HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (43)o t
CITY OF SANTA ANA
206 W. 4th Street
667-2738
APPLICANT FILL IN AREA BELOW
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fiResidential D lndustrial !Commercial NO.EACH TOTALJOB AODRESS31Oq SAN-\A fE uirl-nce DK.'ttC-FIXTURESOWNERSuutrrotPeq A<soc-4t//- -o/ tD
PHONE
each plumbing lixture/trap rl 5.00 55*
.33r-= €a
MAILING AODRESS
t tAt.l\G.u)KD.
CITYCotrta tf\e-,sa
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G, Qil2O
Dental Unit or Medical Gases 10.00
\5
C5L5.00
1st 1@'+Conn.
GAS SERVICE 1 to 4 Outlets
Ea. Add'l Conn.
GAS PIPING
Ea. Add'l 100' or Fraction
Private Sewage Disp. System
15.00
30.00
5.00
5.00
Ea. Add'l Outlet 1.00
Omr-Au[d., Oodf,rlbn
I hereby afirm lhat I am exempt trom ltE Contractor's Lrcense Law lor lhe lollowrng reason (Se
T03l5.BusrnessandProlessronsCode Anycityorcouotywhrchrequiresapermittoconslruct.
aller. rmprove. demolsh. or reparr any structure, pror to rts r$uance. also requrres the applrcanl
lor such permrt lo ile a srgned stalement thal he rs |censed pursuant to lhe provisions ol the
Contraclor's Lrcense Law (Chapter 9 (commencrng wilh Setron 7m0) of Drvrsion 3 ol lhe
Busrness and Prol6srons Code) or lhsl he rs exempt lherelrom and lhe basrs lor the allogod
exempl,on AnyvrolationolSectionT03t.5byanyapplrcanllorapermrtsubj*tstheapplicantlo
a crvrl p€nalty ol nol more lhan ive hundred dollars (35@)
El Sctron ZO44A I. as owner ol lhe properly. o, myemploy€s wrth wags as therrsolecompen-
satron, wrll do the rcrk. and lhe structure rs not rnlended o. ollered lor sale
E S*l,on 70448 l. as owner ol lhe propedy. am erclusrvely contractrng wrth lrcensOd
contracto6 to constrUcl lhe prolsi
Oate Owner (Srg )
Conlrrlo[ t,3. Orly
CONTRACTOFI"ngcrtru /cftL APPLT c*not ;*2?{-o?bt
^'Tff7gt Devrao
"t"rl'.e/E ,G/St tuo/?.e "o'v'bs3d
I hereby atrirm thal I am licensed under the provisions ol Chapter 9.3ol the Busl
Conlractor (Sig.)
ldce Bnd gtlectCode, md license is rn
Noltc. To APgllcil:
ll atler makrng lhrs Ce.lricate of Exemptton. you should become sublcl to the Worke. s Compen-
salron provrsrons ol lhe Labor Code. you must lorthwrlh comply wrth such provrsions or thrs
permrl shall be demed revoked
ol Wo,ttr's Com-
I
I tEreby altrrm thal I h8ve a
subjact
Calrlomra
Applicanl (Sig.)
the portdmanceolth€
an any mannor $ s to
C€rtitied copy is tiled with
Expires Verified By
D8te (srg )
this permat rs issusd. I shsllrcl employany
to lhe Worker's Compensation Laws o,
pensataon I
Date
Erpa[lbn
Thrs pormit shall erpiro by limitation rnd beome null snd void il tho wk authoriz€d by this
pormil i3 nol commncad within lSOdays rrom the dtle ol this pormit q i, work aulhoriz€d by thig
permil a3 su3panded or abandonsd at any timo alld lhs work is cmmncod tor a fEriod ol 180
days. A nil prmit shsll be obleined larsl b€rore such wort c6n be rlcommonc8d.
rcen.,y that I have read thisapp,,"",m1'lt"H,*.*
pur9os
all city ordinencE and stale laws
ol thrs cily to ont€r
Applrcant o. A96nt
I sgrs to
Alt. or Repair ot Drainage - Vent Piping
\o*
10.00
PERMIT
5.00
100.00
Repair or Beplace Gas Piping
Temporary Gas Service
Water Heater - Electnc or Gas
Water Service Ea. 100'
Water Piping Ea. 1@'
Over 2"
Rain Water Piping (buried) Ea. 100'
Backflow Device 2" or Less
Water Softner
Over 5
Vacuum Breakers 1-5
Sprinkler
Rain System - Per Drain
lnd. Waste lnterceptor
Pool Traps
Deck Drain System - Per Drain
/Alt. Drainage or Vent
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
Penalty Fee (when applicable)
Violation Fee
Plan Check 650/o of subtotal
Pc#Receipt l.lo.
Plan Check (Adjustment)
lssuance Fee
TOTAL PERMIT FEE
DATE
(50.00)
(minimum 20.00)
Date
rLor -o-PENMIT ISSUEO BY
Att- fces (1) olo ln- oQl2o st&1-4121
Orslnbulron t lnspmtor Copy 2. Ftle Cogy 3 Frnance Copy 4 Applicenl Copy
cs-61 r
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APPLICATION AND
PLUMBING PERMIT
(TYPEWRITE OR PRINT IN INK)
I
I
I
MISCELLANEOUS
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Dclmllon
to sll-rn3uro.
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PLUMBING INSPECTION RECORDS
Rcmarka
Ground Work (Soil)
Ground Work (Waled
Water Service (Ground)
Gas Service and Underground
Lawn Spranklers
Wasle lnt€rceptor
Pool Traps
Sewer
Rool Drains
Water Healers
Water Soltner
B€nlal or Medical Gases
o
Rough Plumbing
Final Plumbing
Temporary Gas Service
Noles
Oata lntpoctoi Approv!l(Slen.tur.l
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JOB AOORESS I
CITY *7ST
3 r
EACH FURNACE INCL. DUCTS AND VENTS
EACH COMPRESSOR, BOILER, OR HEAT PUMP
Heat Pump Compressor less than 5 HP
EACH TOTAL
oo
E lndustrial E Commercial NO.
up ro 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
15.00
20.00
25.00
30.00
25.00
30.00
25.00
EACH AIR HANDLING UNIT OR VAV BOX
Owr 50 HP
Air Handling less than 2,000 CFM
Ourai-Ou*abr O.draba
I her€by arlirm lhst I am oxempt lrom llE Cdtrlclo/3 Liffise Lm d th€ lollcwino roason (S€c
TGtl 5. Busin6s 8nd ProlBsions Coda. Any city or county which require3 I p€rmit to construcl.
alt6r. imprcve. domoligh. or repair any slruclure, prioi to il3 iSsuance. rl3o requirgg the applicant
lor such psmit lo til6 r 3ionsd slatement thel h€ is licons€d puBuant to the provisbns ot lhe
Conlractor's Licms€ Law (Chaplor I (commoncing with Section 7m) ot Oivision 3 o, lh€
Eusins 8nd Prol63iof,s Code) or that he is axempt thorotrom rnd lhe b8is lor the allsg€d
aramption. Any violslion ot Section 703 1.5 bry any applicsnl lor a p€rmit sbjecls the applicant lo
8 civil p€nalty ot nol more than ,ivo hundrod dollars (ts(D):
E S*tion 7044A l. I ilns or th€ propeiy. or myemployG wilh wag€ 6 thearsole comp€n-
Sation. will (,o tho wort. and ths slrucluro is nol intended or otlded lor sels.
E S*tion 70.!18 l. 6 owner ol the prop8rty. am €xcluspoly contrrctang w[h licensod
conlracloB Io construct the prortrl
Oale Owrer (Sig.)
Cml?rto[ t,3c Orly
CITY
o
Repair, All. or Add. to any Heating/Cooling sys.
10.00
10.00
2,000 CFM to 10,000 CFM
Over|0,000 CFM
MISCELLANEOUS
Outdoor Dual Packaged or Cooling
Floor Furnace
Heater; Suspended, Wall or Unit
Com'l Dryer Vents
Decorative Fireplace (Wood or Gas)
Hood with Duct and Fan (Type l)
25.00
15.00
15.00
10.00
15.00
15.00
15.00
f n"r"f#fir. ti"t r
"m
licased under the provisions ot Chaptd 9, Oivisrn
o/tz/27
and3,Wrya3
Pro,e$ions
til{?"Licsse
Conlrsclo. (Sig.)
Code. md my licanse is in lull lorce and eftecl.
o,r"tTtl8l
frz_?.,o"
Each Vent Fan Connected to a Duc't 4 15.00 k,ao
2a,rlO
/or,dl
t|ortan Corf .llalbn D.drlbn
I heroby atlirm that I hav€ a cartiti€te ol @nsfit lo solf-insur6. or o cgrtilicate ot Wortd's Com-
I certify lhal in the gerlormanceol the work lor which thas
poBon in any mnnd !o as to bocome subjcl to the Wo.te/s Compen$tion L8rr ol
Csliromia
t{o$o To Arl9llc0l:
lf atter makrng lhrs Cerlitrcate o, Exemption. you shoutd become subist to the Worke/s Comper
salron provrsrons of the Labo. Code, you must forlhwrlh comply with such provasrons or thas
permrt shall be demed revoked
(s'9.)
liled with
Oale Applicant (Si9 )
br.rilding inspction dopartment.
I shall rct employ any
by
15.00lt)
OT
this notbut
Fan Coil lnstallation
Fire Extinguishing System
Each Evaporalirre Cooler
Hood with Duci and Fan
lncidental Gas Piping
Fire Damper lnstallation
20.00
15.00
15.00
10.00
15.00
Subtotal
Fenatty Fee (when applicable)
Violation Fee
Plan Check 65% of subtotal
(50.00)
(minimum 20.00)
DateReceipt No.Pc#
Plan Check (Adjustrnent)/7ru-o
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00)-€-
This permit shatl expire by rimitation ""o*i#ru 8nd void i, th€ worr suthdizod by this
parmil ts nol commonc€d wlthin 180 dsys trom the dat8 ot this permit or it work suthorizod by this
tErmit is suspended or abandonod at any timo arld the work is commgncod for a period ol 160
days A n€w psmit shsll bo obtainod liBt botore 3uch work can bo rgcommanced.
r cerrity rhst r have read rhr app,,"",ffi:rffiffi-o inrormarion is correcr. r erae ro
comply wilh all city ordinanc€6 and state taws rolating to buitding cmstuciion. and hsroby
authorized raprBontation ol this cily lo enler upon the abovlmentioned frcrEty tor inspetion
:::fuq App,icsnr n on",,",n@ PERMIT NO.DArE ta-a?- El
Bi'A.,?i$, 6!bl Q,,,.,,, "")PERMIT ISSUEO BY (Srg )CL.*20v tq
o-ru//448fail //VALIOATION (OFFICE USE
(ACCOUNT 111-412)
APPLICATION AND (l
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
a
APPLICANT FILL IN AREA BELOW
CITY OF SANTA ANA
206 W. 4th Street
667-2738
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Distribution: t. lnspectorcopy 2. FilaCopy 3 FinanceCopy 4. AppticentCopy
cs-618
/
40.00
10.00
/
15.00
o
MEctNrcAL rNSPEcroN *=.&r,t
Remarks
Forced Air Furnace
Wall Healer
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, Alteration, Ducts
Fan Coil lnstallation
Gas Piping
Fire Damper
Bough lnspection
Flnal lnspection
Dsto lnspoctor Approval
lSlgnaturel
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Notes