HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (24)o IAPPLICATION AND
PLUMBING PERMIT
(TYPEWRITE OR PRINT IN INK)
CITY OF SANTA ANA
206 W. 4lh Street
667-273a W
APPLICANT FILL IN AREA BELOW
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JOA ADDFESS ^i7o L *-*,7,- U;t/z-- UKL
oA)r^l/-.,,u- fi rn,u-E,ONEStb- o)./a
ING A
"''Ukfr,ST.PTE,'ZI G2-e b
//5.00
10.00
NO.EACH TOTAL! lndustrial ! Comm€rcial
each plumbing fir:tue/trap
Dental Unit or Medical Gases
15.00
30.00
5.00
5.00
SEWER
Private Sarage Disp. System
lst 100'+Conn.
Ea. Add'l 100'or Fraction
Ea. Add'l Conn.
GAS PIPING
GAS SERVICE 1 to 4 Outlets /5.00 a5
Ea. Add'l Outlet 1.00
Repair or Replace Gas Piping 5.00
Oma?-Bulld.r D.cNr.tlon
I hereby allirm that I 8m erempl trom ttE Contracto/g Lacens Law lor lhe rollowing ro8on (Sc
7031 5. BusinN and Prol6sions Code Any cily or county which r€quires a p€rmit lo cmslruct.
aller, improve. dmolBh. or repair any llructure. pnor to its issuan@. also r€gurrB the applicanl
lor sch p€rmil lo ,ile ! s€ned slatsmonl thal ha B licen3ed pursurnl lo the provisions of lho
Conlractor's Licenso Lil (Chaptsr 9 (commencing wilh Soction 7OO) ol Division 3 ot the
Busaness and Protsasions Code) or lhat ho is oxempt thoretrom and lh6 basis tor th€ allog€d
eremption Any violaliofl o, Seclion 7031 5 by any spplient lor a fErmil &rbjects lho tpplicanl to
a civrl penalty ol not more than tivo hundrsd (bllars (t500):
E S*tion ZOlu l. a3 ownerol the piop€rty. or myemployegswithwlg€3 rs lhGirsolocompen-
3alion, wrll do the ryort. and lhe slruclure is not intended or ottorod tor sele.
f] S""tion 70448 l. as owner of the prop€rty. am exclusively cmlreting with licl3rllod
contracloB to comlruct the proi€ct
Oate Owner (Srg )
Temporary Gas Service
Water Heater - Electric or Gas
100.00
5.00
Conlrrlo[ lrt. ODly
10.00
W::h,-,),,! nlaL)-t;, t7*- o7o7
PHONE
8.00
4.00
Rain Water Piping (buried) Ea. 100'
Alt. or Repair of Drainage - Vent Piping
Water Piping Ea. 100'
Water Softner
10.00CITY
Lawn Sprinkler 6.00
Rain System - Per Drain 10.00
lnd. Waste lnterceptor 8.00
fud Traps 5.00
3olthe Busrn6sand
*4
Deck Drain System - Per Drain 3.00
Repair/Alt. Drainage or Vent 10.00
Vacuum Breakers 1-5 5.00
1.00
5.00
10.00
/10.00
pensation lnsuranco C€rtilisd copy B liled wilh th6
subject to the Worker's Compensatron Laws ol
taotlc. To AD9llclrl:
ll alte. makrng lhis Certrlrcate of Exemplron. you should become subict to the Worker's Compen-
salon provrsrons ol lhe Labor Code. you must lorthwrlh comply w(h such provrsioos or lhis
permrt shall be d@med revoked
Oclrtlbn
I
venri€d By
Applacenr (Sig.)
I horaby arli,m that I hsv6 a
Date Applicanr ($9 )
lhis permit is issued. I shall notomploysnythatp6rlormsnceol
person rn 8ny mSnner rc as to
Calilornia
a cerlitcatg ol Wod(s's Com-
inspaction dspartment.
Oste
Exprres
Receipt l'.1o.!'1 Pc#
Over 5
Water Service Ea. 100'
.Backflow Device 2" or
Over 2"
Subtotal
Penalty Fee (when applicable)
Violation Fee
Plan Check 650/o of subtotal
(s0.00)
Date
S- (minimum20.0O)
Plan Check (Adjustment)
&dr.0on
Thb permil shall oxpirt by limitrtion and bocomo null and void i, tho worl luthorirod by this
permil B nol commnccd wilhin 1E0 d!y! irom the drte o, this permrt o. it work authorized by thir
p€rmil a3 su3rmd€d or rbandon€d st rny time attor lho worl i3 cof,rmenced tor a parird ol too
dBy3. A nes pdmit 3hall bo oblainod liirt b€lorffi can be r€common@d.
I cerlily thst I heve .md this applicatron and state that the ab@a
Applicanl or Agenr (Sig.)
I a9r6 to
@mply wrlh all city ordimncG and stale
ol lhrs crty lo entd lssuance Fee
TOTAL PERMIT FEE
DATE
10.00
(sig.)vLs -o-PERMIT ISSUEO BY (Sig )
f "* oL Maq 7D / /r*1-412)6-e.a-s.t"81
Orslribulron l lnspector Copy 2 Frl€ Copy 3 Frnance Copy il Applicsnt Copy
cs-61 1
/t
FIXTURES
/t€
MISCELLANEOUS
/
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<-v
-
*
I v#at), l
No Class
Date (si9
affrrm lhal I am
Code. and
ol constrt to
the
a O
PLUMBING INSPECTION RECORDS
Romtrk!
Ground Work (Soil)
Ground Wo[k (Water]
Water SeNice (Ground)
Gas Service arid Underground
Lawn Sprinklers
waste lnterceptor
Pool Traps
Sewer
Rool Drains
Waler Healers
. Weter Sortner
Rental or Medical Gases
Bough Plumbing
Final Plumbing
Temporary G-as Service
Noles
O.t.ln.p.ctoi Approvrl
(Slgnrtur.)
ftr/rt .%/2#
'./t /tt 2L/r/r!-til
'ilr*q ,LP"f,
l'lr-fl ?A N,l-
t{/zo/a H;^,
o%n > Aa)lzqr
a
""^"*VTt 9a+uVzbrrtodo. - -D
! lndustrial D Commercial NO.EACH TOTAL
EACH FURNACE INCL. DUCTS AND VENTS
Up to 100,000 BTU 15.00
Owr 100,000 BTU 20.00
EACH ABSORPTION SYSTEM
100,000 BTU to 1,000,000 BTU 25.00
1,000,001 BTU to 2,000,000 BTU 30.00
EACH COMPRESSOR, BOILER, OR HEAT PUMP
Heat Rrmp Compressor less than 5 HP 25.00 fito
5HPto30HP 25.00
31 to 50 HP 30.00
-0
MAILING
CITY ST
Orn aull(brD.drabo
I he,sby attirm thet I am exmpl lrom lh€ Conlracto/s Licen3e Law lor th6 ,ollowing ra8m (Soc.
7031 5. Busin6s and Prolsions Cod€. Any city or county which r€quire3 a p€rmit to construcl,
aller. imprcva. demolBh. or ropair any struc1uro, pris lo its isuance. d$ r6quir6 tha applicant
lor uch permit to lile 8 signsd statem€nl thst h€ is lims€d puBusnt to lho provigions of th€
Contractor's Licons Lsr (Chepler 9 (commoncing with S€ction 7m0) ol Oivision 3 ot the
Business and ProtBsims Coda) or thst ho i3 sxampl therelrom and the basb lor the alleg€d
exemptaon. Any violalion ol Soclion 7031 5 by any spplicant tor I pormat subjels the applicant to
a civil ponally ol not more lhan live hundr€d (bllars (S5O0):
E S""tion ZO44l l. !s ownor ol the prop8rty. d myemployGwalh wa96 G lheirslecompon-
3ation. will do the wort. and the struclure is rct intended or otlsod tor sale.
E S*tion 70448 l. I owner ot the properly, am exclusively cmtretang wth licmg€d
cont,acto6 lo conslrucl the p.olel.
Oate Owner (Sig )
Conlrclon t ra Only
PHONE
ADORESS
P
a
Over 50 HP 40.00
EACH AIR HANDLING UNIT OR VAV BOX
Air Handling less than 2,000 CFM 10.00
2,000 CFM to 10,000 CFM 10.00
Over 10,0@ CFM 10.00
MISCELLANEOUS
Outdoor Dual Healing or Cooling 25.00
Floor Furnace 15.00
Heater; Suspended, Wall or Unit 15.00
Com'l Dryer Vents 15.00
Decoratile Fireplace (Wood or Gas)15.00
Repai( Alt. or Add. to any 10.00
Hood with Duct and Fan (Type l)15.00
Each Vent Fan Connected to a Duct 15.00 dtO?
Wortm Cofirg.naJbn O.drdbn
I htr€by Etrirm that I hav€ a ceniri€to ol consst to slf-insur6. or a certiricate ot Worts's Com-
[EHton lnsu,gnce. Cstrtied @py is litgd
?:i9."" +fud veririod By (sis )
wrth lhe insp6tion daperlmenl.
o"" L77) 8? Appricanr (sis )
I ce.tify thal in the parlormanceof th€ work for which this I shsll nol employ any
pe6on in any manner s 6 to b€@me sublst to the Worker's Compensation Les of
Calirornia
Dsto
-=-
Applicet (Sig.)
No0,ct To Appllcrl:
lf aller making thrs C6rlrtrcateol Eremption, you should be@me sub,st to theWorker's Compen-
salon provrsrons o, lhe Labor Code. you musl torthwith comply w(h such provlsions or thrs
permtl shall be demed revoked
Fan Coil lnstallation
Fire Extinguishing System
Each Elaporative Cooler
lncidental Gas Piping
Fire Damper lnstallation
Hood with Duct and Fan (Type ll)
/20.00 20, tO
15.00
15.00
10.00
15.00
15.00
15.00
Subtotal /af,oa
Penalty Fee (when applicable)
Erpkdo.r
This pormit shall erpiro by limitation and bocoma nul and void il the work authori:od by thi3
permil F nol commncod wilhin l&) dryr lrom tho dste o, thi3 tE mit d it wort authffhod by this
permit is suspsded tr abandonod at my timo elt6r the wort is cmmnced lor e pcnod ol tEO
dayg. A na pdmil 3hall bo obttinod fiBt belora such wort can be recommencsd. "
Aeglbdl O.drdoo
I cerliry lhal I have read this application and state that the above inlormation is corroci I agroe to
comply with all city ordinancG
authorized repres€ntalbn ot lhis
purpos.
hereby
on"ltfl'fr Applrcanl or Agenl
Violation Fee (50.00)
Ptan check 65% of subtotatffi .oo1
Beceipt No.Pc#Date 3
Plan Check (Adjustment)/7, c'o
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00)+
DATE /2_>7.*y PERMIT NO.
Bll|,li$.5-qlz0 h..,,,.o ",,.,n,
PERMrrrssuEo ,rrr,n, -t/. )a eL
Ad d>r- /L/- /of/f
vALroATroN {oFFtcE usE oNLY)
(ACCOUNT rr 1-412))
APPLICATION AND O
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
206 W. 4th Street
667-2738 W
APPLICANT FILL IN AREA BELOW
u,g-Izo
oo
f,
ma(,
s\
L
t^lE
Drslribulion: I lnspector Copy 2. Fite Copy 3. Finance Copy 4. Appticant Copy
cs-618
/
to*'^ot'{fuD f ,o/rr-2'7?-r: oo
I heieby allirm thEl I am licens€d un@r the provBions o, Chspts 9. OivisEn 3ot tEB-usif6s and
Pr_otn rons Code. md my lrconse rs In lutt fore and otlEt. /l.Ufl"?(,{i,ryZZ c,o" u4) c*yL,cilse a(Cotl7
oa"kTlfl conrracrors,n@
MEctNrcAL rNSPEcroN *r.t*
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 Roof
Evaporative Cooler
Repair, Alteralton, Ducts
Fan Coil lnstallation
Gas Piping
Fire Damper
Rough lnspection
Final lnspection
Dato lnrpcctor Approval
(Slgnaturel
/-kra ,41 u,f,
tu?,,
Jd,ur^
Notes