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
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'"gqD'q sANlA fe uirAcc DR *D
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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
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FIXTURES
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SEWER
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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
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JOB AOORESS fa.*
CITY
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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
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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
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Dislrabulion: 1 lnspeclor Copy 2 File Copy 3. Finance Copy 4. Applicant Copy
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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)
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Notes