HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (13)""i?f i. santa Fe virrage Drive
Sunflower Associates
OWNER PHONE
3315 Eairview Road
MAILING ADORESS
Costa Mesa
CITY STATE/ZIP
cA 92626
Olnr-lulld.r Dodrnbn
I hereby allirm that I am oxempt trom the &ntreclo/s Lrconse Law for the lollowing raaon (S6c.
7031 5. Businds and Prolessrons Code. Af,y clly or counly which raquires a permit lo conslrucl.
altsr. improve, damoli3h, or repair any structure, prior to its issuance, 8ls rsquiro3 the applicsnt
lor sch permrl to lile I srgned statement thet he B licens€d puBuant lo tha provisions ot lhe
Conlractor's Lrconsa Law (Chapter 9 (commncrnO with Scciion 7qD) ol OivEim 3 ol lh€
Busrness and Piol6sron3 Co{re) or that he is exempl th6r6lrom and the ba3B lq lh€ allogod
eremplDn. Any violstion o, Soclaon 7031.5 by any applacant lor a peimil subi6E the applicanl to
a civrl penalty ol not mora than tiv6 hund.6d dollsrs ($500):
E Sction 7044A l. as owner ot the properly. ormyemploysswilh wags as lhearsolecompen-
salion, will do lhe woit. end lh6 structuro is not lnl€ndod or olttrod lor sala
E S*tion 70448 l. es owner o, the prcpeny. am exclusively conlracting with licenssd
contracttrs to conslruct the prcliet.
Oale - Owner (Sig )
Conlrrlon lrt. Only
EaqLe Pacific Ventures
CONTNACTOR PHONE
751-32??
ff Residential E lndustrial E Commercial
5.00
10.00
NO.EACH TOTAL
each plumbing fixture/trap
Dental Unit or Medical Gases
15.00
30.00
5.00
5.00
5.00
100.00
1.00
5.00
5.00
8.00
10.00
FIXTURES
SEWER
Rain Water Piping (buried) Ea. 100'
1st 100'+Conn.
Water Piping Ea. 100'
Ea. Add'l Conn.
Waler Heater - Electric or Gas
Ea. Add'l 100' or Fraclion
MISCELLANEOUS
Private Sewage Disp. System
Temporary Gas Service
Repair or Replace Gas Piping
Ea. Add'l Outlet
GAS SERVICE 1 to 4 Outlets
PIPING
Water Softner 4.00ADDRESS
P^O^ Rnx 'l'l?gA
Alt. or Repair of Drainage - Vent Piplng 10.00
Costa lvlesa
CITY
cA 92627
STATE/ZIP
La\ivn Sprinkler I 6.00
Rain System - Per Drain 10.00
lnd. Waste lnterceptor 8.00
Pool Traps 5.00
I hereby aflirm Ihst I am licens€d und€r th6 provisions ol Chspter 9. Oivision 3ot lho Business 8nd
Prol6sions Code. 8nd my license is io lull lorce and etlsct.
Date 9-26-89 conrracto.(Sis) #
Lrcense No.420651 0149109ct^r" C27 ---- crty Lrcense
3.00
'10.00
5.00
Deck Drain System - Fer Drain
Repair/Alt. Drainage or Vent
Vacuum
1.00
So.Lil ConDmdbn Dclrdlon
I h€reby alrirm lhst I hava a caniliete ol conseni to slt-rnsuro. or a @nili€la ol Worl(er's Com-
pemation lnsurance C8rtilied copy is liled with th€ City building inspection d6panmenl.
I cstrty that an the porrormanceollhe wo.k lorwhich this permil is issued, lshall mtomployany
person rn any manner s as lo bsome subiocl lo the worker's comp€n3eton Les ot
Calilornra
No0c. fo APPllcsl:
ll aher makrng thrs Cedrlrcale ol Exemptron. you should become sublml lo lhe Worker's Compen-
satron provrsrons ol lhe Labor Code. you musl lorlhwrlh comply wrlh such provrsrons or lhrs
permrl shall be demed revoked
CW
Oale 9-26-89 Applrcant (Sr9 )see
Oale
-
Applicsnr (Sig.)
Sli,", 4l lgO veriried By (sis )
(minimum $35.00)
5.00
10.00
10.00
Backflow Device 2" or Less
Over 2"
Subtotal
TOTAL PERMIT FEE
Fenalty Fee (when applicable)
lssuance Fee
Violation Fee
Plan Check (Adjustment)
Plan Check 65% ol subtotal
(50.00)
Date
(minimum 20.00)
Receipt No.Pc#
PERMIT NO.DATE 9-26-89 5 511
6.O0
25 - Cto
35.00r-10.00
Erplra0o.!
Thit pormil shall erpire by limitation and beoms null and void it the work suthorizod by this
pe.mil is nol commsncod within 180 days lrom lh6 drlo ot this p€rmit or il work authorizsd by this
parmil is suspendod or obandoned at any tim allor lha wort is cmrnonced tor a period ol t80
day3. A nry psmit shsll bo oblained firsl b€tore 3uch wort can be racommancod.
Aopfcrnl N.rdo.r
I cerlity that I hrva rsd thB appliotion snd slate lhet th€ ab@e inrormltim i! cffrsd. I egre lo
comply wilh all city ordimnB end stela |rws rolaling to building cmsluction, and horoby
aulhorized repraontrtion ol lhis cily to stff upon lh€ aboFmenlion€d propcrty tor inspoclion
purpos
Date 9-26=89 Applicanl or Agent (Sig.)see attached
BUILOING
P€RMIT No nC vEnlFrEo BY (sig )PERMIT ISSUEO 8Y (Sig )J /rtv5(ACCOUNT
'11-41
oa' APPLICATTON AND
PLUMBING PERMIT
(TYPEWBITE OR PRINT IN INK)
CITY OF SANTA ANA
206 W. 4th Street
667-2738 NAPPLICANT FILL IN AREA BELOW
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Orstflbulron 1 lnspeclor Copy 2 Fne Copy 3 Frnance Copy 4. Applrcaol Copy
CS-61 I
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.{ater Service Ea. 100' -/
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PLUMBING I NSPECTION RECORDS
RomarkB
Ground Work (Soil)
Ground Work (Water)
Water Service (Ground)
Gas Service and Underground
Lawn Sprinklers
Wasle lnterceptor
Pool Traps
Sewer
Rool Drains
Water Heaters
Water Softner
Benlal or Medical Gases
Rough Plumbing
Final Plumbing
Temporary Gas Service
Notes
tl 4
D.tc ln!poclor Approvrl
(Slgn.turc)
.,
4ala iliou
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