HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (58)APPLTcATToN AND a
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
O CITY OF SANTA ANA
206 W. 4th Street
667-2738 /h*
APPLICANT FILL IN AREA BELOW
ogrIzo
ool,
m
U)a
JOB
R
cr
6 -r EACH FURNACE INCL. DUCTS AND VENTS
EACH COMPRESSOR, BOILER, OR HEAT PUMP
Up to 100,000 BTU
Over 100,000 BTU
! lndustrial ! Commercial
EACH ABSORPTION SYSTEM
100,000 BTU to 1,000,000 BTU
1,000,001 BTU to 2,000,000 BTU
Heat Pump Compressor less than 5 HP /25.00 2r, rc
5HPto30HP 25.00
3l to 50 HP 30.00
40.00Over 50 HP
Orr-Bulld.r O.dr.lbo
I hersby arlirm lhat I am sxempl lrom tho Contrac,lo,'s Limsa Lew lor lhe lollowino rsaon (S6c.
781.5. Busrn* and Prof63ions Cod€. Any city or county which requirs a pormit to contlruct.
tlter, ampove, demolBh. or ropair any 3lruclure. prior lo its isuanca. also i€quirer th€ Spplimt
lor strch pdmit to ,ile a sonod ststemont that ho 6 licssod puBuent lo tha provisbns ot lh6
Conlrac,lor's Licff3e Lrw (Chapl6r I (commencing with Seclion 7O0) o, Division 3 o, lh€
gusiness and Prol€3sions Codo) or lhat he is exempl lhorefrom and lhe basis td lho sllsg€d
exmption. Any violalion o, Socl.on 7031.5 by any applicanl ror a pormil subiects the applicant to
8 civil penally ol nol more than tivs hundied dollars (0500):
E Section zOgl l, as owner ol lhe propsrly, or myemployffiwith wagB a th6ir sole compen-
salion. will (b the wort. and the slructuro is not intended or oltar€d lor sale
E S*tion 70448 l, I own6r ot lh€ propony. am oxclusively cmtr*ling with licans€d
@nlractm lo construct tho proiet
O.le
-
Owncr (SrC.)
I harsby etrrrm thal I am licmsod und€r the provisions ol Chaptr I
Cotrlrrton t.b. Only
rE/ztP
2 o
andoivisionyryPsin*s
Proretsrons Code. ild mv hcense rs
fiil,ffi" @7!_z .,u"
in full fq@ End etlst.
-2o
Contractor (Sig ),""1?-21..'?
EACH AIR HANDL]NG UNIT OR VAV BOX
Outdoor Dual Packaged Healing or Cooling
Bepair, Alt. or Add. to any Heating/Cooling sys.
Range Hood with Ducl and Fan (Iype l)
Each Vent Fan Connected to a Duct
Air Handling less than 2,000 CFM
2,000 CFM to 10,000 CFM
Orcr 10,000 CFM
Decoralive Fireplace (Wood or Gas)
MISCELLANEOUS
Com'l Dryer Vents
Heater; Suspended, Wall or Unit
Floor Furnace
10.00
't0.00
10.00
25.00
15.00
15.00
15.00
15.00
10.00
15.00
15.00
Zo,,to
?aoz
tlo.t.rt Coiplraibn Dadralbn
I hsoby aflirm thst I hav€ e cartali@te o, @nsmt to $ll-insur6, or e cdtiticate ol Workd's Com-
ponsrtion lnsqrance. Cerlited @py B til€dosto UlqnE\gre3 'l tv VdifisdBy(Sq)
o"r" lZ'27' g?
Appr,canr (s,s. )
I cenrry lhal an the pertormancaolthswork ldwhichthis
potaon in any mennor so I to be@mo gubjecl to the
Calitornia
Notle To Appllcnt:
ll alts makrng lhrs Certrficateo, Eremptron. you should becomesub,et to the Workc/s Compen-
salon pfovrsrons ol lhe Labor Code, you musl lorthwrth comply wtth such provtsions or thrs
permrt shall be deemed revoked
with the
Date Applicanl (Sag )
inspetion deparlment.
I shall nol mploy any
Comp€nsation Laws ot
Hood with Duct and Fan (Type ll)
Each o(by
Fan Coil lnstallation
Fire Damper lnstallation
Fire
Each Evaporative Cooler
20.00
15.00
15.00
15.00
15.00
15.00
10.00
Subtotal
Penalty Fee (when applicable)
Violation Fee (s0.00)
Plan Check 65% of subtotat 57r{? (minimum 20.00)
Receipt No.Pc#Date
Plan Check (Adiustment)3,Zf
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00)+
Eplrdon
This p€rmit shsll sxpire by limitstion and bocome null and void it lhe work suthdizod by this
permit E not commenced within 180 days lrom the dete ol this pormil or it work authorizad by this
pormit is suspend€d or abandoned at any lime atttr the work is commencod foi 8 period ol t8O
days. A n* ptrmt lhall b€ obt8inod llr3t b€fore $ch work can bg rgcommenced.
Aprlb.rft D.drdon
I cortiry thal I havs read thE applicalion and 3tata that the above inrormation is cqrct. I 4rc to
@mply wrth all city ordimnG and 3tate laws rolsting to buitding cmstuclbn. and hgreby
repr6entatbn ol this cily to enttr upon the abocmmtioned grccgly totauthonred
purpos6
o""t1.-uq Atlplianl or Agent (Sig.)oArE /z PERMIT NO.
2!L2o*FrEo BY (sis.)
BUILOING
PERMIT No CL.PERMIT ISSUEO BY (Sig )
6u//>L /L/- /ordrvALTDATTON (OFFtCE USE ONLY)(ACCOUNT 111-ill2)e I\
Drslnbutron I lnspectorCopy 2 FtleCopy 3 FinanceCopy 4 Appticant Copy
cs-6 r 8
4//o
NO.EACH TOTAL
15.00
20.00
25.00
30.00
lncidental Gas Piping
MEctNrcAL rNSPEcroN *=.t*
Remarks
Forced Air Furnace
Wall Heater
Floor Furnace
Suspended Heaters
Air Handlers
Heat Pump
Plenum and Ducts
Compressor
Boiler
Ouldoor Dual Package Unit
Decorative FirePlace
Range Hood - Duct and Fan
Fan and Duct
Appliance Vent Through Rool
Evaporative Cooler
Repair, Alteration, Ducts
Fan Coil lnstallation
Gas PiPing
Fire Damper
Rough lnspection
Final lnspection
Dats lnspector Approval
(Signature)
/qeo Xrr"^,
4h9",q_
/.LLO.4r_
Notes