.HP <br />A) <br />0qo <br />UH <br />E <br />H.rt <br />t{ <br />Drslnbutron 1 lnspector Copy 2 File Copy 3 Finance Copy 4 Applicant Copy <br />cs-6r\ <br />'?tt/sao-or rc <br />STATE/ZIPcA 92626 <br />40.00 <br />10.00 <br />,n nrr <br />CraAi t ? 25 <br />PHONE <br />279-3200 <br />Pg?* 4/eo <br />orr"lZ'Ul+? <br />U0.,_*_