HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (54)'V't"; Ah" t* Whzr-,th, - )
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I(Residential !lndustrial ECommercial
EACH FURNACE INCL. OUCTS ANO VENTS
Up to 100,000 BTU
Over 100,000 BTU
EACH ABSORPTION SYSTEM
100,000 BTU to 1,000,000 BTU
1,000,001 BTU to 2,000,000 BTU 30.00
EACH COMPRESSOR, BOILER, OR HEAT PUMP
Heat Pump Compressor less than 5 HP I 25.00 ?fr oo
Ourr€dLLr D.djtbn
I heteby alrirm that I am exmpt lrom lho Contrsclor's Licms Law ld the lollowing rs8m (Soc.
703t.5. Busine3s and ProlBsions Code. Any cily or county which r6quires a pormil to con3truct,
alto7, improve. demolBh. or ropair any structuro. prior lo ilg isuancs, also roquirB tho q)plicanl
lor sch psmil lo lilo I signod 3tatgment lhst ho is licensod puGuanl lo ths provisions ot tho
Contrector's Lictrso Lil (ChrptE 9 (commsncing wilh S€clion 7O0) ot Oivision 3 ol the
Bu3in63s and ProlBsions Coda) or that ho is erompt thergtrom and the b8b lor tfu alloged
examplion. Any violllion ol Soclion 703I.5 by 8ny applicant tor I parmil $bjets the appllcant lo
a civil penally ol nol more lhan tivs hundr€d dollars (35m)i
E Section zOge l. as ownor ot lhs property. or my6mploy6s with wag€s astheirsolecompor
s8lion, will do the wort, and tha slruclure is not intsnd6d or otldod tor sale.
E S*tion 70448 l. I own6r ol the proporty. am exclusivaly contracting with licensed
conlracl06 lo construct the proiel
Date Owrer (Sig )
I hereby alirm thst I am ltcens€d under lhe provisaons o, Chapts 9. Oivision
Cdtrx{o[ l,.lo Only
CITY STA*14^r 6a
3.ytlfra9in*srdd
Code. md my licens is in lull lorce and ettect
Cl6s
orr"l7-3,?fr @nrr8cro, (sie )
Pro16sronst,if?!*"irv1n
EACH AIR HANOLING UNIT OR VAV BOX
Outdoor Dual Packaged Healing or Cooling
Repair, Alt. or Add. to any Heating/Cooling sys
Bange Hood with Ducl and Fan (Type l)
0t 0O
or by
abow
5HPto30HP
Fire Damper lnstallation
31 to 50 HP
Over 50 HP
Air Handling less than 2,000 CFM
2,000 CFM to 10,000 CFM
Owr 10,000 CFM
MISCELLANEOUS
Floor Furnace
Heater; Suspended, Wall or Unit
Com'l Dryer Venls
Decoratiw Fircplace (Wood or Gas)
Each Vent Fan Connected to a Duct
Fan Coil lnstallation
Fire
Each Evaporative Cooler
lncidental Gas
25.00
40.00
30.00
10.00
10.00
10.00
25.00
15.00
15.00
15.00
10.00
15.00
15.00
20.00
15.00
15.00
10.00
15.00
1
/0i n
Wortm Con?.ratbn Oadr.lbn
I htreby stlirm that I hsve a certilicato ol @nsmt to sll-insure. or r certiticate ol Wort-'s Com-
I cofiity thal in tho portormanceol ths work lorwhich
p6Bon in any manngr so as to becom€ subjecl
Celitornia
iloto To ADgllcrt:
lf alls makrng lhrs Certrficate ol Exemptron. you shoutd become subitrt to the Wo,ke. s Compen-
sal,on provrsrons ol the Labor Code. you must torthwith compty with such provisions or this
fErmrl shall be deemed revoked
with lho
Oate Appricanr (sig.)
inspection department.
I shall rct employ any
lo the Compensation Laws ol
/?oa
10.00
Hood with Duct and Fan (Type ll)
Plan Check 65"/o of subtotal /
15.00
(minimum $35.00)
Subtotal
TOTAL PERMIT FEE
Fenalty Fee (when applicable)
lssuance Fee
Violation Fee
Plan Check (Adjustment)
(50.00)
(minimum 20.00)
DateReceipt No.Pc*
-e-
Erdribo
This permit shall exparo by hmitatrm and be@mg nul md void il the work authoriz€d by thispermrt6rcl@mmoncedwithin 180daystromthedateolthispsmatdilwortauthorizedbythis
permit is suspmd€d or ebandoned at any lime stts tha work is cmm€ncad lor a p€riod ol .l0O
days A nil p6mrl shall be ootrined liBt betore sch work can b€ reommmced.
Aeplc.lrt.t O.dr.alsr
I cerlily lhst I have read this spplicalim and 3tate that lhe sbove intormalion is sret. I agroo to
@mply with all city ordinanG and state laffi rolating to buitding cmstuclion. and heroby
authorized rsgr6entAtion o, lhis cily tO entAr upon th€ aboFmentioned prcptrty lor inspoctim
Applicanl or Agsnt (Sig.):::tu*D rE /)-?fr.6? PEFMrr r,lo. 1 3 7 5 5
E!*',ffi$" ilbl&r,F,ED By (sis )PERMrrrssuEoBy($s) - l',lrS- el'V
knL //- /af/fUSE ONLY)
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APPLicAnoN AND t
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
206 W 4th Street
667-2738 /ft,,-
APPLICANT FILL IN AREA BELOW
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Orstflbutron t lnspecto, Copy 2 Ftle Copy 3 Frnance Copy 4 Applicant Copy
cs-618
NO.EACH TOTAL
15.00
20.00
25.00
15.00
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MEctANrcAL rNSPEcroN *=.t*
Remarts
Forced Air Furnace
Wall Heater
Floor Furnace
Suspended Heaters
Air Handlers
Heat Pump
Plenum and Ducls
Compressor
Boiler
Outdoor Dual Package Unit
Decorative FirePlace
Bange Hood - Duct and Fan
Fan and Duct
Appliance Vent Through Root
Evaporative Cooler
Repail Alteration, Ducts
Fan Coil lnstallation
Gas Piping
Fire Damper
Rough lnspection
Final lnspection
Oato lnspcctor Approvel
(Signaturcl
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Notes