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3710 Santa Fe Vlllage Dr., Unit F <br />JOB ADDRESS <br />CITY osta Mesa <br />"^53?SoTlTrview Rd. <br />OWNERSunflower Associ-ates <br />Oun -lufi(l.r D.Ct lbn <br />I horeby allirm lhat I am oxmpt lrom tho Cmtrrclo/s Li6sa Law d lhe lollowing reason (S€c. <br />70ir1.5. Busin6s and Prol6sions Code. Any cily or county which roquires I p€rmil to conllrucl, <br />alter. improve. domolBh. or ropair any slrucluro. prior to it3 issuanc€. also roquiros tho applicant <br />,or such permil lo tile 8 signod stalemanl th8t he b lic€n36d pur3uant lo the provisions o, lhe <br />Contractor'3 Liconso Lil (Chaptor I (commencing with Selion 7qtr) o, Division 3 o, the <br />Businos and Prol6$io.r8 Coda) or that he is axempt theretrom and the basis rot tha allsgod <br />oxomption. Any violrtion ot Section 7031.5 by 8ny applicant lor a psrmit subjecls the spplicanl to <br />a civil p€nally ol nol more than tivs hundrod dollarc (35@): <br />E S""tion 7044A l. as ownoi ot th6 proparty. or my 6mployffiwilh wag6 a thoir solacompon- <br />lation, will do the wort, and lhe structure is rct intend€d or ottGr€d tor 3elo. <br />E] S""tion 70448 l. as owner ol lh€ prcporty. m axclusavoly contrrling with licensad <br />conlracloB to coretruct lhe proiet. <br />Oate Owrer (Sig.) <br />I hgrsby altirm thsl I em lacenged under the provislom ol Ch6pter 9, Divispn <br />Contrr{on lrao Only <br />Norco <br />01 <br />3otth€BusinBs ad,'/tr <br />50t27 <br />CONTRACTOR <br />CITY <br />puq <br />Steel- T. AIC <br />Oata @nlr&toi (Sig ) <br />in full lorce and et act. <br />c20.J3P_ddil:: <br />E Residential U lndustrial n Commercial <br />EACH FURNACE INCL. DUCTS AND VENTS <br />EACH AIR HANDLING UNIT OR VAV BOX <br />Repair, Alt. or Add. to any Heating/Cooling sys. <br />20.00 <br />NO.EACH TOTAL <br />3 <br />1 <br />by <br />abow <br />or <br />this notbut <br />Up to 100,000 BTU <br />Over 100,000 BTU <br />EACH ABSORPTION SYSTEM <br />100,000 BTU to 1,0O0,000 BTU <br />1,000,001 BTU to 2,000,000 BTU <br />EACH COMPRESSOR, BOILER, <br />less than 5 HPHeat Rimp <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 />Over 10,00O CFM <br />MISCELLANEOUS <br />Outdoor Dual Packaged Healing or <br />Floor Furnace <br />Heater; Suspended, Wall or Unit <br />Com'l Drpr Vents <br />Decoratile Fireplace (Wood or Gas) <br />Hood with Duct and Fan (Type l) <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 />15.00 <br />20.00 <br />2s.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 />10.00 <br />15.00 <br />15.00 <br />15.00 <br />15.00 <br />10.00 <br />20.00 <br />15.00 <br />'t 5.00 <br />Hood with Duct and Fan (Type ll)15.00 <br />Subtotal 90.00 <br />Wb.tm Conrp.Edbn O.clr.lbn <br />I hsaby atfirm lhat I have a certifiole ol @nsst to slr-in3ure. or a carliricata ol Worls's Com- <br />pensation lnsuranco Cs.tilied @py is liled wilh the City building inspoction <br />peBon in any manner so a lo bg@mg subjocl lo ths <br />Calilornia <br />taollo To Appllcrl: <br />It atter makrng lhrs Certricate ol Exemption, you should become subitrl to the Worke,'s Compen- <br />salron provrsrons ol lhe Labor Code, you must forlhwrlh comply with such provisrms or thrs <br />permrl shall be deemed revoked. <br />,.r" l?4'fr orr, <br />I cartit that in the pertormance <br />rcanl <br />ollhework lorwhich <br />Date Applicsnl (Sig.) <br />Compensation Laws of <br />I shall mt omploy eny <br />Dare L I qO <br />Expr,es -:4 VeritiedBy(Srg) <br />Fenalty Fee (when applicable) <br />Violation Fee (50.00) <br />Plan Check 650/o of subtotal 58. !Q (minimum 20.@) <br />Receipt No,pc # 69L7 Date 213 <br />Plan Check (Adjustment)Credit 3.25 <br />lssuance Fee 10.00 <br />TOTAL PERMIT FEE (pinimum $35.00) <br />Erpkdon <br />This p€rmit shall expire by lamitation and become null and void il tho work authorized by this <br />permil is not commenc€d within 180 deys lrom the date o, this p€rmil o it work suthorizsd by thig <br />permit is suspended d abandoned al any time atts the wdk is commnced for e pariod ol 180 <br />days. A n* permit shsll be obtained ta'8t b€lore such work en bo r&ommencod <br />Apoec..rl't O.drdon <br />I cenity lhal I hav6 roed thb applicalim and slala that tha abovo intormation is ctrrect. I aoree to <br />comply wnh all cily ordinancG and stste laws ralating to building consluclion, and h€raby <br />authorized ,eprc€ntstion ot this cily to ents upon th€ abovFmenlioned property tor in3p6ction <br />Applicsnl or Agent (Sig.:::B'uq DArE <br />' <br />e.4_g NO. <br />sjPlzvERrFrEo <br />BY (sie) <br />EUILDING <br />PEHMIT No <br />'nlrr> 1PERMIT ISSUEO BY (Sig I _ <br />ALL FEES PAID ON M 10865,, -r9'->ffi <br />,'S'i"dlig^l l?.'."!", <br />t'* *Vrl,1 <br />APPLICATION AND I <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 />(! <br />E <br />IIzo <br />oo! <br />m <br />U)(t <br />(, <br />! <br />Fo <br />(n <br />A) <br />rt <br />0) <br />ftl <br />o <br />H.HH <br />0! <br />oao <br />UH <br />c <br />H.rt <br />rd <br />ion l. lnspeclor Copy 2. File Cogy 3. Fin8nc6 Copy 4. Appticant Copy <br />cs-618 <br />'lTtlsqo-olo <br />STATE/ZIP <br />ca. 92626 <br />HEAT <br />1 ,q nn <br />15.00 <br />45.00 <br />-0- <br />200