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CITY OF SANTA ANA <br />PLAN CHECK - CHECKLIST <br />JOB ADDRFRS· , 521 \A/Kea- <br />TRACKING #:l© I F© 9 77 20/5-390 DATE:8-2749 <br />FOR PLANCHECK STATUS CALL (714) 647-5800 <br />El FARF INITIA! FACH ITEM RFI (WY <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 />L_ 2.I understand that I may request an "Acceierated Plancheck" ht 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 />understand that the project valuation (from which plancheck and permit fees are <br />calculated) wil[ be reviewed during the plancheck process and that said valuation shall be <br />adjusted up or down in accordance with established fee computation regulatibns. <br />I understand that I shall submit separate plans, applications and plancheck fees for the <br />following when plan check is required: <br />1 5. <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 or has added plumbing fixtures, 0r added bedrooms, or exceeds 500 sq.ft. <br />AARFFI-) TO BY APPI OR AGENT <br />Applicant's Signature U) L <br />Print Name juit€Q 01»¥.Address 3026 ls+A -90IC ·R i \Ers),Oe. 92-507 <br />Telephone Number<96-*23-0-149 Fax <br />FOR OFFICE USE ONLY: "Checklist of items discussed" APPROVALS & FEES REQUIRED: Y/N <br />1.k-Planning Department <br />20-Public WQrks Agency <br />32--Fire Departmemt <br />4,+Police Department <br />5,2-School District <br />68& Health Department <br />PERMITTECHNICIAN <br />Form 58: 3-26-04 <br />7#61-itle 24 (Energy ) <br />8* Title 24 (Disabled Access) <br />9.Mikoof Mounted Equip. <br />10.-SList of Subcontr. <br />11.-MI13ldg. Pmt. Info. <br />12.-K-Bummary of Appr. Reg. <br />13._5FY Information <br />M-4-lf. f *Avud-el. <br />14._Mtonstr. Act. Reg. <br />15/Res. Dev. Fees <br />16*SMIP <br />17*:-Microfilming <br />18.-Ktonst. Debris Recyc. <br />191+FCWP Surcharge <br />20 LOA/Owner-Builder Vet.