HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (56)NO.EACH TOTALBhesidential !lndustrial ECommercial*"iWZ L*7nh-&aaafo -h EACH FURNACE INCL. DUCTS AND VENTS
Up to 100,000 BTU
olrcr 100,000 BTU 20.00
-z- LCITY,J.dL
r
Udh EACH ABSORPTION SYSTEM
100,000 BTU to 1 ,000,000 BTU 25.00
30.001,000,001 BTU to 2,000,000 BTUOurr-Bu[d.r O.drtbn
I hereby atrirm that I am €xmpl lrom the Contracto/s License Law lor tho ,ollowing roaon (Ss.
7Gi1.5, Busin6s and Prof6sions Code. Any city or county which lequiros a pcrmil lo con3lrucl,
altsr, improv6. d6molish. or r6pair any slructu16. prior to it3 igguanco. also requirB tho applicanl
lor such psrmit to lilo I signod statemant that he is licmsed pursuant lo lho povisions ol lho
Contraclor's Licms Lil (Chapter 9 (commoncing with Soction 7m0) ol DivBion 3 ol the
Businas and Prol6sims Code) or that he is exempt therstrom and the basis lor lho 8ll89sd
exemption. Any vlolation of Soclion Xx}1.5 by lny spplicsnt tor a permil ilbiocts tho applicsnt to
a civil panally ot not mors than live hundrod (bllars (S50O):
E S*tion Zolll l. sownerottheproperly.ormyemployeswilhwsg6aslheirsolecompcr
sation. will do tho rcrk. and lhe structu.e is not inlffd€d or ottsed tor sale.
E S*tion 7o.l4B l, I owns ol lhe property. am exclusively contmting wilh licmsed
conlrac,loB to construcl the pro,st
Oate Owrer (Sig.)
CmlrEton t.bc Only
0
cr
AOORESS
I hereby artirm lhat I am licensed under the provisions ol Chaptd 9, Division and\fifui"n"
Cl6s -2
Code. md my license B in lull lorcr end offel.
5s271
ProlAsrons
r?*k,"
Contractor (Sig.)o""l74,it't7
EACH COMPRESSOR, BOILER, OR HEAT PUMP
Heat Pump Compressor less than 5 HP
EACH AIR HANDLING UNIT OR VAV BOX
Range Hood with Duct and Fan (Type l)
Hood with Duci and Fan (Type ll)
Each or by
Fire Damper lnstallation
5HPto30HP
lncidental Gas Piping
31 to 50 HP
Each Evaporatiw Cooler
Orcr 50 HP
Fire Extinguishing System
Fan Coil lnstallation
Air Handling less than 2,000 CFM
Each Vent Fan Connected to a Duct
2,000 CFM to 10,000 CFM
Owr 10,0O0 CFM
MISCELLANEOUS
Outdoor Dual Healing or Cooling
Floor Furnace
Heater; Suspended, Wall or Unit
Com'l Dryer Vents
Decorati\€ Fireplace (Wood or Gas)
sys.Repair, Alt. or Add. lo any
25.00
,!0.00
25.00
30.00
10.00
10.00
10.00
25.00
15.00
15.00
15.00
15.00
15.00
10.00
15.00
15.00
20.00
15.00
15.00
10.00
't 5.00
1
Subtotal 70,n
tUort.?! CoirTdlaf bn O.drtbo
I hseby arlirm lhst I have a cartilicate ot @ns6l lo slt-insuro, or a caAilicateol Works's Cor
I certity thal in the pe.lormancoolthe work lorwhrch
po6on in any mnner to ar to bocom€ rubiect to tho
Cslitomis
1{o0c. To ArrLcrtl:
It Erlr making lhis Crlilicrloot Eromplion. you Ehould bocoresub,el lolh€Wdlcr'8Comp€F
3ation provisions ol lhe Lrboi Code. yo mGl torthwith comply with such pr@ision8 or thi3
permil shall be d@mod revok€d.
City
Date Aprliant (Sig.)
impeclion ?anmant.
lshallrctmploy any
Lils ol
Penalty Fee (when applicable)
Violation Fee (50.00)
Plan Check 65% of subtotal STtSO (minimum 2O.OO)
Receipt No.Pc#7 Date
Plan Check (Adjustment)3.sr
lssuance Fee 't0.00
TOTAL PERMIT FEE (minimum $35.00)e
Erpl.don
This permit shall expire by limitstion and becomo null and void i, the work authoiEod by lhi3
permil is not commencod wilhin t80 days from the dale ot this permil u il work authdized by this
permil is susponded or obandonad al any tim€ arld lhe work is cmmnced tor I p€riod o, 180
d8ys. A nil pdmit thall be obtsingd li6l betora such work can be rmommenced.
Arrllc.ol't D.dfdlon
I cortily lhat I have r€ad this spplication and st8t6 lhat the abov6 inlormation is corr€ct. I agr€€ to
comply with all city ordinanca and slata laws rslating to building consluction. and h6r6by
ol this cily lo enler upon the abovemationed property lor
Applicanl or Agent (Sig.
authoriz6d rapr6entolion
:::rry*D^rE/l-*tr7 PEBMrrNo. 1 3756
EgAi,lis" 5!ut 1,..,,,.,,,,.,n,ELPERMIT ISSUED BY (Sis )
a^U'/ee* vauilo- z//'/d ? 6r IVALIOATION (OFFICE
(ACCOUNT rr r-412)
APPLIcATION AND I
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
206 W. 4th Street
ffi7-2738 l*
APPLICANT FILL IN AREA BELOW
u)grIzo
oo!
m(,(t
\
Oislnbution: I lnspeclor Copy 2 Ftle Cogy 3 Finance Copy 4 Applicsnl Copy
cs-618
IPHoNE -
I f'f6 -o//o 15.00
/).f .oo
'/?
') ?/.4 ,
Cerlifred @py is tiled wilh
Oate
Exprres Vtrilied By (Sig.)
Oate Applicanl (Sig.)
,T4
Jfr
ot
MECHANICAL INSPECTION RECORDS
Remarkg
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
DEto Inspactor App?ov8l
(Slgnaturcl
4/+1qo .-"frDia,
ohr6 ,J.
4]ttt
Notes