HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (52)epplicAnoN AND I
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
206 W. 4th Street
ffi7-2738 ,fu
APPLICANT FILL IN AREA BELOW
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ING
Ef?esidential !lndustrial OCommercial NO.EACH TOTAL
EACH FURNACE INCL. DUCTS AND VENTS
Up to 100,000 BTU 15.00
Over 100,000 BTU 20.00
EACH ABSORPTION SYSTEM
100,000 BTU to 1 ,000,000 BTU 25.00
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
5HPto30HP 25.00
3'l to 50 HP 30.00
Orcr 50 HP 40.00
EACH AIR HANDLING UNIT OR VAV BOX
Air Handling less than 2,000 CFM 10.00
2,000 CFM to 10,000 CFM 10.00
Over 10,000 CFM 10.00
MISCELLANEOUS
Outdoor Dual Packaged Healing or Cooling 25.00
Floor Furnace 15.00
Heater; Suspended, Wall or Unit 15.00
Com'l Dryer Vents 15.00
Decorative Fireplace (Wood or Gas)15.00
Repair, Alt. or Add. to 10.00
Range Hood with Duct and Fan (Type l)
Omrlunfit o.drrlblr
I heraby alrirm lh8t I am sxmpt lrom the Contrecto/s Licms Las ,or lh6lollosing roson (S€c.
7031.5, Eusin6s 8nd Prol6sions Cods. Any cily or county which r€qui1o3 r p€rmil lo construct.
all6r. improv6, domolBh, or r€pair any slructu16, prior to ils isuance, al3o l€quiroE tha applicsnt
lor sch permit to tile 8 sign€d statsmenl thsl he b licons€d puBuml lo tho provisions ol lho
Contrsclor's Licmss L* (Cheptar 9 (commoncing with Smlion 7(x)0) o, DivBion 3 ot the
Eusin* and Pror6saons Codo) or that he i3 exgmpt tlErelrom 8nd the b&!i! ttr the ellgg€d
exomption. Any viol8lion ol Selaon 7031.5 by any spplicanl tor 8 Fsmit $tt ocls the spplicant to
a civil penally ot not mora lhan tive hundr€d doll6'3 (ts@)l
E S*tion ZO44e l. s owns o, the propsrty, or myemployffiwilh wag€3 rs lhei.solecomp€n-
gation, will do the wort, and the 3lrucluro is not intended or otltrod tor sale.
E S*tlon 70448 l, as own6r ot the propsrty. am exclusiv6ly contreling with licon3od
cDntraclors to coBtruct lhe proiml.
Oate Owner (Sig )
Cmlncton t.b. (hly
I hereby aftirm thal I am licmsod under th€ piovisions olChaptd 9. Division 3 o)1p'"'no
ProlGsronswq0
Lrc6nse No
Code. gld my lacense is an tull ltrc. 8nd otltrt.
SAlh- ",o" 4'20
o"," 124? {f1 contr8clor (sie }
Each Vent Fan Connected to a Duct 15.00
Fan Coil lnstallation 20.00
Fire Extinguishing System 15.00
Each Elaporatiw Cooler 15.00
lncidental Gas Piping 10.00
Fire Damper lnstallation 15.00
or by
Hood with Duct and Fan Oype ll)15.00
Subtotal
Penalty Fee (when applicable)
Violation Fee (50.00)
Plan Check 65% of subtotal (minimum 20.00)
Lo,r1
Uo.tart Co.rparlabn Oadribo
I hseby arlirm that I havo 8 cartiliete o, @nsl to sltinsure, or a @rtalicateol Worttr's Coft
Certitied @py is tilod withEEnsation inspeclion department
Oate
Expires 0 Vsalied By (Sig.)
Oate Applrcant (Si9.
I certity that in ths thework lorwhichthis I shall not any
pe6on in any manner s es to be@me subjecl to the Worker's Compensation Lils ol
Calrlornia
Dale Applicent (Sig )
]{olc. To ADpalcrtt:
lt 8rt6( making this Cortilicatoot Exemption. you should bocomesubiacltolheWort6/sCompor
Salion provisions ol llE Lebor Code. you must ,orthwilh comply wilh such prei3ions or lhis
permit shall be dsamod rsvoked.
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This permil shall expire by limitation and become null and void ir lhe work authdi2sd by lh6
p€rmit is not commenced within 180 dey3lrom the dal6 ol this psmit q it wort !uthorized by thb
p€rmil is suspend€d or abandonod at any tim€ atls lho work is cornmenced lor I period of 180
days A nev permit Shall be obtainod tiBt b€rore $ch work mn be recommencod.
AD9lc.ol'. Nrdo.r
I certily lhst I have road this applicalion and stats that the abfla inlormation B corroct. I a0r6 to
@mply with all city ordinancG and st6te laws relating to building constuciion. and horoby
authorized roprBantation of this city to ents u[pn the abovemtrtioned prop€rty lor insBclim
:::"fu.fr Appric.nrof Ac6nr (sis) &/4, t
Receipt No.Pc#Date
Plan Check (Adjustment)/?,oo
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00)+
DAIE /)-2147 PERMrrNo. 1,37 5.4
Bi'l[?i$. 5fu7,.,,.,=o u",",n,{/PERM,T TSSUEO " t",g1 -'h-b *f cL
fu (rr*pr-Z e?, ,//- /o8/rVALIDATION (OFFICE USE ONLY)
(ACCOUNT f1r-4r2)l)
Dislribution I lnspeclor Copy 2. File Copy 3 Finance Copy tl. Applicant Copy
cs-618
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I 20ta
15.00
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15.OO
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MECHANICAL INSPECTION RECORDS
Remarks
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
Repail Alteration, Ducts
Fan Coil lnstallation
Gas PiPing
Fire Damper
Rough lnspection
Final lnspection
Dato lnspcctor Approval
lSlgnaturel
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Notes