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HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (23)t a APPLICATION AND PLUMBING PERMIT (TYPEWRITE OR PRINT IN INK) CITY OF SANTA ANA 206 W. 4th Street 667-2738 h" APPLICANT FILL IN AREA BELOW (DgrI2o ool, mb U' NBL Kesidential Dlndustrial ECommercial NO.EACH TOTALJO8 ADORESS*z"iVa- )-",A 7u U^lL-,-UaZo SYL -o//a PHONE*%h*r-0*.o FIXTURES Dental Unit or Medical Gases each plumbing firlure/trap 5.00 10.00ILING L7htu--b SEWER 1st 100'+Conn.1 15.00 /5- Ea. Add'l Conn.5.00 Ea. Add'l 10O' or Frac{ion 5.00 Private Sewage Disp. System 30.00 Orn ?€ullrar Oadtalbo I hereby sllirm thst I am exempt lrom the Cslraclor's Licens€ Llw lor the tollowinO r6a3on (Soc. 7(Xr'l 5. Business tnd Prot6sions Code. Any cily or county which requir6s a p€rmit lo consttuct. aller, improvs. demolBh. or 16pair any struclur6. prior to its rssuance. al3o r€quires the applicsnl ,or $ch permil lo ,ile 8 sqnod statment that he as liens€d po6uanl to th€ provi3ions o, the Conlnctor's Licen$ Llw (Chaptgr 9 (commencing wilh Soction 7m0) ol Divilion 3 ot the Business and Prot6sioG Co{re) or th8l he is exempl thorarrom and the basis lor the allsg€(, eramplion. Any violelion o, S€c,tion 7031.5 by any spplidnt lor I p€rmrt 3ubjects the applicsnl lo a civil ponally ot not mor6 than liv€ hundrod dollars (Ssm): E S*tion zOgl l. 8s ounor ol lh€ propsny. ormyomploygoswrth wago8 as lheirsolecompon- gltion, will do tho rcrt. and lh€ strrctura is not intof,ded or ollered tor $la. E S*tion 7O4aB I. s omd o, the propody. 6m exclusively cmtreting with licemed contractoB to con3trucl lhe pioiect. Oate Owner (Srg.) ConlrrioB tjt. Only WTi'ff ,-,,,), I fi lA / rr-fi---b74- o7o7 PHONE l8 STATE/ZIPCITY I hereby allirm that I em lrcensed und€r ths provi3ions ol Chapts Prol6srons Code. and my licen$ rs in lull lorce and oa" S! 5 8J- contractor (sis.) 3ol the Busan6s and 7Lrcense No fu*Ofr","" subioc,t to the Worker's Comp€n$tion Lsws ol Nodc. To Aeglbrl: ll atter makrng lhrs Cerlricale ol Exemplron, you should become sublat to lhe Worker's Compen- salron provrsrons ol lhe Labor Code. you must lorthwrlh comply wrlh such provrsrons or thrs permrl shall be demed revoked (sig.) OGlr.tbn thepensaloncow Date VeriliedExprres I hereby allirm lhal I havs e ol consent lo a certificato ol Worttrs Com- insp€ction departmenl. whichlhis pormit is issusd, I shall nol omployany Dete - (Sig 1 orr^s-tS -8? Appricanr I cartily thal in the p€rtormenceoltho pe73m in any mnn€r !o as to Celilomia Alt. or Repair of Drainage - Vent Piping 't0.00 I Water Service Ea. 100' Over 2" Backflow Device 2" or Less Over 5 Vacuum Breakers 1-5 Repair/Alt. Drainage or Vent PIPING GAS SERVICE 1 to 4 Outlets Ea. Add'l Outlet GasRepair or Temporary Gas Service MISCELLANEOUS Water Heater - Electric or Gas Water Ea. 100' Rain Whter Piping (burid) Ea. 100' Water Softner Bain System - Per Drain lnd. Waste Pool Traps - Per DrainDeck Drain 5.00 100.00 1.00 5.00 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 5.00 Subtotal Fenalty Fee (when applicable) Violation fue Plan Check 650/. of subtotal Pc#Receipl llo. Plan Check (Adiustment) lssuance Fee TOTAL PERMIT FEE DATE (50.00) Date (minimum PERMIT .9O (minimum 20.00) ErDh.lton This p€rmit shall arpiro by limilstion and b€como null and void rl the mrk ruthtrizod by thir p€rmit is nol commcncad within 100 d8ys |rom the dats ol lhis pormil d if rcrkrulhorizod by lhi! pormit i3 susponded or sbendoned al any tim efis ths worl is cmmncsd lor a Friod o, 180 days. A new psmit sh8ll be obteinod liBl b€lor6 $ch work can be rocommnc€d. I catfity th.l I havo rsd lhB app,,*rffi;ffi* o,,".G1.582 Applicenl or Agent I e€rs to andcomply wrth all crty ordimncB and suite law! authotirod reprosanlalion ol lhis city lo enld purpos€3 hb?i*ilifr .S<t/-o{"r^,,,.K.,o-PERMTT ISSUEO 8Y (Sig ) o-e-!-W @ et- 7?7a!-ffifvALroATroN (oFFrcE usE oNLY) (ACCOUNT r11-41?) / Ptt't v Oistribution I lnspfftor Copy 2. Fle Cogy 3 Fanance Copy 4 Applicant Copy cs-61 r N ?41- / Lawn Sprinkler / I / a- <_ t- ?n- lo a a PLUMBING INSPECTION RECORDS Ram!rkt Ground Work (Soal) GrounclWork (Waler) Watei Service (Ground) Gas Service arld Underground Lawn Sprinklers Waste lnterceptor Pool Traps Sewer Roof Drains Waler Healors Water Sortner Bental or Medical Gases Rough Plumbing Final Plumbing Temporary Gas Service Noles Ort.ln.p.ctor Approv.l (Slgnrtur.) t( iilrt 4.urr / ltrtrrt //" lJ-P /2il^J.,h,,,,rl 7 /2,4o 4a)DeE f/ar/r,,A/./r DA,/tt 2, /n)f APPLICATION AND I MECHANICAL PERMIT (TYPEWRITE OR PRINT IN INK) t CITY OF SANTA ANA 206 W. 4th Street ffi7-2738 APPLICANT FILL IN AREA BELOW W @g-Izo oo f) ma U, \ N il NP 0 NO.EACH TOTALFBesid€ntial ! lndustrial ECommercial*':;"ii7 fr4b 7t-V)Zta- d". - e-EACH FURNACE !NCL. DUCTS AND VENTS TIA^ r% (tz/t"-;*:,f,(('otroPHONE Iifu-rrc lbontss*ij"irM t'" ('*r*- h.-ooa,STATE/ZIP?ilzC EACH COMPRESSOR, BOILER, OR HEAT PUMP Heat Rrmp Compressor less than 5 HP 15.00 20.00 Up to 100,000 BTU Over 100,000 BTU EACH ABSORPTION SYSTEM 100,000 BTU to l,000,0@ BTU 1,000,001 BTU to 2,000,000 BTU 5HPto30HP 25.00 30.00 25.00 25.00 Orn t€ulorD.drtbn I hereby allirm thel I am gxmpt lrom lho Contracto/3 Licmss L8w for ths ,ollowing roaon (S€c. 703t 5. Bu3inats 8nd Profa$ions Cods Any city or munty which requir6 e psrmil lo con3trucl, alter, amprove. d6moligh. or raperr any 3lruclure, prior to its isuance, alSo rcquirs the applicant lor such permil to lilo I signod staloment that he is licensod puBuanl to the provision8 ol lho Conlracto.s Licmso Lil (Chspts I (@lmencing with S6tion 7m) ot DivBion 3 ol lh8 Bu3in6ss and Prot6sioos Codo) or thal he i3 €xmpt therolrom 8nd the b8i3 lor tho dbged exomption. Any violstion ol S€ction 7O31.5 by 6ny 8pplicant tor a pstmil 8ub,oc1s the applicsnt to a crvrl penrlty of not more than live hundrod (bll8B (35@): ES""tionZOaa l,aSownorolthoproperty,ormyamployffiwithwtg€66theirsolecompen- sstion. will do the work. and tho structure b not intgndsd or otlsed lor 3al€. E S*tion 7oil48 l. as owner ot the prope.ty. 8m exclusively contr*ting with licmssd conlractors lo conslruct the prolel Oate - Owner (Srg ) Conlrrlm t,!. orrly I hereby alfirm that I am licensed under lhe provisaons ol Chapls 9. Prol$srons Code. md my lrcensa rs (ll&"o". &7/7 c,o" o"r, lZtlftconrracror STATE/ZIP PHONE CITY /o C) in tull lorc€ and eflect (sig ) Divisi.n 3oufe Busin€ss and tlbltit Co0?a6tlon D.dribn I hdsby allirm that I have a certilicate o, @n8€nt to s€ll-insur6. or a cerlilicale ot Wort-'s Coc I certrty thal an the portormanceol the work peGon in any manner I I to bo@me Califomia Date -- Applicant (Sig.) ,'otle To Apdl6l: ll alls makng lhrs Cerlrlrcaleol Exemptron, you should become sublsl lo lhe Worker's Compen- salion provrsrons ol lhe Labor Code. you musl lorthwrlh comply wilh such provrsions or lhrs permil shall be demed revoked or" lz-z?s? Apprienr lor whrch thrs subject lo the Worke/s wilh the City inspection departmenlpemation lnsurtnc€. Cstiliod copy is lilod ?:f,* {/90 veririod By (sE ) EACH AIR HANDLING UNIT OB VAV BOX Outdoor Dual Packaged Healing or Cooling Hood with Duct and Fan (Type ll) or by .l-2 oO Date 30.00 40.00 31 to 50 HP Fire Damper lnstallation Over 50 HP lncidental Gas Piping Each Emporatile Cooler Air Handling less than 2,000 CFM Fire Extinguishing System 2,000 CFM to 10,000 CFM Fan Coil lnstallation Over 10,000 CFM Each Vent Fan Connected to a Ducl MISCELLANEOUS Range Hood with Duct and Fan (Type l) Floor Furnace Heater; Suspended, Wall or Unit Com'l Dryer Vents Decoratiw Fircplace (Wood or Gas) Repair, Alt. or Add. to sys. 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 ttfl Subtotal Penalty Fee (when applicable) Plan Check 65% of subtotal Violation Fee (s0.00) Receipt No.Pc# 'r& (minimum 20.00) 72rPlan Check (Adjustment) lssuance Fee 10.00 Erplrdo.r Thas p€rmil shall erpire by limitation and bocom€ null and void i, tho wdk suthorized by lhis permit is not commenc€d within l80 days lrom tha dats of this pormit or il work suthorizod by this p€rmil is suspendod oa abandoned et my lims attgr tho worl is cmmned ,or! psiod ol 180 days A nil psmil shall bo oblained li6l b€tor6 sch work can be mommoned. Apdlc.rft O.drdlon I certity that I have .oad thas applicatim and ilA€ that the abov6 intormation is corr6cl. I ere to @mply wilh all cily ordinancB end state laws relating to building co.rstuclion, and her€by authori:ed reprBenlation of this cily to 6ntd upon thg above,mentionGd proprty lor inipection Applicant or Agenl:::tu6a TOTAL PERMIT FEE (minimum $35.00) 37DATB /2-,PERMIT NO. BUILDING PERMIT No s?6 0#,",,PERMIT ISSUEO BY (SIg ) d?L 4- /o7/r11 1-4r2)<-)4/2 Dlstribulion 1 lnspeclor Copy 2. File Copy 3. Finance Copy 4. Applacsnl Copy cs-6r8 g Ns /.21o-o ? hot* )- 0 tt MECHANICAL INSPECTION RECORDS Remar*e Forced Air Furnace Wall Heater Floor Furnace Suspended Heaters Air Handlers Heat Pump Plenum and Ducts Compressor Boiler Outdoor Dual Package Unil Decorative FirePlace Range Hood - Duct and Fan Fan and Duct Appliance Vent Through Rool Evaporative Cooler Ropail Alteration, Ducts Fan Coil lnstallation Gas PiPing Fire Damper flough lnspection Final lnspection Date lnspcctor Approval lSlgnaturel /-/tz /u^.p,r %a -7-dl,urn Notes