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Home My WebLink About3700-3710 S Raitt St - Misc. Permit (3). APPLICATION AND PLUMBING PERMIT (TYPEWRITE OR PRINT IN INK) o o CITY OF SANTA ANA 206 W. 4th Street 667-273â‚¬ APPLICANT FILL IN AREA BELOW rN cDg-Izo oof,m ct'ta (,, -.Jo 9J p VResidentiall\r, E lndustrial E Commercial NO.EACH3702 S. Santa Fe Vill-aee JOB AOORESS Sunflower AssociatesOWNER PHONE 3315 Fairview Rd. MAILING AODRESS Costa Mesa CITY STATE/ZIPcA 92626 15.00 5.00Ea. Add'l Conn. Ea. Add'l 100' or Fraclion 5.00 30.00 5.00 Private Sewage Disp. System GAS SERVICE 1 to 4 Outlets Ea. Add'l Outlet 1.00 Repair or Replace Gas Piping 5.00 100.00 5.00 Oun -Bulld.7 O.dratbn I hereby allirm thrt I em oxmpt lrom lhe Conlrrcto/s License Lew tor lhe tollowang r6con (Sec. 703 1 5, Busines 8nd Professrons Code Any cily or counly which roqurres I pâ‚¬rmit to con3truct. alte.. improve. d6molish. or .epair eny slructurâ‚¬. prior to ils issuance. also requirGs the applicant lor such psrmrl lo lrla a sqned stalement thst he is licensed puBuanl to the provisions ol lhe Contractor's Lica* Ltr (Chapl6i 9 (commansng with S6l,on 7m0) ol Divisaon 3 ol the Busrness and Pror6sims Code) or thal he is erempt theralrom 8nd the basis lor lhe ,lleged exempllon AnyvlolationolSactionToi!'l.5byanyapplicanltorapermitsubistrlhâ‚¬applicantto a ci$l penalty ol nol more than tiva hundred dollsrs (t500): El S*,lon 7044A l. 8s ownar ol tho property. ormyemployes with wagGaslhearslecompâ‚¬n- salaon. will do lhg wor*, and the slructure i3 nol inlended or orrored for sale E S*t,on 70448 l. as owna ol lhâ‚¬ property, am exclusryely cmlrelang wrth liconsod contiactoB to construct the pro,el. Oate Owner (Srg.) Temporary Gas Service Water Heater - Electric or Gas ConlrElo[ lrra Only Water Piping Ea. 100'10.00VenturesCONTRACTOR Easle Paeifie RXXXXXT{7 5r-3222 PHONE Rain Water Piping (buried) Ea. 100'8.00 Water Softner 4.00P.O. Box 11388 AODRESS 10.00CITY Costa Mesa STATE/ZIPcA 92627 1 6.00 10.00 8.00 5.00 I hereby Bllirm that I am licensed uoder the provisions of Chapler 9, Oivision 3olthe Busin6s and o*" -U-L5-129 conrractor (s,s ) Lrcense No 42065t Prol6sions Code, and my hconse is rn lull lorcâ‚¬ Class 49tog 3.00 10.00 Alt. or Repair of Drainage - Vent Piping Rain System - Per Drain Deck Drain System - Per Drain Repair/Alt. Drainage or Vent Lawn Sprinkler lnd. Waste lnterceptor Pool Traps Vacuum Breakers 1-5 5.00 Owr5 100 Backflow Device 2" or Less 5.00 Over 2"10.00 Water Service Ea. 100'10.00 Subtotal hrt.rr Conp1Idbn D.dr.lba I hgroby attirm that I hav6 a canitiets ol @nsonl to $lt-insro. or a @rlitielool Wbrtd's Com- pensatron lnsu.ance Certrted copy rs trled wrlh the Crty pâ‚¬rson in any manner s s to b$ome sub,trl to the Worler's Compenstaon Lils ol Calilornra No$c. To ApDllcil: ll atter makrng lhrs Certrficate of Eremptton. you should become subl*t to lhe Worker's Compen- salron provrsrons ol lhe Labor Code. you musl forthw(h comply with such provrsrons or thrs permrt shall be demed revoked buildrng rnspectron 4 90 Venried 8y (S49.) 2lrsl90Date Applrcanl (Si9 ) Oate Applrcant (Sig.) I certrfy that rn the perlormance of the work lor permit rs issued, I shall not employ any Oate Erpires Penalty Fee (when applicable) Violation Fee (s0.00) Plan Check 650/o of subtotal (minimum 20.00) Receipt No.Pc#Dale Plan Check (Adiustment) lssuance Fee TOTAL PERMIT FEE DATE (minimum PERMIT NO. TOTAL each plumbing lixture/trap Dental Unit or Medical Gases SEWER 'lst 100'+ Conn. PIPING MISCELLANEOUS 6.00 25.00 5.00 10.00 Erdrrton This permit shall sxpiro by limitation and bâ‚¬come null and void il lhe rcrk authorizsd by this pâ‚¬rmil is not commnced wilhin 180 days trom the dato of lhis pâ‚¬rmil or it work luthoritsd by thig ,Ermit as suspâ‚¬ndad or abandonâ‚¬d at any ti,no atter the work is comrpnced tor a pâ‚¬riod ot 180 days. A n* permit Shall be obleaned liBl betore $ch work can bâ‚¬ recommonced. Apefc.dl D.drdo0 I certify that I have rsd this applrcation and state that thâ‚¬ rbde aulhorized reprBentalion ol this cily to ents upon the ourms 2l15l90 Oste - is lo Applrcant or Agent (Srg ) inspactron I agrs lo her6bycomply wrth all cily ordinsncB and state laws rLorruc 54603-07 VERIFIEO BY (Sig )No P. Loemli PERMIT ISSUED BY (Sig,)P. Lomell A11 fees paid M-11585 C.L 1-112!. Orstribution. I lnspector Copy 2 Ftle Copy 3 Fr Copy 4 Applicant Copy cs-6r r 10.00 0- I o o a PLUMBING INSPECTION RECORDS Bomarks Ground Work (Soil) Ground Work (Water) Water Service (Ground) Gas Service and Underground Lawn Sprinklers Waste lntâ‚¬rceptor Pool Traps Sewer Roof Drains Water Heaters Water Soltner Rental or Medical Gases Rough Plumbing Final Plumbing Temporary Gas Service Notes O.tc ln!poctor Approvrl (Slgnaturc) %a .4?,,---7