HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (10)'fi))"a417v* tJux-a h-D lnduslrial D Commercial NO.EACH TOTAL
each plumbing tixture/trap 5.00
Dental Unit or Medical Gases 10.00
OWNERub22 PHONE&Paac,
MATLTNG AoDFESS #twllott rHMl wulo.
SEWERSTATE/ZIPa, ?zC+t 1st 10O'+Conn.15.00
Otmf, -Bulld.r Dadrallon
I hereby alrrrm that I am exmgl lrom the Contracto/s Lrcsse Law for reson (Se
7031 5. Business and P.ofessions Code Any city or county whrch a permrl to construct,
alter. rmprove. demolrsh, or reparr any slruclure. pno, to rts also requrres lhe applicant
tor such permrt to ile a srgned slatement thal he rs puBuant to lhe provrsrons ol lhe
Contraclor's Lrcense Law (Chapter 9 S&laon 7mO) ol Division 3 ol lhe
Eusrness and Prol6srons Code) or that he therefrom and the bas6 lor lhe alleoed
exemplron Any vrol8tion ot Sectron 703 8ny applicant lor e permit subiocts the applicant to
(bllars (3500)e crvrl p€nalty of nol moae lhan
E S*t,on 70444 I.as ol lhe properly. or myemployes wrth wags as theirsolecompen-
salron. wrll do the and the structure rs not rntendod or ollged lor sale
l. as owne, ol lhe propeny. am erclusNely contreling with licenged
lo conslrucl lhe prolecl
Owner (Srg )
Ea. Add'l Conn.5.00
Ea. Add'l 100' or Fraclion 5.00
Private Sewage Disp. System
GAS SERVICE 1 to 4 Outlets I
30.00
5.00
Ea. Add'l Outlet
Repair or Replace Gas Piping
1.00
5.00
100.00
5.00
Conlrmlo[ t,3c Only
I 10.00CONTBACTOR@e, ?as A ?eua
PHONE
/rf|-db 8.00
AODRESSfrt.@., de 4.00
10.00'{oar,STATE/ZIP/*. qtu-?6.00
I hereby alfirm thal I am licensed under the
Prolessions Code. and my hcense rs in lu
ucenseNo4h#hQ crass
oare lOF4 conrracror (Sig I
10.00
8.00
Pool Traps I 5.00
Deck Drain System - Per Drain
Repair/Alt. Drainage or Venl
Vacuum Breakers 1-5
3.00
Wortrt CompaMtlon DGlrlbn
I t€roby altrrm thal I have a certrlicale ol consent to or a certrtrcale Worker's Com-
rsissuad, I shall nolemployany
peBon in any mnnor !o as lo b€coms subj€cl to lhs Worte/8 Compon$tion Laws ol
Crlitornie
Oale Applicant {Srg.)
Nollc To ADgllcal:
It aller makrng thrs Ceriricale ol Exemptron. you should become sublml lo lhe Worker's Compen-
salron provrsrons ol lhe Labor Code you musl lorthwrth comply wrlh such provrsrons or thrs
permrl shall be demed revoked
10.00
a
5.00
Over 5 1.00
Backflow Device 2" or Less
.4//5.00
Over 2"10.00
Water Service Ea. 100' /10.00
Subtotal uc
Penalty Fee (when applicable)
Erph.0on
This permit shall axpiro by limitatim and become null and void il ths worl 8uthdi26d by this
permitisnotcommoncadwithin 180dayslromthodaleolthispermildilworkauthorizodbythis
pormit is suspended or abandoned at any time atler th6 work is cmmnc€d ,or 8 p€riod ol '180
days. A new permit shall be obtained lirst b€lors such work can be recommenced.
ADefc.rr.. D.d.rdar
I cortity thal I hsvs roed lhis applicetion and glete thet th€ abovs inlormalion is corret. I a9r6 to
@mply with all caty ordimnc€a and stElo lam relating lo building consluclion. 8nd hereby
authorizad reprGantelion ol thig city to enter upon the abovemsnlioned property tor inspection
Violation Fee (50.00)
Plan Check 65% of subtotal (minimum 20.00)
Receipt No.Pc#Date
Plan Check (Adjustment)
lssuance Fee
)OTAL PERMIT FEE (minimum ry5..00)_.5C
DATE PERMIT NO.
'
/ 5L
PY*lm"6GI5 ,ER,F,ED BY (s.s )PERMIT ISSUEO BY (Sis.)
vALroATroN (oFFrcE usE oNLY)
(ACCOUNT rl l-a12)
al?t7
APPLICATION AND
PLUMBING PERMIT
(TYPEWBITE OB PBINT IN INK)
a o CITY OF SANTA ANA
206 W. 4th Streel
667-27fi WAPPLICANT FILL IN AREA BELOW
q,grIz
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Orstribulion I lnsp*tor Copy 2 Frle Copy s r,n"n"J,6!fif0 /8*op,tt0flffll +12 130,m
cs-6.l Ia
/rlrunes
tr
Alt. or Repair of Drainage - Vent Piping
10.00
PIPING
Temporary Gas Service
MISCELLANEOUS
Water Heater - Electric or Gas
Water Ea.100'
Rain Water Piping (buried) Ea. 100'
Water Softner
Lawn
Rain System - Per Drain
lnd. Waste
wrlh the Cily
9. Orvrsron 3ol the
Lilal oI
o I
PLUMBING INSPECTION RECORDS
FomarkB
Ground Work (Soil)
Ground Work (Water)r'
Water Service (Ground)
Gas Service and Underground
Lawn Sprinklers
Wasle lnterceptor
Pool Traps
Sewer
Roof Drains
Water Heaters
Water Sottner
Rental or Medical Gases
Bough Plumbing
Final Plumbing
a
Temporary Gas Service
i1 '
^Y';LPot/ Dthrt--, r (-.* 9z ,o2 tzfY^'f'/{/ r"J /\ !3Ya -
I
I
Ort.In!pcctor Approvsl
(Slgn!turc)
| /t/n /h,ltrI
%r/a oilio-,..
rltfrL
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1
t crrY oF sANrA ANA
PERMIT AND INSPECTION SERVICES
20 CIVIC CENTER PLAZA i,I19
t
l'0-"
APPLICATION/PERMIT
GRADING
SANTA ANA, CA. 92701
( 834-4186 )
o
PU 8EJOB ADDRESS
3?oo .-Sf,ntra La(tlnee M
PLANIIIXO DEPTLEOAL OESCA|PTIOX
(o, rlt.ch)
LOr ELOCK TRACT
zollE VAR.c!r.M. EXC
^'' bo gg^r+q
WL-o rr oOUIlli .t A
S.rr.r [/a,Jr,€ l*Sso v
Vi'u^ A/)r,l
ZIP CODE4il^l tn
ADORESS }L
2a +4
ATE LICENSE tt
v
itl
P
torL
FIRI
't.1.€f
LAXD U8E APPiO
TRACT
P
O.t.
r-EOl{D E Nor BEo'o E REounEo a
AOND
AIIT.
TITE LICENSE ''+ -t-u<BONOTNO CO.BOND '
E surt, E c.rt O Bl.nr.t bond E c.71. ol d.po3lt
cEoLoor8T
5 T-
LETTER OF CREDIT (Erplr.rlon drr. )
IYPE OF PERIIT
3aztP cooECITY
^DORESS \-.1R'Slo
one6lrto
co]arRAcloR
STATE LICENSE 'PHOTIE '
I rlo aurotr,ro PERurrS ro BE
ISSUED UNTIL THIS PEFMIT IS,'
sUP€RCEOEO BY A PRECISE
ONAONG PERXIT.
fi/rr'.o,no pERMr rAY BEz \ rssueo AFrEB RouoHI on^o,nc HAs BE€N
APPBOVEO.
CITY ZIP CODE
TUIAEi OF CU8!C YABDS
CEBTlFICATIOI{ FON BEOULATIOII PERITT CUT:EOFROW FILL:
EXPORT NATURAL FILL:
vau^r0 0r cuB. Yos.rOTAL FEE
YARDAOE
ONADINC FEE8
a_
TOTAL
P/C
PLAX CHECT
GNAOll{O:
ITPROVEIET{TS:
lrSC. RECEIPT
I]
GRAOINO:
U'PROVEIEilTS:
II8C. RECEIPT
ORADIl'O PEBTIT
toI
a
?21.5-
rOTAL
PENIIT
FLOOO ZOl{E
corPLlAl{cE To t zot{t D.t.
APPNOVED
APPiOYED
FlltAL
colr?RAcToRS
fl t cenrrrv IHAT THE FoLLorvrr{o coNTRAcroR's LrcENsE ,_ANo
CLASSIFICATIOI{ IS IN FULL FOBCE AND EFFECT. WONXMEN'S COUPENSATION
CERTIPICATIOI{ OF EIEIPIIOX FROI 8ECTIOI{ SSOO
OF THE GALIFOR!|IA LAEON CODE, ANTICLE !, COI{STRUCTIOI PEBIIT:
Q'r cenrrrv IHAT rN THE pERFonMANcE oF THE woBK FoR wHrcH rHE pERMrr rs rSsuEo r SHALL
lrOT ETPLOY ANY PERSON IT{ ANY MANNEN SO AS TO BECOME SUBJEC? TO IHE IYORXMAN'S
coilPeNsATtoN LAWS OF CALTFORNTA.
IF. AFTER TTAXNO SUCH CENTIFICATION THE APPLICANI FOE THIS PERMIT SHOULO EECOI'E
SUEJECT YO THE YTONXTEI{'S COIIPENSATION PNOVISIONS OF IHE LAEOB CODE. THE
APPLTCANT SHALL FORTHW|TH COT.PLY W|TH THE PROVTSIONS OF sEcloil 3roo oR THts
PERUIT SHALL 8E OEEI{EO REVOKEO.
DATE:8IONATURE
EXETPT FROU SECTION
'03t.59. CONTFACTOF'S LIC€NSE LA$'
BOI{D
NELEASE
OrTlI HEREAY ACXNOWLEDGE THAT I HAVE F€AO THIS APPLICATION AND S'ATE THAT THE INFORTATION I
HAVE PfiOVIOED 13 CONNECT ATO AOREE TO COT'PLY WITH ALL CITY OROII{ANCE8 ANO SIATE LAWS
n€ouLArNG SUrLOra{O COr{SiRUCTloN.
TO IXE CITY OF 8A}ITA ANA ANA. IT'S OFFICENS. AOENTS AND EI'PLOYEES.
oF SUOH r{sPECTrOtr8, |r|VE8rtoAt|ON9. OA OORFECTTVE
OEETS NECESSARY./- t-g ?
OWNEN OR AUTHONIZED AOEIIT
rXE
OATE
CONS€ilT IS HEBESY
FOR THE
AFXS:
/
rHls APPLICATIOI{, WHE}I PFOPERLY VALIOATED. IS A PERMIT TO OO THE WORK
FOR A PERIOD OF ItO OAYS FROil DATE OF ISSUANCE.oEscRrEEo
AccT. ,
I l-,4 ltYALIDATION
THIS PERXIT SUPERCEDES
PNELITTINAAY ORAOINO PERYIT-_-qe1u-
PLAII CHECI( ,
Alt g
PERIIT '
00369
P On--,5q.7
OTHER APPLICAXTA
EEIAf,f,g:
rallmlntrr P?ac
,).<to -
o o
GRADING INSPECTIOilS RECOBD INSPECTOR'S
SIGNATUFE OATE
PRE-GMDING MEETING:
PREUMINARY SOIUGEOLOGY REPORT: ..
EARTHWORK:
EXCAVATION
FILLS
SUBDRAINS
BUTTRESSES ...
OTHER
DRAINAGE DEVICES
OTHER
ROUGH GRADING RELEASE:
CIVIL CERTIFICATION
SOILS/GEOLOGY REPORT .. .
CONTRACTORS STATEMENT OF COMPLIANCE Le.o:.?3 a-D
.OTHEB
PAVING:
PRE.PAVING MEETING
SUBGRADE
AGG BASE
WATER TEST & SEAL COAT
ASPHALT CONC
CIVIL CERT
SOILS ENG CEBT
OTHER
FINALS .\
SOILS'GEOL REPORTS
CIVIL CEHT
AS.BUILTS - -. .;;r^ Fffo.*-f;
8; ?4'
e1? t*
SPECIAL DATA FOR RECORO
,......24.3./l)'aa-k';n/-/i.-l;:;;
b
b
ay1
ANDPERMIT N
19APPLICATION/PERMIT
GRADING
SANTA ANA, CA. 92701
( 834-4186 )
faJOB ADDBESS ""'o"ll4nt krltNe e moE
(or aitrch)
t-EoAL ELOCX UTNACT
zotaE VAR.clrr.ll. €Xc
TRACT PU OIHER
A.P.
PBOPOSED UBE3
"b^re rl*,q 9x"tL
ZIP CODE,WTEN'8 AOOBE8S . A
33tS fsP*/''t,J I
STATE LICENS€ 'Lt lqL
PfIONE
'bbo -88t9-
ZIP CODE?zt4t'b<r',
Ny'-ffi"ir ilt9Dit*actTE 'D *L
APPiOYIO
'OIL / Arllnxo rtir {4. rthiurJ c /Bc(,-
STATE LICENSE 'heo-attS
I -\[tr
LAXD U3E
REIARXS:
D.l.
S*trn Anlft
CITY zrP cooE?zn-f aBONO
AUT.ltso b*nt,lz* <T gIADORESS
BOI{D E Nor REo'o E REourREo
PHONE ll
Zsc-7/ l,S
BONOINO CO.BOND 'a*,"d+LICENSE
'iorll rrotxr:i.
)-hr rrt Nr rlYa
E Surrty O ctrt E Bhnt.r bond E c.rr. ol d.Do.llCITY
9*\mL lr,,r'fi
ZIP CODEAlzof
LETTER OF CREOIT (ErDlrrtlon d.l. )PHONE 'TYP! OF
lL0t]aEERD{O
oEoLoorST
STATE LICENSE '
P / PraclaaCITYZIP CODE
^ooREss
LICENSE
''ffh'-MdooRADll{O , -coxrnlcron tl,t{ g.e TnO
,X NO AUILDINO PERMITS TO 8E
ISSUEO UNTIL THIS PERTIT IlP
SUPEBCED€O BY A PR€CISE
ORAOINO PERXIT.
^
EUILOINO PEBI'IT ITAY BE
ISSUED AFTER ROUOH
ORADING HAS BEEN
APPBOVED.
t'loll B6rc$ A,)) Fr.loo Kn,v,r.* ?rrdr
zrP cooE
4tt"*7 TUTAEE OF CUBIC YARDS
SORROW FILL:cur:
EXPORT NATURAL FILL:
v4uarm ofmorlcIfll olYrclt
!!ao reov€lefrt I
cua. YDs,rOTAL FEE
YAROAOE
ORAOIIIC FEES
GRAOll.to:
TTPAOVEIEl{T3:
I'SC. RECEIPT
PLA| CHECX U?
t
erc 7Oy'
TOTAL
aqo
onADttlo PERIlr
ORAOII{G: 3
IIPROYEIENTS: 3
,\stt,oLDtoaY
oTISC. BEC€IPT
?OTAL
PTRIITw
E"".??,iii='t+0-l zoral D.t.
j--...-.
APPLtCAttOX
APPROVED -=\
O.t.
I CERTIFY THAT THE FOLLOWII{O CONIFACIOR'S LICENSE tr
OTHIR APPLTCAXTS
I r xeneav cEnrFy , As owNEn. THAI uilDER sEcrrotr ?0... I AL ExEupr Fnora SEcnoN 70rr.6
OF THE BUSINEES A1{O PROFESSIONAL COOE. OIVISION 3. CHAPIEE E, COTTRACTOR'S LICENSE lAT
cERTlFtCAllOta oF EIEItrrOil FROI tECTrOil ttOO
OP THE CATIFORXTA LABOR CODE, AiTICLE !, COXSTRUCTIOT PERITT!
I C€RTIFY THAT IN THE PERFORMANCE OF THE IVORK FOR IYHICH THE PERUIT IS IoSUEO I SHALL
NOT EXPLOY ANY PERSOIII IN ANY IIANNER SO AS TO EECOME sUAJECT TO THE WORXMAN'S
couPEtls^iloN LArvs oF cAlrFoRNrA.
ATION THE APPLICANT FOh THIS PERMIT SHOULD AECOIIE
CITY OF SANTA AIIA ANA. IT'6 OfFICERS. AOENTS AND EITPLOYEES.
PUFPO8ES 0F EUOH |NSPECrrot{8, tnvESrtOAT|ONS, OR COFRECnVE
'/57 s1 A>bta
l-tt-sr
ot
tF.
TEi
SIONATURE
DATE
l- rt-(q
8KT{ATURE
COMP€NSATION
AND
CERTIFTCATIOT{ FOi REOULATIOX
coxTRAcToRS
INSURANCE CENTIFICATE ON FILE VERIFIED B
Y WITH THE PROVISIONS Or SECilON 3rOO OR TH|S
rION PROVISIONS OF THE LAEOR CODE. IHE
I HEREEY ACXNOWLEDOE REAO THIS APPLICATION AND STATE THAT TION I
LAYVS13 coRnEcT ANO
coNsTRucTtoN.
THE
SUCH CITY OEEI'S NECESSARY
13 IN FULLcLABorFrcArroN D
F!IIAL tL/qP
BOIlO
NgLEAtg
D.ta
REIAFI(8:
00
THIS PERHIT SUPERCEOES
PRELITNAAY ORAOINO PEATTIT
01/11189 3:3t
IS A PERITIT TOTtIS
YALtOATtOl.
IYhEN
OESCRIBEO FOR A
ACCT. 'I t-ar8
cltEcx ,
334
I
I
nalv
*
oI
GRADIilG INSPECTIONS RECORO
PRE€RADING MEETING:
PREUMIN RY SOIUGEOLOGY REPORT: ..
EARTHWORK:
EXCAVATION
FILLS
SUBORAINS
BUTTRESSES ...
OTHEB
DRAINAGE OEVICES
OTHER
ROUGH GRADING RELEASE:
CIVIL CERTIFICATION
SOILgGEOLOGY REPOHT
CONTRACTORS STATEMENT OF COMPLIANCE
OTHER
PAVING:
PRE-PAVING MEETING
SUBGRADE
AGG BASE
WATER TEST & SEAL COAT
ASPHALT CONC
CIVIL CERT
SOILS ENG CERT
OTHER
FINALS
SOILS/GEOL REPOBTS ... .:
CIVIL CEBT
AS.BUILTS
OTHER
SPECIAL DATA FOR RECORO
INSPECTOR'S
SIGNATURE OATE