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Home My WebLink About3700-3710 S Raitt St - Misc. Permit (21),o oa, APPLICATION AND PLUMBING PERMIT (TYPEWRITE OR PRINT IN INK) CITY OF SANTA ANA 206 W. 4th Street 667-2738 W APPLICANT FILL IN AREA BELOW @g-Izo oo f, mao + JO8 STATE/ZIPc (- ! lndustrial D Commercial NO.EACH TOTAL o FIXTURES Dental Unit or Medical Gases each plumbing fixture/trap 5.00 10.00 1st 100'+Conn. Ea. Add'l Conn. Ea. Add'l 100'or Fraction Private Sanrage Disp. System PIPING 15.00 30.00 5.00 5.00 GAS SERVICE 1 to 4 Oullets 5.00 5- 1.00 5.00 Ea. Add'l Outlet Repair or Replace Gas Piping Ortrr-arld.t E .lbn I hereby artarm thal I am erempt lrom the &ntrrclor's Lrcens Law lor lhs lolbwing reason (Soc 7031 5. Busins and Prol6sions Code. Any ciiy or counly wiich requires I pelmit to construct, alter. improvc. demolEh, d repair any structure, prior lo its isuance, also requitgs thâ‚¬ appliclnl ,o, such permit to lils e signed statemenl thrt he i3 licenssd pu6uanl lo tho provisions ot tho Contraclor's Licas Lil (Chspter 9 (commencrng with Setion 7@0) ol Oivision 3 ol thâ‚¬ Busanoss and Prote$aon3 code) or that he is exempl therelrom 8nd the basis lor the 8llegâ‚¬d exomption Any violalim ol Selion 7031.5 by rny applicant ,or a pâ‚¬rmit subiects lhe applicent lo I civil pâ‚¬nally ol nol morc than rive hundrad (bll8c (sgD)l E S*ti- ZOgl l. 8s ownd o, the properly. or myemployâ‚¬â‚¬s wilh wagâ‚¬8 sstheirsolscompsn- ialron. will do the worl(. snd lha slruclura i3 not inlgndod q ollsâ‚¬d tor sle. E S*tion 70448 l, as owB ol the properly. am exclcively cmlracling with licensad cont6clo6 to conrtrucl lhe proi*i. Oale Owner (Srg ) Conlr*bn t r. Orly CONTRACTOF I t a ).,(-C1.1 -o?o PHONE dooheSs-/Ara t ^- I-'' /'< L/ )3* fc.s rtvJ Alt. or Repair ol Drainage - Vent Piping 100.00 /o - 10.00 / Receipt No.Pc# Temporary Gas Service Water Service Ea. 100 MISCELLANEOUS Over 2" Water Heater - Electric or Gas Backllow Device 2" or Less Water Piping Ea. 100' Orcr5 Rain Water Piping (buried) Ea. 100' Vacuum Breakers 1-5 Water Softner Repair/Alt. Drainage or Vent Lawn Sprinkler Rain System - Per Drain lnd. Waste lnterceptor Pool Traps Deck Drain - Per Drain 5.00 10.00 10.00 10.00 8.00 5.00 4.00 1.00 10.00 5.00 6.00 10.00 10.00 3.00 8.00 s.00 Subtotal Penalty Fee (when applicable) Violation Fee Plan Check 65"/o of subtotal Plan Check (Adiustment) lssuance Fee TOTAL PERMIT FEE DATE (s0.00) Date (minimum 20.00) (minimum PERMIT L*i E(s, L ^?c CITY STATE/ZIP QA33 o I hergby artirm that I am licansâ‚¬d under the provi3ions ot Chspts 9. Oivisaon 3oltho Busino3send on -5-19'4 Cont.actor (Srg. in tull torce snd alltrtProlssions Lrcense No 'glEi"*"" ilolb. fo ADDllcrl: ll alter makrng lhrs Cenricate of Exemptron, you should become sublel lo lhe Worker's Compen- satron provrsrons ot lhe Labor Code, you must lo.lhwrlh comply wtth such p,ovrsons or lhrs permrl shall be demed revoked ar *{*^n*tbn oclr.tlon Date Applicant (Sig.) to slt-insuro, or a ertitieta ot Worter's Com- ircpâ‚¬clion departmnt pe.mit is issuod, I shall nol amploy0ny I hâ‚¬rsby allirm that I have a erliriete ol I cenrty lhst In ths portormsnceorthe poBon in any mnmr so s to Calrlornra oa"S'-15'-Sl Appticant (s,s ) to the Workers Comoensalron Laws olal C. Cre {(rar pensation lnsurance Certrfied @py rs ?:;,, 7/f,1 vs,,rcd By Er,ilor Thb permit 3h8ll oxpiro by limitllion 8nd becoma null and void it tho wort luthsizsd by thiE pohil is nol commnced within lS0days trom lhcdlto ot this pormit tr ilsort lulhorizod by lhb lErmil is sBpgndâ‚¬d or abandonâ‚¬d d any tim atlor tha wort i3 cmmncsd tot r poriod ol !E0 dayB. A nil pormit 3hsll ba oblainod liBt bâ‚¬tofg such wort en ba rocommnâ‚¬d. I certity lhet I hevs roed lhrs applicstion end sl8to that thâ‚¬ above o"".s-ts-n?Applicanr of Agont (sig.) end heraby I aor& to comply with ell cily ordrmncB and statâ‚¬ luthonzod rcprantslion ol thh cily lo onttr purpos. -r\-LfB.'A'"9|S" 54Ab3,,,,,o PERMIT ISSUEO aY (Sig )atL**P *'?L /47?70 tffigq / Ptl- vALroATroN (oFFrCE USE ONLY) (ACCOUNT r1r-412) Oislributron I lnspector Copy 2. File Copy 3. Fanance Copy il Applicant Copy cs-6t r /- SEWER U/LIZ-a I / f -:=-- 7f- 8* o a a t PLUMBING INSPECTION RECORDS Rcm!rka Ground Work (Soil) Grouncl Work (W-ater) Water Service (Ground) Gas Service and Underground Lawn Sprinklers Wasle lnterceptor Pool Traps Sewer Rool Drains Waler Healers .. Water Sottner Renlal or Medical Gases Rough Plumbang Final Plumbing Temporary Gas Service Notes Detc !n.p.ctor Approv.l {t il*4tU"f t/ tt-tu 4l 2LU,tr %/a J rz*,tunl--, f frlan /2 Urr t,t /tt /A d,Dr JOB ADORESS CITY Ortrt{uflbt D.dtabn I horeby altirm thst I am srempt lrom thâ‚¬ Contraclo/8 License Law tot the lollowing reason (Soc. 761.5. Busin6s end Prcr6sions Code. Any city oi county which rcquirsa s pormil to conrttud. altor, improvâ‚¬, dâ‚¬molbh. or replii any slruclure. prior lo its isuan6. also râ‚¬quitgs thâ‚¬ tpplicet ,or such pormil lo ,ile e signod rtetemenl that hâ‚¬ i3 lioonsod puBuanl to tho provi3bns ot thâ‚¬ Conlrector's Licensâ‚¬ Ley (Chapter I (@mmoncing wilh S*tion 7m) o, Oivision 3 ot the Bu3inos and Prol63ions Codo) or that ho i3 exempt thorolrom 8nd the ba3b ,or lh3 sllegod oxonplion. Any viol8lion of Sâ‚¬clion 7@1.5 by any applicrnt ,or I Pormil $bi6ts thâ‚¬ applicant to a civil pGnalty ol not more than fivo hundrod (bll8B {$5@): E S."tion zOae l, s owner ol ths propany, or myamployswilh wagâ‚¬a ar thoir3olocompcn- gstion. will do thâ‚¬ work. end th6 slructure E nol intended ot ottdad ,ot 3alo. E S*tlon 70448 l. I ownd ol lhs prcperry. am erclusivoly cmtrrcling with licanlod conlractm to comtruct the proiffl. Oate Owmr (Sâ‚¬.) Conl?r1on tjr. Only 8o CITY Pro126srons 4l^?A"Cl6s#(t?t7 I heroby altirm that I am lictrsed under the Code, md my licsnse is in fu orn l24G? conr'ador (s,e) (Residential trlndustrial ECommercial EACH FURNACE INCL. DUCTS AND VENTS EACH COMPRESSOR, BOILER, OR HEAT PUMP Heat Rrmp Compressor less than 5 HP EACH AIR HANDLING UNIT OR VAV BOX Repair, Alt. or Add. to any Heating/Cooling sys. Range Hood with Duct and Fan (Type l) Hood with Ducl and Fan (Type ll) EACH TOTAL aQ (fr Each or by Subtotal fr NO. Up to 100,000 BTU Over 100,000 BTU EACH ABSORPTION SYSTEM 100,000 BTU to 1,000,000 BTU 1,000,001 BTU to 2,000,000 BTU 5HPto30HP 31 to 50 HP Over 50 HP Air less than 2,000 CFM 2,000 CFM to 10,000 CFM Over 10,000 CFM MISCELLANEOUS Outdoor Dual Healing or Floor Furnace Heater; Suspended, Wall or Unit Com'l Dryer Vents Decoratiw Fireplace (Wood or Gas) Each Vent Fan Connected to a Duct Fan Coil lnstallation Fire Extinguishing System Each Elaporative Cooler lncidental Gas Piping Fire Damper lnstallation 15.00 20.00 25.00 30.00 25.00 40.00 25.00 30.00 10.00 10.00 10.00 25.00 15.00 15.00 15.00 15.00 15.00 10.00 15.00 15.00 20.00 15.00 15.00 10.00 15.00 'I ol @nsont to sell-insure. or a cedificate ot Work6r's Com- I ce.irly lhal rn lhs tprformance of the work lor which lhrs po6on in rny mannor 8o a to bâ‚¬como Eubiod to the Crlitomi! t{oilc. fo ApE{lcal: ll atltr makrng thrs Certrficale ol Ersmplion. you should become subimt to the Wo.ke/s Compen- satron provrsrons ol lhe Labor Code. you must forthw(h comply with such provrsrons or thrs permtt shall be d@med revoked filed with the building rnspection departmant. (srg ) Oate Applrcant (Sig.) Compensation Lils ol I shall not employ any Wo.lm Conreamdbn Oclrdbn Fenalty Fee (when applicable) Violation Fee (50.00) Plan Check 65o/o ol subtotal 34, n (minimum 20.00) Pc#No./ 7 Date Plan Check (Adiustment)/6 ..Zr lssuance Fee 10.00 TOTAL PERMIT FEE (minimum $:|5.00)-â‚¬- Etplrdon This permit shsll oxpire by limilslid and be@me null and void il lhe wtrk ethtrirod by lhis permit is nol commencad wilhin 180 days lrom lho dale or lhis permil q it work aulhorized by this permit is suspondad oi abandonod at any lima alld th6 work is commncsd tor 8 irariod ot 180 days A ne* psmit 3hall be obtainod tirst borore such work can bâ‚¬ rsommmcod. Appalcdl O.drauqt I cerlity thet I havs read this spplication 8nd slsle that lhâ‚¬ abovâ‚¬ inrormalion is coirecl. I a9ra6 to comply with 8ll cily ordinancB snd state laws roleting to building consluction, and horoby authori:ad rcprâ‚¬sâ‚¬ntrtbn ol lhis city to onld upon the purpo36. ApplicEnt or Agenl (Sig.l tor insp*tim on" l2'a?fl PERMIT NO.D^rE/2 /1-BUILD PERMI ING TNO flLo3 VERIFIEO BY (Sis )PERMIT ISSUED BY (Sig ) ou /c2+Fa;4 *zo y'/- /0f6f l) - J 7Y87VALIDATION (OFFICE USE ONLY) (ACCOUNT fi1-412) APPLICATION AND . MECHANICAL PERMIT (TYPEWRITE OR PRINT IN INK) o CITY OF SANTA ANA 206 W. 4th Street 667-2738 APPLICANT FILL IN AREA BELOW W og-q zo ooll mo) U' q t cs-6 r 8 o 12.4 I / /2rt.n Utt4 0 o Lics$ _c1 Oaslflbution: 1 lnspelor Copy 2. Fila Copy 3 Finsnce Copy 4 Applicsnt Copy OO MECHANICAL INSPECTION RECORDS Remarts Forced Air Furnace Wall Heater Floor Furnace Suspended Heaters Air Handlers Heat Pump Plenum and Ducts Compressor Boiler Outdoor Dual Package Unit Decorative FirePlace Range Hood - Duct and Fan Fan and Duct Appliance Vent Through Root Evaporative Cooler Repair, Alteration, Ducts Fan Coil lnstallation Gas Piping Fire Damper Rough lnspection . -.Final lnspection Dato lnspactor Approval lSlgnatwel /-/-//lLat 4b Notes