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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 c,g-Izo ool, ma @ 0Jo -E d7 Z --) lfifhtr V R o tr s 0 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 srAfE/ztP 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 ar APPLICATION AND PLUMBING PERMIT (TYPEWRITE OR PRINT IN INK) I I I MISCELLANEOUS 5c- ! i I lE@- -g looE ,0 Dclmllon to sll-rn3uro. a o o 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 rl4o /YbA.f 'y'aoh ALAT r/h/tt /a, u,"rtt %4h At-rnr* *1o/o ,1 zZthrn-. s/a/*,Z )n/.r,, ( 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 @g-Izo oo f, m U)a (\ 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 +/q/qo d,ur^- /r4't"l1t z*zrUzt- Notes