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CITY OF SANTA ANA <br />PLAN CHECK - CHECKLIST <br />JOB ADDRESS:21.01 Gfeekbriew- <br />TRACKING #:990 1017 2496 DATF c-ll-13 <br />FOR PLANCHECK STATUS CALL (714) 647-5800 <br />PI FASF INITIAI FACH ITF.M RFLOW <br />I agree to pay a plancheck fee established for this project with the understanding that this <br />payment is not a guarantee that a permit will be issued and that this fee is not refundable <br />once a plancheck has commenced. <br />I understand that I may request an "Accelerated Plancheck" at an additional cost to me. <br />This plancheck will be performed by an in-house plan checker with the intention of reducing <br />plancheck time for the Building & Safety Division. <br />I understand that the project valuation (from which plancheck and permit fees are <br />calculated) will be reviewed during the plancheck process and that said valuation shall be <br />adjusted up or down in accordance with established fee computation regulations. <br />I understand that I shall submit separate plans, applications and plancheck fees for the <br />following when plan check is required: <br />a. Electrical Plans - 2 complete sets c. Mechanical Plans - 2 complete sets <br />b. Plumbing Plans - 3 complete sets d. Grading Plans - 3 complete sets <br />I understand that I shall visit the Public Works Department to verify whether a field <br />inspection of the property is required. I understand that prior to·the issuance of the Building <br />permit I am required to obtain Public Works Agency approval if my project valuation exceeds ' <br />$30,000 orpas added plumbing fixtures, or added bedrooms, or exceeds 500 sq.ft. <br />AGRFFn TO BY AR.PLIC_OR AGE <br />Applicant's Signature 30 va 04 -A A'4[kei /vl Acto Af EPrint Name Addrpqq 5-101 6/, 6*,em-0 »,ex- ST- <br />Telephone Number -7 / Lt 9 1 1 /1 1-5- Fax <br />FOR OFFICE USE ONLY: "Checklist of items discussed" APPROVALS & FEES REQUIRED: Y/N <br />1.kfplanning Department 7611(Title 24 (Energy )14.--L'Constr. Act. Reg. <br />2.1*Public Works Agency f?d*ritle 24 (Disabled Access)1 R*Res. Dev. Fees <br />74* Fire Departmemt 9,UARoof Mounted Equip.16.JAMIP <br />4*-Police Department 10.-Ef[ist of Subcontr.17crofilming**School District 11.-k'Bldg. Pmt. Info.18._ Const. Debris Recyc. <br />6!*Flealth Department 12.-€bummary of Appr. Reg.19¢UAFCWP Surcharge <br />13.-€FY Information 20[.OA/Owner-Builder Ver. <br />PERMIT TECHNICIAN 4- A 44 4, 2 <br />CAn" CO. 1 9¤ AA <br />a