HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (47)-APPLrcATtoN AND a
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
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APPLICANT FILL IN AREA BELOW
CITY OF SANTA ANA
206 W. 4th Street
667-2738
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NO.EACH TOTAL_rffHesidential Elndustrial ECommercial
EACH FURNACE INCL. DUCTS AND VENTS
JOB AOORESS
4//O
-F
MArLr^rG AEDRESs
CITY Cocb-25.00
15.00
20.00
Up to 1@,000 BTU
100,000 BTU to 1,000,000 BTU
Over 100,000 BTU
EACH ABSORPTION SYSTEM
1,000,001 BTU to 2,000,000 BTU 30.00
EACH COMPRESSOR, BOILER, OR HEAT PUMP
Heat Pump Compressor less than 5 HP /25.00 2f,-ttt
25.005HPto30HP
31 to 50 HP 30.00
40.00olrer50 HP
EACH AIR HANDLING UNIT OR VAV BOX
Orrrr€u[d.r D.drlbo
I horaby alrlrm thrt I 6m oxmpt lrom the Contracto/s Liffise Ltr td the tollowing rsason (Soc.
7()31.5. BuJin€3s and Protffiions Code. Any city 07 county which r€quiros a pormit to construcl.
alts., improve, domolEh, or repair any struciurs. praoT lo its isuanco. alrc roquiiB lh6 applicSnl
tor $ch p6mil to ,ile I sign€d slalem€nt lhst he i! lacmsad puBuml lo the ptovisbns ol lhe
Conlraclor's Licms Ls (Chaptd 9 (commoncing wilh S€clion 7@0) ol Oivision 3 ot ths
Bu3anes and Prol6sims Code) or thal he is sxsmpt th€Terrom 8nd th6 baE td the allog€d
exmption. Any vaolslion of S€cllon 7031.5 by any applicanl lor a p€tmat $biocG the applicant lo
a civil p€nalty ot rct more lhan tive hundr€d (bllars (tso):
E S*ron zoal l, a owner o, the propony, or myemploye$with wag6 a their solecomper
sation. will (b the work. and ths structure is nol anlmd€d or olter€d ,o7 381e.
E S*tion 7o.l4B l. I owntr ol lhe properly. am axclu3ively contreting wilh licensed
conlractoB lo construct the proiet.
Date Owner (Sig.)
Contrrton ll. Only
,/aCITYST
AOORESS (llrt t r-?oo
Outdoor Dual Packaged Healing or Cooling
Range Hood with Duct and Fan (Type l)
10.00
10.00
10.00
Air Handling less than 2,000 CFM
2,000 CFM to 10,000 CFM
Over 10,000 CFM
MISCELLANEOUS
Floor Furnace
Heater; Suspended, Wall or Unit
Com'l Dryer Vents
Decorati\,e Fireplace (Wood or Gas)
Repair, Alt. or Add. to sys.
25.00
15.00
15.00
10.00
15.00
15.00
15.00
I
I hs6by sttirm thet I em liconsed under lhe provBion8 of Chaptor 9. Divirbn
Prol{srons Code. sd my lrcense rs
l""4"tL r91t7 "'*,
orr" ILZ?$? conrractor
and3YWn*
-,c
in tull lorce and etlet
Each Vent Fan Connected to a Duct ?15.00 {f.oo
I 20.00 Ao.tt)
15.00
15.00
10.00
15.00
Fire Extinguishing System
Each Evaporative Cooler
Fire Damper lnstallation
Each Appliancs or Equipmenl Regulated by
lhis fuo but mt smiticallv listed abow
Fan Coil lnstallation
lncidental Gas Piping
15.00
7a,o-z.t
Wod(ar Coip.naalbn Dadrtbo
I hseby atlirm thst I hev€ a ertilicste ol @nsmt to slt-insure. or a cerlilicale ol Workd's Com-
I certity thal in thepedormanceolthewo.k tdwhichthis
person rn any manner $ as to be@me subiecl lo the Worke/s Comp€nsalron Lils ol
Calilomra
150c. To ADgllc'rl:
l, atttr making thr3 Certiticateol€xemplim. yoush@ld bo@m.subicl lolheWsk"t/sCompeft
sotion prdrsims o, the Labor Code. y@ m6l lonhwith comply with sch prflBims d lhis
!E mil shall b€ demed raoked.
with the
I shsll rcl employ any
O8te
-
Applient (Sig.)
inspeclron dapartment
Hood with Duct and Fan (Type ll)15.00
Subtotal
funalty Fee (when applicable)
Violation Fee (s0.00)
Plan Check 650/o of subtolal (minimum 20.00)
Receipt No.Pc#Date
Plan Check (Adjustment) 67/7 s-21"
Erdr.tbn
This permit shall expire by limitetion end become null snd void il ths work 8uthoriz6d by this
permit 6 nol commenced within 180 days lrom the dato ot this permit or i, work authorized by this
fErmrt is suspended or abandonad et any lime attd the worl ig commenced ,or a period ot 'lEO
days. A n* psmit shall be obtsinod liBt bsforo such work can bo recommencsd.
Appab.nll O.clrr0cr
I certily thst I havo read th6 applac8tion and slste thal lhe above inlormation is coarecl I sgrs to
comply wilh all city ordinanc€s and state lsws relating to building con3tuclion. and horeby
aulhorazed rcprBanlltion o, this city to entd upon lrE aboFmentionad prop€rly tor insp€ction
:::;fufi App,icanr n on n,,"',@ orE /2-
lssuance Fee
TOTAL PERMIT FEE
10.00+(minimum $35.00)
PERMIT NO.
VERIFIEO BY (S€ }
BUILDING
PERMIT PERMIT ISSUEO BY (Sig )
AZ 7/-tof{r I 1-VALIOATION (OFFICE USE ONLY)
(ACCOUNT ,r t-412)
Oistributron 1 lnspector Copy 2 File Copy 3 Frnance Copy 4 Applicant Copy
cs-618
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MEctNrcAL rNSPEcroN *..t*
Rernarlrg
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 lnslallation
Gas PiPing
Fire Damper
Bough lnspection
Final lnspection
Dsto Inspector Approvd
(Slgnaturol
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Noles