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CITY OF SANTA ANA <br />PLAN CHECK - CHECKLIST <br />JOB ADDRFSR· 5-5/9 1.M 3 iwl 54 <br />TRACKING #: I© 19 9'5-7 b 2)/ 5-2524 DATE:k- 0-5-13 <br />FOR PLANCHF.CK STATUS CALL (714) 647-5800 <br />PI FARE INITIAL EACH ITEM BELOW <br />11_ 1.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 />-ID 2.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 Buildjng & Safety Division. <br />3D 3.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 />32-4 I understand that I shall submit separate plans, applicatibns 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 />JP 5.I understand that I shall visit the Public Works Department to verify whether a field <br />inspection of the property is required. 1 understand that prior to ithe issuance of the Building <br />permit I am requjred to obtain Public Works Agency approval if my project valuation exceeds <br />$30,000 or has added plumbing fixtures, or added bedrooms, or exceeds 500 sq.ft. <br />AGREED TO BY APPLICAN -AGENT- <br />Applicant's Signature <br />Print Name COMF47- Do 61 <br />Telephone Number 7 81- 1111- *LI <br />Addreqq <br />Fax <br />FOR OFFICE USE ONLY: "Checklist of items discussed" APPROVALS & FEES REQUIRED: Y/N <br />1._ Planning Department <br />2._ Public Works Agency <br />3._ Fire Departmemt <br />4._ Police Department <br />5._ School District <br />6._ Health Department <br />PERMIT TECHNICIAN <br />Form 58: 3-26-04 <br />7._ Tjtle 24 (Energy ) <br />8._ Title 24 (Disabled Access) <br />9._ Roof Mounted Equip. <br />10,_ List of Subcontr. <br />11._ Bldg. Pmt. Info. <br />12._ Summary of Appr. Reg. <br />13·_ FY Information <br />14._ Constr. Act. Reg. <br />15._ Res. Dev. Fees <br />16._SMIP <br />17._ Microfilming <br />18._ Const. Debris Recyc. <br />19._ FCWP Surcharge <br />20._ LOA/Owner-Builder Ver.