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HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (44)*ppircATroN AND PLUMBING PERMIT (TYPEWRITE OR PRINT IN INK) t a CITY OF SANTA ANA 206 W. 4th Slreet 667-273a APPLICANT FILL IN AREA BELOW @qrIz ool, ma(!> K,t)l-l lop I Iu7 CJ7 , o') C F.f-\ o\\ I ID IF I lh lb '"gqD'q sANlA fe uirAcc DR *D gryb- ottoOWNER Suts*uotDeY< ASs(-. MAILING AOOR€SS-E5(E* tra.\rrvie*l RD ICITYCos-rA lncsA STATE/ZIPa. qz62c Omd-Bdld.i Oadf, .tlon I hereby alfirm lhat I am exempl trom ltE Conlraclor's Lrcense Law lor lhe lollowrng reason (S* T03l5.BusrnessandP.ol6sroosCode Anycityorcounlywhrchrequiresapermrtloconslrucl, aller. rmprove. demolsh. or repair any structure, pnor to rls rssuance. also requrres the applrcanl lo. such permrl lo file a sEned stalement thal he rs lrcensed pu6uanl to lhe provrstons ol lhe Conl.actor's License Law (Chapler 9 (commencrng with S$lron 7mO) ol Divrsion 3 ot the Busrness and Prot6sions Code) or lhat he rs exempt lherelrom and the basrs lor lhe alleged eremptton Aoy vrolalron ol Sectron 7031 5 by any applrcanl lor a p€rmrl subtets lhe app[cant to a civrl penalty of not more than tive hundred dollars (t5O0) E S*t,on 7044A l. as owner of the propeny. or my employes wrth wag6 as therrsolecompen- salron. wrll do lhe rcrk. and lhe slructure is nol rntended or ollered lor sale E S*t,on 70448 L as owner ol the properly. am exclusrvely cont,actrng wrth lrcensed conlraclors lo construct the proiecl Date Owner (Sig ) Contrrcloo t ra Only "ilPZii aru r cAL ftPPilcnfiu,u 0 '7 /7 "^VigaoEL,/ /uoa.e_"")r?K r' 3ol th€ Contractor (Sig.) heraby that I am lrcens€d unda, th6 provisions ol Chapter etlectis rnaod my ,"ttXy subjecl to lhe Wdke/s Comp€nsation Lsws ol Noflc. To AlEllcrl: ll atler making lhrs Cerlrficate of Eremptron, you should become sublsl to lhe Worker's Compen- salron provrsrons of lhe Labor Code. you musl lorthwrth comply with such provErons or thrs permrl shall b€ demed revoked I he.eby altirm ol Wortd's Com- Oclrdlon have Verifred By CalitornB Oate Applicant (Sig.) pensation which lhis permil is issued. I shall not employ any copy is ,iled with the ol@nffitto rn the pedormance ol lhe Applicanl (Sr9.) Oate Erprres lResidential Elndustrial DCommorcial NO.EACH each plumbing fixture/trap 5.00 Dental Unit or Medical Gases 10.00 1st 100'+Conn.15.00 Ea. Add'l Conn.5.00 Ea. Add'l 100'or Fraction 5.00 Private Sanage Dsp System 30.00 GAS PIPING GAS SERVICE 1 to 4 Outlets 5.00 Ea. Add'l Outlet 1.00 Repair or Replace Gas Piping 5.00 Temporary Gas Service 100.00 M]SCELLANEOUS Water Heater - Electric or Gas 5.00 Water Ea. 100'10.00 Rain Water Piping (buried) Ea. 100'8.00 Water Sottner 4.00 Alt. or Repair of Drainage - Vent Piping 10.00 Laivn Sprinkler -t 6.00 Rain System - Per Drain 10.00 lnd. Waste lnterceptor 8.00 Pod Traps 5.00 Deck Drain - Fer Drain 3.00 Repair/Alt. Drainage or Venl 10.00 Vacuum Breakers 1-5 I 5.00 Orcr5 1.00 Backfloriv Device 2" or Less I 5.00 I Over 2"10.00 \A/hter Service Ea. 100'10.00 Subtotal Fee (when applicable) Violation Fee (s0.00) Plan Check 650/o of subtotal (minimum 20.0O) Receipt No.Pc#Date Plan Check (Adjustment) lssuance Fee 10.00 TOTAL PERMIT FEE (minimum PERMIT ErCr.os This permit shall expare by limitation end btrome null and void al the work sulho.iz6d by this pormit i3 not commncod wilhin 180 day3lrcm th€ dal6 ot thir pormit o. ilrcrt aulhdazod by this permil i3 Suspend€d o. abendonod at any lim allot thg work i3 commncsd tor a lpriod o, 180 days. A ner psmf shsll be obtained liBl berore Such work can ba rcommenc€d. ADacrfl H.rdqr I certity that I hsve read thi! spplicltion 6nd ilAe that lho rbo|o I agrs locomply with all crty ordinanc6 and stete law6 ol this cily to Applacanl or Agent (Sig. authonzed reprBentat,on gUrgOSA ,/ ,/o,n*AZ {a(PERMIT ISSU€O 8Y (Sig.)lyki,i?,sthl Ntt* lees PD oN l^- o?,7O s-t?'r1 1-412) Orstrrbutron. t lnsp6lo. Copy 2 File Copy 3 Frnence Copy 4 Applicsnl Copy cs-6r r romC FIXTURES \l ,4\a SEWER \'1.<g I /Dz o I t PLUMBING I NSPECTION RECORDS Ramark! Ground Work (Soil) Ground Work (Water) Water Servic6 (Ground) Gas Service and Underground Lawn Sprinklers Waste lnterceptor Pool Traps Sewer Root Drains Waler Healers Water Sollner Rental or Medical Gases Rough Plumbing Final Plumbing o Temporary Gas Service Notes O!t.lnapactor Approv!l (8lgn.tur.l f/trh 4<P.r /ilr'n ,aZ, //-f-, ?/tr/'i A*prf t lr//€,1. z*t-onz,- ./tho q z**tto,, il,/to ,4rU*f t, JOB AOORESS fa.* CITY ilo.- D Ourr-3ulkar Mralbo I hereby srlirm lhat I am axmpt lrom lh€ Contracto/s Licmse Law ,o.lh€ tollorying roam (S€c. 7(x}1.5. Busin# and ProlGsions Codo. Any city o. counly which roquiros I p€rmil to conslruct. sltar, improve. domolBh. or repair any structura. prior lo its isuance, ds roquira tha epplic8nt tor $ch ptrmil to ,ila e signed statmenl that ho B licmsad puBuml lo th€ provi3ion3 ot tho Conlractor's Lic€ns€ L& (Chapter 9 (@mmoncing with S€clion 7CD0) ol Oivision 3 ot tha Busin6ss rnd Pror€3sions Codo) or that he is exempl lhererrom and the bsis ,tr th€ slleg€d axemption. Any violslion ol S€ciion 7091.5 by any applicsnt lor 8 permil sbiocB the spplicant to a civil p€nalty ol not more lhan liv€ hundred (bllsrc ($5m): E S*tion uoaa I. a ownar o, the propeny, or mysmploy$wilh wa96 ss thairslacompoc salion. will do the f,ork. and the slructure 6 not intsdod or ot ssd lor Sale E S."tion 70448 l. c owner ot lhc property, am exclusivsly contreting with licensod conlraclffi to @nstruct the p.oloct Dale Owner (Sig.) Residontial !lndustrial ECommercial EACH FURNACE INCL. DUCTS AND VENTS EACH COMPRESSOR, BOILER, OR HEAT PUMP Heat Rrmp 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. Range Hood with Duct and Fan (Type l) EACH TOTALNO. Up to 100,000 BTU Owr 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 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, Wall or Unit Com'l Dryer Vents Decorative Fireplace (Wood or Gas) 15.00 20.00 25.00 30.00 25.00 40.00 25.00 30.00 10.00 10.00 10.00 25.00 15.00 15.00 10.00 15.00 15.00 't 5.00 I heroby allirm thst I am licmsed under the provisions olCheptq 9, Oivision ConllElo[ l.b. Only CITY a Contractor (Srg ) 0/f-a (27Code, md my liceme is in lull fq@ and ettsct. oa" ltTlS? Prol6srons Ll"{A"t9'2-22.,o" ilefiNytnasana 6ara-o 2D.n /Of.oo Wortm Coip.mabo O.drtbo I hsaby stlirm that I have I certilicate ol @nsl lo sll-insure. or s certificale of Wo.ttr's Com- manner s es to be@ms subjecl to the Worke/s Nollc. To Appllcit: ll arls makng lhrs CerlrtrcateolExemptron, you should becomesubtdllotheWorke/sCompen- satron provrsions ot the Labor Code. you must lorthwrlh comply wath such provrsDns or thrs permrt shall be deemed revoked nilt-n the psdormance ol the worl ld whrch lhis Oate Applicsnt (Sig.) Oate Applicant (Sig.) with ilding impection depsrlment.pemation lna/ance. Cortilisd copy B lilsd ?:i",* 7 f a ver,ftod By (s,e ) I certrfy that rn I pecon in any Calilornia Each Vent Fan Connected to a Duct Hood with Duct and Fan fl-ype ll) (50.00) Fire Damper lnstallation Fan Coil lnstallation lncidental Gas Piping Each Ewporatiw Cooler Fire System 15.00 15.00 20.00 15.00 15.00 10.00 15.00 1 Subtotal Violation Fee Penalty Fee (when applicable) Plan Check 65% of subtotal )1f lminimum Receipt No.Pc#Date Plan Check (Adjustment)/ 3,oo lssuance Fee 10.00 TOTAL PERMIT FEE (minlmum $35.00)+ Erp&tlba This p€rmit shall expire by limilstion and become null rnd void i, th€ wort luthdizod by this permil E nol @mrenced within l80 days lrom the dale ol this psrmit or il worl authorizsd by lhis lErmit rs susp€nd€d o, abandonod al any lime arler th6 work i3 commncod lor a poriod ol 180 days. A n* pdmil ghall be oblainsd ti6l b€lore sch worl can bo re@mmenced. Aprllclra'r O.drdo.r I certity thal I have read lhis applicalim and stsle that tha above intormation B corr€ct. I 60ree to comply with all city ordinanca 8nd stale laws rolating to building cmsluclion. and her66y aulhorized roprGmtrtion ot this cily to mtd upon lhe abo\+ mentionod propsty lor inspoc-lion purpos6.:::ru4 App,ianr o, ^n n*'.M o rE / z-Zf- 37 PmmlT r,ro. 1 3 7 4 8 BUTL,,NGSU l, ll PERMIT No \J----:- VERIFIEO BY (Sig.)z!r-x-Cl.-PERMIT ISSUEO BY (Sig ) A/L fu Vdzril*-- 4'/a/sr tt;j7-7,vALTDATTON (OFFTCE USE ONLY) (ACCOUNT tl r-412) T ,apbucATtoN AND a MECHANICAL PERMIT (TYPEWRITE OR PRINT IN INK) a APPLICANT FILL IN AREA BELOW CITY OF SANTA ANA 206 W. 4th Street 667-2738 E)qrIzo oo1' m U)a G Nt\ b. Dislrabulion: 1 lnspeclor Copy 2 File Copy 3. Finance Copy 4. Applicant Copy cs-6r8 "W-,Lfui*r-0/r4";b 'Wu4//o I )f,o-o 4 I Each Appliance or Equipment Begulatsd by this C.rlc hrl d snmifi.rllv lisled etM MEctNrcAL rNSPEcroN *=.t*\ Remarts 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 Ducl Appliance Vent Through Roof Evaporative Cooler Repair, Alteration, Ducts Fan Coil lnstallation Gas Piping Fire Damper Rough lnspection Final lnspection Osto lnrpcctor Approval (Signsturo) ahAo r*l,tr:t^, /ala"tl z*/zzo- Notes