HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (14)epirurcATroN AND t
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
206 W. 4th Street
667-2738
APPLICANT FILL IN AREA BELOW Z"^
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'"3fffi"Su"La Fe viltage DRive-Leasing office
MAILING
CITY
OWNERSunflower Associates
OillrJ-Bu[&t D.dt abn
I hereby atlirm that I am exmpl lrom ths Conlraclo/s Licensa Lil lqlhe tollowing ressm (Se.
7031.5. Business and Prol63ions Cod€. Any cily or counly which requires a permil to congtrucl.
alter, improve. demoli3h. or reprar aary structurc. prior to its isuan@. also roquir6 lho lpplicant
tor such permit to lile a signod statomsnt thet hs is licensod puEuant lo the provisionS ol the
Contraclor's Lic6s Lil (ChEpter I (@mmencing with Soction 7m) ot Division 3 ol the
Busin8s and Prol€asions Code) or thst ho is sxempl thorotrom end ths bBE lor tho allsged
axompton. Any violstion ol Selion 7031.5 by any epplimnl lor r p€rmil ebiccB the epplicsnl to
a crvil psnalty ol not more lhan livo hundrod dollars (9500)i
O Ssction 7O{4A I, as owner ol the propony. or my employcos with wa96 s lhairsle comp€n-
sation. will do the work. and lhe structure b ml intmded or ottorod lor sale.
E S*tion 704,18 l. a owns ol th6 property. am exclusivsly conttacting wilh licensed
@nlracl06 Io construct the pro,scl.
Oate Owrer (Sig.)
Contrr{o[ t,'. Only
3I8O Broken arrow
STATE/ZIP
cA 91710
CONTRACTOR
ADDRESS
fl Residential D lnduslrial b Commercial
EACH FURNACE INCL. DUCTS AND VENTS
EACH COMPRESSOR, BOILER, OR HEAT PUMP
Heat Rrmp Compressor less than 5 HP
EACH AIR HANDLING UNIT OR VAV BOX
Outdoor Dual Packaged Healing or Cooling
Repair, Alt. or Add. to any Heating/Cooling sys.
Range Hood with Ducl and Fan (Type l)
EACH TOTALNO.
Up to 100,000 BTU
Over 100,000 BTU
EACH ABSORPTION S\ETEM
100,000 BTU to 1,000,000 BTU
1,000,001 BTU to 2,000,000 BTU
5HPto30HP
31 to 50 HP
Over 50 HP
Air Handling less than 2,000 CFM
2,000 CFM to 10,000 CFM
Orcr'10,000 CFM
MISCELLANEOUS
Floor Furnace
Heater; Suspended, Wall or Unit
Com'l Dryer Vents
Decorati\re Fireplace (Wood or Gas)
15.00
20.00
25.00
30.00
25.00
40.00
25.00
30.00
10.00
10.00
10.00
25.00
15.00
15.00
10.00
15.00
15.00
15.00
I hsreby a,lirm that I am licensed under the provisions of Chaptg 9. Oivision 3o, the Busin€a3 snd
my
7 e1 I27
Protessrons Code, md
Cont,actor
liceme is in lull torca and atl*l
Cl6sLrcense No
55071 c20
on" l2'L74 Each Vent Fan Connected to a Duct )15.00 ?n rlr)
tffi.rt CorDallalbo Dadrralon
I hffeby erlirm thal I have I certilicate o, @nst to s€lf-insure. or 8 cerlilicats ol Worier's Com
p6metion lnsurence. Certitied @py is liled with the City building inspoclion d€panmanl.
pctson in 8ny mannd so B to b€om€ subiecl to the Wdl6r's ComperBation LawS of
Calitomis
Noilc. fo Appllcrtl:
ll alter makrng lhrs Ce.trtrcale of Exomptron. you should become sublrct to lhe Worker's Compen-
salion provrsrons ol the Labor Code, you must lorthwilh comply w[h such provisions or this
permrl shall be demed revoked
ob
Date Applicsnt
Dat e Applicanl (Sig.)
I cerlify that rn the lo,whichthis I shall nbl employ any
Bil?* 4..90 vorinod By (si{,.)
Erplr.lbn
This permil shall €xpirs by limitation and become null and void il lh6 work authorizsd by lhis
permit B not commoncod within 180 deys trom the date o, thi3 p€rmit or il work authdized by lhis
tErmil is suspandsd or ab.ndm€d at any time atls th€ worl is commsnc6d lor a poriod ot 160
d8ys A nd psmil shall be obtained li'3t b€loro 8uch work en bs recommgncsd.
ADDllcrnl'r hrAlm
I cenit that I hsve read this applicatiqr and 6tate thal the above inlormrtion is correct. I a0r€a to
comply with all city ordinancea and state lsws relsting lo building cmstuclion, and horoby
Applicanl or Agent
reprBentataon of lhas c[y to ontor upon lho prop€rly tor inspeclion
o,ntZ'L7fl
aulhoiized
pu,pos6.
Plan Check 650/o of subtotal 5e ,5O (minimum 20.00)
0
or
this nolbul
Fan Coil lnstallation
Hood with Duct and Fan (Type ll)
Fire Extinguishing System
Each Evaporative Cooler
lncidental Gas Piping
Fire Damper lnstallation
by
abow
20.00
15.00
15.00
15.00
15.00
15.00
10.00
Subtotal
Penalty Fee (when applicable)
Violation Fee (s0.00)
DatePc#Receipt No.
Plan Check
lssuance Fee
TOTAL PERMIT FEE (minimum $35.00)
PERMIT NO.
10.00
-0-
DArE L2-28-89
Atrb
VERIFIEO BY (Sig )
AtlftlU r..
BUILDING
PERMIT No PEBMIT ISSUED BY (s'g )
--
.b _S?_
Jr4/A l ,L - L7 - {)7 A11 rees lnid on t"t1o86s
USE ONLY)
Ct- .
vALroATroN (oFFrcE
(ACCOUNT fi r-412)
D-istribulion I lnspector Copy 2 File Copy 3 Finance Copy 4 Applicanl Copy
cs-618
I
t
I
1 20-oo
PHONE
Norco
TMEctNrcAL rNSPEcroN *=rto,
Remarts
Forced Air Furnace
Wall Heater
Floor Furnace
Suspended Heaters
Air Handlers
Heat Pump
Plenum and Ducts
Compressor
Boiler
Outdoor Dual Package Unit
Decorative FirePlace
Range Hood - Duct and Fan
Fan and Duct
Appliance Vent Through Roof
Evaporative Cooler
Repair, Alteration, Ducts
Fan Coil lnstallation
Gas Piping
Fire Damper
Rough lnspection
Final lnspection
Drto lnspector Approval
(Signatur.l
fu^
%*a
Notes
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