HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (60)7
APPLICATION AND t t
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
CITY OF SANTA ANA
206 W. 4th Street
667-2738
4T'"APPLICANT FILL IN AREA BELOW
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NO.EACH TOTAL.8[Resid€nlial E lndustrial ECommercial'o' ^Wfu -A*ruvil&4-,il-, - G EACH FURNACE INCL. DUCTS AND VENTS
15.00Up to 100,000 BTU€//o
Over 100,000 BTU 20.003EACH ABSORPTION SYSTEM
"'" &z;*:Y77,-et*STAIE/ZIP.lzl-zt-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
e{i.nHeat Pump Compressor less than 5 HP i 25.00
5HPto30HP 25.00
Out t€sL.LtOadttbn
I haroby sllirm lhal I am 6xmpl ,rom th€ Contrscto/s Licons Law lor lho tollowing roasm (Se.
7031.5. Busin68s md Prol63ion3 Code. Any city or @unly which roquires a pormil to construcl.
alter, improv6. (hmoli3h, or repair 6rry 3lructure, prior to its isuance, ds r€quird th€ applicanl
lor sch permil to tile I signed slrloment that he is licmr€d puBuant to lho prcvBbns ot tho
Contractor's Licens€ Low (Chspls 9 (commencing wilh S*tion 7@0) ol Divbbn 3 ol tha
Bulinas and Prol€8sioru Cods) or that ho is axampl tho,orrom and lhe b6is lor the alleged
sxompllon. Any violslion ol S€ction 7031.5 by any applicant tor r pormil subiels the applicant lo
a cavil penalty ol not moio than tive hundrod dollars ($lrc)l
E S."t'on 7O{4A l, aa ownar ot th6 prcporty, or myemployawith wa96 B theirsolecomp€r
salion, will do ths wort, and the structure is not intendad or otlerod lor sele.
E S*tion 70448 l, a owner ol the prcperty. am exclusively contreling wrth lrcensod
contractoB lo construct the proiet.
Ddc
-
Osnor (Sig.)
ContrElor t,'. Of,ly
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AOORESS
EACH AlR HANDLING UNIT OR VAV BOX
Outdoor Dual Packaged Healing or Cooling
31 to 50 HP
Range Hood with Duct and Fan (Type l)
Orcr 50 HP
Air Handling less than 2,000 CFM
2,000 CFM to 10,000 CFM
Orcr 10,000 CFM
MISCELLANEOUS
Floor Furnace
Heater; Suspended, Wall or Unit
Com'l Dryer Vents
Decorative Fireplace (Wood or Gas)
Repair, Alt. or Add. to
30.00
40.00
10.00
10.00
10.00
25.00
15.00
15.00
10.00
15.00
15.00
15.00
I hereby allirm Ihai I em licssed undgr ths provBioN of Chapter 9. OivisEn
Proldg,oos Code, md my lrcense rst?d{k&j!a
",*"
on" lL-27 8? contraclor
and3:W"6s
in tull force 8nd €tlect.
(sis.)
Each Vent Fan Connected to a Duct 15.00 /f. o-z> I l\
2,o,0'o
60, oo
Woil.?a Cofl ?.Batbn Dc'lrdbn
I hereby allirm that I havs a cerlrticate of consst to sslt-insuro. om csrliticato ol Wort6r's Com-
pc.lon in any mann€r !o as lo bocomo subFcl to th3
Cditomh.
taotlc. To Appllcrl:
ll atter makrng thrs Cerlrlicate ol Exemption. you should become subtet to lhe Worker's Compeo-
satron provrsions ol the Labor Code. you musl lorthwith comply wath such provtsions or thrs
permrl shall be deemed revoked
Dal e Applicanl (Sig.)
i nsp€clion deparlment.C€rtitied @py is liled with the
Verilied By (Sig )Expri6
Date Applicant
work lorwhich thisI carlily lhal an lhe lshallrct mployany
Lils ot
pensatron
Oate
Hood with Duct and Fan (Type ll)15.00
Each or
bulthis
Fan Coil lnstallation
Fire Extinguishing System
Each Emporatirre Cooler
lncidental Gas Piping
Fire Damper lnstallation
by
20.00
15.00
15.00
10.00
15.00
Subtotal
Penalty Fee (when applicable)
Violation Fee (50.00)
Plan Check 650/0 of subtotal -Zq. arr (minimum 20.@)
Receipt No.Pc#Date
Plan Check (Adjustment)f.Lo)H /L.2r
lssuance Fee 10.00
TOTAL PERM]T FEE (minimum $35.00)-e
ErplTrlbn
This pormil shall expiro by limitalion and b€coma null 8nd void if the work suthorizod by this
permit b nol commencod within 180 days lrom tha date o, thi3 permit or i, work suthori:6d by thig
patmit i3 suspendod or absndoned al any timo atter the work is cmmnced lor 8 poriod ol 180
dsys. A n€{ psmit 3hall b€ obt8ined liBt belora such work can b€ rmmmmced.
ADgalcd'r D.drdo.r
I csrtify thal I have rgad thB applicslim and slale that the ab@o inlormation is co.rect. I eree to
comply wilh lll city ordinanG and state lrws r€lating to building cmatuc,tion. 8nd horoby
authorazod reprentetion ot this city to enld upon th€ lbove.m6filidrsd poporty tor inspclione&r)iApplacant or Agent (Sig.)::7,=?,4 oerc12-2f-ffi PERM]T NO.
5_!w1,, ,,,.o.,BUILOING
PERMIT No PERMIT ISSUEO BY (Sig )
/er--,*aHaz 4*lattrONLY)
121 Iazl.
Orstrlbutron 1 lnspector Copy 2 File Copy 3 Frnance Copy 4 Applicant Copy
cs-618
15.O0
Ct-,n-1, *1
oa
MECHANICAL INSPECTION RECORDS
Remartr
Forced Air Furnace
Wall Heater
Floor Furnace
Suspended Heaters
Air Handlers
Heat Pump
Plenum and Ducts
Compressor
Boiler
Outdoer Dual Package Unit
Decorative FirePlace
Range Hood - Duct and Fan
Fan and Ducl
Appliance Vent Through Roof
Evaporative Cooler
Reparl Alteration, Ducts
Fan Coil lnstallation
Gas Piping
Fire Damper
Rough lnspection
Final lnspection
Orto lnspcctor Approvd
lShnaturol
fu*fr/rtu *,
@to '4.
z*.aro.-
Notes