HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (40)t o IAPPLICATION AND
PLUMBING PERMIT
(TYPEWRITE OR PRINT IN INK)
CITY OF SANTA ANA
206 W 4th Street
667-2738
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APPLICANT FILL IN AREA BELOW
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X Residential nlndustrial !Commercial NO.EACH TOTAL,3ff6h
SntorA re . utuurce DR'*,+FIXTURESOWNER
SUto4lpture-R Asstr-5Lt6- Ol toPHONE
each plumbing fixture/trap G 5.00 -3o o'9
Dental Unit or Medical Gases 10.00.B3t5 SarRurcO RD
MAILING AOORESS
SEWER"Eo-=*o ln Esq.ff','4\ezb
Om.r-&fld.r Nralbn
I hereby atrirm lhal I sm axempl ,rom the Cmtracto/s Lrcms Law lor lhe following reason (Scc
7031 5. Busine$ 8nd Prol63rons Cods Any city or county which requaros a pormit lo construct.
aller. improve. demolish, oi repgir any struclure, prior to its bsuance, also roquir6s the applicsnt
lor such parmit to lile a 3igned statement thSt he is licens€d puBuant to lhe prcvisions ol the
Contractor's Lacens€ Lew (Chrpler I (commendng with S6tion 7m) ol Oivision 3 ol the
Busino3s rnd Pror6raonr Cod€) or thlt he is oxompl lhorelrom and ths basis lor the sllsgod
cxmptlon Any vaolelron ot Saction 7031.5 by any applicrnt lor I permit subisls the applicsnt to
I civil penelly ot not mors lhan tive hundred dollars (35IF)
E S*tlon UO4A l. as ownerol the propsrly, or myemploy@swalh wag€6 as lh€irsolecompon-
Salion. wrll do lhe rcrt. snd the strElure is nol inttrded or ottered lor sole.
E S*r,on 70448 l. s owffi ol lh3 pop€rty. am erclusuely contracling aith licffs€d
conlracloG lo cOnstruct lhe proJtrt
Oate
-
Owmr (Sig.)
ContrE{o[ t,3a orrty
AOORESS/r 7R / D,Extgt-Alt. or Repair of Drainage - Vent Piping
a9
lst 100'+Conn.
Ea. Add'l Conn.
Water Softner
Ea. Add'l 100' or Fraction
Rain Water Piping (buried) Ea. 100'
ftilate Sewage Disp. System
PIPING
GAS SERVICE 1 to 4 Outlets
Ea. Add'l Outlet
Repair or Replace Gas Piping
Temporary Gas Service
MISCELLANEOUS
Water Heater - Electric or Gas
15.00
30.00
5.00
5.00
5.00
100.00
1.00
5.00
5.00
10.00
10.00
4.00
8.00
"v'ff330CITY.l.epg Etstuoa€
I hereby Sllirm th8t I am [censd under lhe provisions of Chsptq 3ol the Businss "fl.
Conlractor
and my licen* is in and ellel
subiecl lo lhe Worker's Comp€nslion Laws ol
taotc. To Apeflcrt:
It alttr making lhrs C€rtitrcsleolExemplim. you should bscomasubiecl tolhoWorke/sComp6n-
salion prilrsims ol the Lsbor Code. you must lorlhwith comply wath such provBions or lhis
permit shell be demad r*ok6d
Erpartlqr
This pormil shall erpira by limitetion and bocom null 8nd void il lh€ rcrt lulhorizod by thl3
permit is not @mmencod within lSOdsys rrom lhe dsta ol thrs pormit or irwork suthoriz€d by thiE
parmit i3 96p€ndod or absndoned at any tim ertei lha work is commnc€d tor ! p€riod ol 180
days. A n* pdmit shall be obtainad liBt b€rda sch worl can be recommonced.
Atlearf'' N.rrfar
I certity lhat I haye r8d lhis epplietion and JA6 that tho .bo6
which thrs permrt is rssued, I shail not employ any
I aore€ to
OGlJalbn
a
I the ol lhe
Calilornra
Applacent o. Aganl
ol Wortd's Com-
dopartmonl.copy rs liled with the
Verilied ByExpires
Applicant (Sig.)
lowrrh all city ordimncG and slete laws
ol lhis city lo onior
I tErcby atfirm lhat I have a ol @nset lo
Oate
-
Applicanl (Sig.)
pensetaon
Date
10.00
\
I
q
6.00
10.00
10.00
10.00
8.00
5.00
5.00
'r.00
3.00
5.00
10.00
Laltrn Sprinkler
Water Service Ea. 100
Rain System - Fer Drain
Over 2"
Backflow Detticr- 2" or Less
Owr5
Vacuum Breakers 1-5
Repair/Att. Drainage or Vent
lnd. Waste
Pool Traps
- fur DrainDeck Drain
Subtotal
DATE
Fenalty Fee (when applicable)
TOTAL PERMIT FEE
Violation Fee
lssuance Fee
Plan Check 65% of subtotal
Receipt No
Plan Check
(50.00)
(minimum 20.00)
Date 2
(minimum
PERMIT
'l ec*
e@8NG
No PERMIT ISSUED BY (Sig.)
Aru Cffi PO oAr m-O?qlo ^rtrn //r,C
VALIDATION (OFFICE USE ONLY)
(ACCOUNT
'1
r-412)
Drslnbulion I lnspector Copy 2 File Copy 3 Frnance Copy 4 Applrcent Copy
CS-61 I
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Water Piping Ea. 100'
in any manmr s a lo
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PLUMBING INSPECTION RECORDS
R.mrrkr
Ground Work (Soil)
Ground Work (Water)
Water Service (Ground)
Gas Service and Underground
Lawn Sprinklers
Wasle lnterceptor i
Pool Traps
Sewer
Rool Orains
Water Healers
Waler Soltner
R€ntal or Medical Gases
a.
Rough Plumbing
Final Plumbing @
Temporary Gas Service
Noles
a
e
D!t.lnrpactor Approval
(Slgneturr)
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Bfesidential Elnduskial !Commercial NO.EACH TOTAY'Try;tf 5o4hz-14ilr4. r,l^,- /4 EACH FURNACE INCL, DUCTS AND VENTS
Up to 100,000 BTUffi-a/o
Over 100,000 BTU 20.00
EACH ABSORPTION SYSTEM
NG
CITY LZ 6 100,000 BTU to 1,000,000 BTU 25.00
Oun €ulkt r Ordrtbfi
I hereby Itlirm lh8l I am sxmpt lrom tll€ Contracto/s Licans€ Lrw tor the tollowing reasoo (Se.
7031.5. Busin* and Prore$ions Code. Any city or county which r€quiras a pormil lo construcl.
altar, rmprove, damolish, or repair any slrucluro. prior lo als i3suance, also r€quir6 lhe applicant
,or sch pormil to lile a signed slalemGnt thal h6 as licensed puBusnt to the provisions ol lh€
Conlraclot's Lrc€nta Lm (Chapter I (commencing with Selion 7qn) ol Divbion 3 ol the
Business and Prol6dms CodB) or that ha is oxempl th€retrom 8nd the bBE lor th€ allegod
exemption Any violation o, Soc,tion 70ill.5 by any sptrlrcanl tor 8 lErmit subiacls tho applicant to
E civil p€nslly ol not more than live hundrod (bllars (35&):
E S."tion 70444 l, as owner ot lhe proporty, or myomployeo3with wagB a lhear3ole comper
Salion, will do lhg wort. and the struclure B nol intended or oltff€d lor sale.
E S*tion 70448 l. ag ownq ol the prop€rty, am exclusBely conlreling wrth licensod
contracto6 lo construct lhe pro,trt.
Oate
-
Owrer (Sig.)
I hereby allirm that I am licensed under lhe provisions ol Chaptor 9.
ProFssions Code. and my hc€nse isl,#l!*.@71a .,n"
on"t24?-t7 conrracror
Contrrloa t,.. Only
/2
T
O/rh--rr
STA
oiils}ow$inBsand
7lo
in lull ,orce and otlect
81N
Woila CoiIl.tt tbn OadrlSo
I hq6by allirm thsl I have a csrtitaote ol @ns6t to $ll-insuro, or a co.tilicate ol Worltr's Com-
I certify thst in theperformancoof lh€worklorwhichthis
poBon in any mnnor so I !o b.come 3ubiocl to th€
Cslilornb
l{oilc. To Appllol:
ll alter making thrs Ce.lricate ol Exemplron. you shoutd become sub,st to the Worke/s Compen-
sation provisrons ol ihe Labor Code. you must forthwith comply with such provrsrons or this
permrt shall be demed revoked
with the City
Drte
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Applient (Sig.)
Compemalion Lils o,
I shall not employ any
inspetion department
(
EACH COMPRESSOR, BOILER, OR HEAT PUMP
Heat Pump Compressor less than 5 HP
EACH AIR HANDLING UNIT OR VAV BOX
Outdoor Dual Packaged Healing or Cooling
Repair, Alt. or Add. to any Heating/Cooling sys.
Hood with Duct and Fan (Type ll)
30.00
tfl
or by
abore
(r-?)
(n
Range Hood with Duct and Fan r)
(minimum
1,000,001 BTU to 2,000,000 8TU
5HPto30HP
31 to 50 HP
Over 50 HP
Air Handling less than 2,000 CFM
2,000 CFM to 10,000 CFM
Over 10,000 CFM
MISCELLANEOUS
Floor Furnace
Heater; Suspended, \r{all or Unit
VentsCom'l
Decorati\e Fireplace (Wood or Gas)
Each Vent Fan Connected to a Duct
Fan Coil lnstallation
Fire
Each Evaporatilre Cooler
lncidental Gas Piping
Fire Damper lnstallation
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
1
Subtotal
Fenalty Fee (when applicable)
Violation Fee
Plan Check 650/o ot subtotal
(50.00)
DateReceipt No.Pc#
Plan Check (Adjuslment)// ,zr
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00)-+
Erpkdon
This tprmit shall expire by limitetion and b6ome nufl and void it th€ work suthdized by this
permrt B not commncod within 180 days rrom ths date ol this p6rmit or irwork authori2ed by this
p€rmil is suspended or abandoned at any time arld lhe work is commenced for I p€riod o, 18O
days A n* pdmit shell be oblainod titst bslore uch work can bo recommmced.
Ape0canl't D.drdo.r
I certily thal I have read this applicalion and slala thet tha above intormstion is corrsd. I agreo to
comply walh all city ordanancB and slate l8m relating lo building cmgtuclbn. and heroby
authorized rapro6enl8lion ol this city to onte upon lhe abol/e-mslioned prcpdly tor intaroction
purpos6
o',JAL48?Applrcant or Ag€nl (Sig PERMIT NO.DATE
BUTLDTNG 61qlrt|1penurr r.to. v_ '__ uvenrrreo av (sig.)9L/qlvYPERMIT ISSUEO BY (Sig ) -
cL.
f/"*//-/o8/rUSE ONLY}
1-412)44 _J
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
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oof,
ma)o
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Drst(bulron 1 lnspeclor Copy 2 Fne Cogy 3 Frnance Copy 4 Appticant Copy
cs-6r8
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15.00
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AO.,r-a
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MEctNrcAL rNSPEcrroN *=.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
Bepair Alteration, Ducts
Fan Coil lnstallation
Gas Piping
Fire Damper
Rough lnspection
Final lnspection
Date lnsp.ctor Approval
lSlgnaturel
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Notes