Laserfiche WebLink
Planning & Building Agency <br />Building Agency Division <br />20 Civic Center Plaza <br />P.O Box 1988 (M-19) <br />{ " Santa Ana, CA 92702 <br />(714)647-5800 <br />www.santa-ana.org <br />CITY OF SANTA ANA <br />PLAN CHECK - CHECKLIST <br />JOB ADDRESS: 2X_ /-)4J,_ �7�i�A-AND , r.qZ 70_� <br />TRACKING #: DATE: <br />FOR PLAN CHECK STATUS <br />Visit http://www.santa-ana.org/pb or Call (714) 647-5800 <br />PLEASE READ AND INITIAL EACH ITEM BELOW <br />I agree to pay a plancheck fee established for this project with the understanding that this <br />1. 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. This <br />2. plan check may be performed at an additional cost with the intention of reducing plancheck <br />time for the Building & Safety Division. <br />I understand that the project valuation will be reviewed during the plancheck process and <br />3' that said valuation shall be adjusted up or down in accordance with established fee <br />computation regulations. <br />4 I understand that I shall submit senarate plans. applications and Mancheck fees for <br />Mechanical, Electrical, Plumbing, Solar and Grading when plan check is required. <br />5 I understand that prior to the issuance of the Building Permit, I am required to obtain <br />Public Works Agency approval if any of the following apply: project valuation exceeds <br />$30,000; project has added plumbing fixtures; added bedrooms, or project exceeds 500 sq. ft. <br />I understand that prior to the issuance of the Building Permit, I am required to obtain <br />6. Public Works Agency approval if my project valuation exceeds $50,000 and that a <br />backflow device may be required. Please call (714) 647-3320 for further information. <br />AGREED TO BY APPLICANT OR AGENT <br />Applicant's Signature: t� p <br />Print Name: M W Address: I Z� 0 Z VAL" KM <br />Telephone Number: % 1 �j Wq b 0 Email: QA&ILI A, <br />FOR OFFICE USE ONLY: "Checklist of items discussed" APPROVALS 8t FEES REQUIRED <br />Planning Department (714) 647-5804 8. —Title 24 (Disabled Access) 15. _ SMIP Fee <br />2. _ Public Works Agency (714) 647-5074 <br />9. <br />_ Title 24 (Energy) <br />16. <br />_ Microfilming/ scanning Fee <br />3. _ Fire Department (714) 573-6100 <br />10. <br />_ Roof Mounted Equip. <br />17. _ <br />Res. Dev. Fees <br />4• _ Police Department (714) 647-5840 <br />11. <br />_ Grease Interceptor <br />18. _ <br />FCWP Surcharge Fee <br />5• _ School District <br />12. <br />_ List of Subcontractors <br />19. _ <br />Fire Facility Fee <br />6. _ Health Department <br />13. <br />_ Const. Debris Recyc. <br />20. <br />_ South Coast AQMD <br />7. _ OC Sanitation District <br />14. <br />LOA/Owner-Builder Ver. <br />PERMIT TECHNICIAN <br />Rev. 11 /4/22 <br />