Loading...
HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (4)APPLICATION AND PLUMBING PERMIT (TYPEWRITE OR PRINT IN INK) O o CITY OF SANTA ANA 206 W 4lh Street 667-2738 [ti" APPLICANT FILL N AREA BELOW q)g aIzo oo!m @a JOB AODRESSXruX 3704 s. Santa Fe Villaee Sunflower Assoclates OWNER PHONE 3315 Falrview Rd. MAILING AOOBESS Gosta Mesa CITY STATE/ZIPcA 92626 olrnr-Bulld.r O.df,dlon I hereby alirfi that I am exempl lrom the Contraclor's Lrcense Law for the tollowrng reason (Str T03l5.EusrnessandProt6sronsCode Anycrlyorcountywhrchregurresapermiltoconslruct. aller. rmprove demolrsh, or reparr any struclure, pflor lo rls rssuance. also requrres the applrcant for such permrt to file a srgned stalemenl lhat he rs lrcensed pursuant to the p.ovrsrons ol the Conlraclor's Lrcense Law (Chapter I (commencrng wrth S&tron 7m0) ot Orvrsron 3 ol the Eusrness and Prof6sions Code) or thal he rs erempt therelrom and the basrs lor the alleged exemptron Any vrolalron ol Sectron 7031 5 by any applrcanl tor a permrl sublecls the applrcanl lo a crvrl penalty ol not more than ive hundred dollars ($500) E S*t,on 7044A I. as owne. ol lhe properly. or my employes wrlh wages as therr sole compen- satron. wrll do the mrl. and lhe struclure rs not rnlended or oltered lor sale E S*t,on 70448 l. as owner ol the propeny, am exclusrvely contractrng wrlh lrcensed contracloG lo conslruct the proi*l Dale - Owner (Sig.) ContrEton L,!a Only CONTRACTOR Eaele Pacific Ventures 75r-3222 PHONE P.O. Box 11388 AOORESS Costa Mesa CITY STATE/ZIPcA 92627 I hereby allirm that I am lrcen*d undar the provrsions ot Chapter 9. Orvason 3ollhe Busin6send Prolessrons Code. 8nd my lrcens rs 42065t Lrconse No - ClBs 9 09 2 15 9 Cily in lull Date ocontracro, 1s'9 1 Residential !lndustrial !Commercial NO.EACH TOTAL each plumbing fixture/trap Dental Unit or Medical Gases SEWER 1st 100'+Conn.15.00 Ea. Add'l Conn.5.00 Ea. Add'l 100' or Fraction 5.00 Private Sewage Disp. System 30.00 GAS PIPING GAS SERVICE't to 4 Outlets 5.00 Ea. Add'l Outlet 1.00 Repair or Replace Gas Piping 5.00 Temporary Gas Service 100.00 MISCELLANEOUS Water Heater - Electric or Gas 5.00 Water Piping Ea. 100'10.00 Rain Water Piping (buried) Ea. 100'8.00 Water Softner 4.00 Alt. or Repair of Drainage - Vent Piping 10.00 Lawn Sprinkler 6.00 Rain System - fur Drain 10.00 lnd. Waste lnterceptor 8.00 Pool Traps 5.00 Deck Drain System - Fer Drain 3.00 Repair/Alt. Drainage or Vent 10.00 Vacuum Breakers 1-5 5.00 Orcr5 1.00 Backflow Device 2" or Less 5.00 Over 2"10.00 Water Service Ea. 100'10.00 Subtotal Penalty Fee (when applicable) Violation Fee (50.00) Plan Check 65% of subtotal (minimum 20.00) Receipt l'.1o.Pc#Date Plan Check (Adjustment) lssuance Fee 10.00 TOTAL PERMIT FEE 2 15 90 5.00 10.00 Sbrtm Comp.illbn Dclr.lbn I heteby attirm lhat I have a certrfi@le o, @nsmt lo sll-rnsure, or a I ce.lrty thal rn lhe perfo,mance ol the work lor which lhis permil p€7aon in ,ny manmr so oB to bocome subiocl to lho Wtrto/3 ComporEalion Lff3 ol Caliromia Notlc. To APPllcxl: It aller makrng lhrs Certrtrcate ol Exemptron. you should become subjet to the Worker's Compen- salron provrsrons of lhe Labor Code. you musl lorlhwrth comply wrlh such provrsrons or lhrs permrl shall b€ demed revoked ,;l;",,"" lnsurmFgce.t'r'ed copv rs ,rred with 6sued. I shall o, workoas Com- deparlment Etprres - Verified By (Sig o.ru 2 / 15 / 90 Appr'canr (sre ) i Osle - Applimnl (Sig.) Erpliatlon This pe.mit shall expire by limitAion and become null and void il the work aulhorized by this pe.mrt 6 nol commancad withan l80 deys lrom the dsle ol thii permil q if work tuthtrized by thig permat is susponded or abandoned al any time atttr the wort is comrencod ,or a period ol t8O days. A new parmit shall be obtained li6t belore such work can b€ recommencod. I certity lhal I have raad this application and gtalo thal lhe abov6 comply wilh 8ll city ordinancG and slate lam ralaling lo authorized rep.6entalion ol this city to ents upon lhe outms6.2/Lsl90 to Oate Applicanl or Agant (Sig.) L4 VERIFIEO BY (Sig ) BurLorNG 54608- PERMIT No PL PERMIT ISSUED BY (Srg ) P. Lomeli A11 fees paid M-11s8s 0] ')l t ? 0 vALroATroN (oFFrcE usE oNLY) (ACCOUNT rr 1-412) Oistnbution: 'l lnspector Copy 2 File Copy 3 Frnance Copy 4 Applicanl Copy cs-61 1 I 6.00 (minimum $35.00) ,5. OO ----o_- ) +_ o O PLUMB!NG INSPECTION RECORDS Remarkg Ground Work (Soil) Ground Work (Water) Water Service (Ground) Gas Service and Unclerground Lawn Sprinklers Waste lnterceptor Pool Traps Sewer Roof Drains Water Heaters Water Soltner Rental or Medical Gases Rough Plumbing Final Plumbing Temporary Gas Service Notes Ortc ln!poctor Approval (Slgn!tuio) ) %a 1. hzt tt*,7