HomeMy WebLinkAboutOC_385037 - PermitsJAPPLICATION FOR MECAIANICAL PERMIT
REGIONAL OFFICE - COUNTY OFONANGE CENfRAC OFFICE
26052 GETTY:DRIVE - c :ENVIRONMENTAL MANAGEMENT AGENCY P.O. Box 4648
' LAGUNA NIGUEL?'CA 9267ar' 400 CIVIC CENTER DRIVE WEST
:'REGULATION SANTA ANA, GA. 92702 p
` 714-831-2610 - T - 714534-2626
BUILDING .
ADDRESS
ACT LOT'S ---
-
0 NO.
COUNTY NEA T
1
AREA:' ' 0'* 'ST. S
3'85, 037
OWNEq C� (e✓��/�/r
ADOREr r, �L✓,l/' do
PO
USS.ESED PRESENT
^�(/j'
CISY^cNO. � �J
PERMIT NO.
J jJ.
NO.
TYPE OF FIXTURE OR ITEM
PER UNIT
FEE
CERTIFICATE FOR REGULATION
EACH CENTRAL FURNACE INCL. DUCTS & VENTS
-
Contractors
I Certify that the f°II Ing Conti. Lic. NO. �ry/�- end -
MFGR. TYPE BTU
UP TO AND INCLUDING 100.000 BTU
$.0
Classification IS In full force
UP To AND INCLUDING 500,000 BTU
l,5
Workman's Compensationinsurance Certificate 0 verifi dby
UP TO AND INCLUDING 1,000,000 BTU
!. 10.0
E%piretiOn:date:
•;
UP TO AND INCLUDING 2.000,000 BTU
_15.0
Other Applicants
/
" OVER: 2,000,000 BTU
25.0
.EACH
BOILER OR ABSORPTION UNIT INCL. VENT
SAM`
I hereby certify I am exempt from Sec. 7031.5 of the Business and Professional
ns '-
:
Code Div. 3,. Chap 9, Contractors License Law under the follOWing Section. "
ABOV
_
Owner (Sect ]044), or �..
Work under $106 7048), Or
O
• MFGR. TYPE BTU
EACH REFRIGERATION SYSTEM:
.Minor _
Employee working for wages oply(sect ]053, or
0 OTHER.
MFGR. TYPE BTU
Certification at Exemption: from Sect 3800 of the California Labor Code?
UP TOAND 'RCLUDING-5 H.P.
$ 0"
Aruele-3, Construction Permit:
UP TO AND INCLUDING 16 H.P.
7.0'
,The permit is for One Hundred Dollars ($100)Or less.
UP TO AN. INCLUDING 3o H.P.
UP To'Ax° INCLUDING 60
10.
certify that In the performance of work for which the
H.P.
OVEN 50 H.P.
I,
25. 0
permit is issued(
I shall not employ any person in, any manner s0 as -to become subject t0'
the. Workmen s Compensation laws of California - -
1f; after makin such certification thea Ikvnt for this permit should become,
9 PP
' SUSPENDED
_FLOOR FURNACE _HEATER
'..
subject to the WOrkmen•sCompensationPlOVIBIOna Of the. Labor Code the appji-c'
.�
WALL HEATER UNI XEATER
$ Q+
cant shall forthwith comply with the proVlslone of Sect, 3700or this permit shat be�
deemed revoked.
DECORATIVE APPLIANCE (INCL. VENT)
I hereby acknowledge and stale that the dformatlon l have provided is Correct, .
,. .'
both On the permit an i aWand agree to comply with I County. -
MFGR. TYPE BTU
Coll Goes SI ng building Construction -'
r
Date
EACH ALTERATION REPAIR R ADDITION NCL.
CONTROLS. DUCTS REGISTERS, ETC,
OO
^
EACH. COMBUSTION PRODUCT
VENT NOT IN C,LVDEOQ,
Q`
(APPt Bnta Signa ) Perm11 No., 1
WITH. AN APPMANCE PERMIT
EACH AIR HANDLING UNIT "'(INCL. DUCTS)
UP TO AND INCLUDING 2,000 CFM66
Application
UP TO AND INCLUDING 10.000 CFM
00
l'Approved By:
1.(SIGNATURE) F. —(DATE)'
- OVER 10,000
1 .00'
EACH EVAPORATIVE- COOLER (COMMERCIAL)
3.00r
.INSPECTION -RECORD -
EACH VENTILATION FAN CONNECTED TO A
2,00,
y
SINGLE OUTLET OR INLET (COMMERCIAL)
--'
EACH VENTILATION FAN CONNECTED TO MORE
G•OO::
'THAN ONE OUTLET OR INLETACOMMERCIAU
, /yr
I'
EACH HOOD SERVED BY A MECHANICAL EXHAUST
(INCL. -FAN — COMM E RCIAL'TYPEI
EACH INCINERATOR (DOMESTIC TYPE)
EACH INCINERATOR (COML.DR INDUS. TT PE)
V400
INCIDENTAL '.GAS PIPING
.75
ANY APPLIANCE OR EQUIP. REGULATED BY THIS
CODE BUT NOT SPECIF.. LISTED (LIST -BELOW.)
APPROVA , DATE 'INS P.-&IGNA TUR E'
Underground
BUILDING
PERMIT NO - permit las ucn
ca ;'
3.00
_.
Rough
11
93+ 9TOTAL PERMIT
FEE
-�
nugl
av RIFIED PLAN CHECK FEE '
Utl li ty.-Notified
VALIDATION
�,Ir
1
NOV 6t80
3'85, 037
3.27 +
4
-CASHIER
DATE
PERMIT NO.
PERMITIFEE
CODE