Loading...
HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (45)o IAPPLICATION AND PLUMBING PERMIT (TYPEWRITE OR PRINT IN INK) CITY OF SANTA ANA 206 W 4th Street 667-273a APPLICANT FILL IN AREA BELOW (D E-Izo ool, m U) U) s n JOB AOORESSa?oq SAtrmA fe utcucC DK,E# s,.rrrrfuou.te.t< A sso(-OWNER 5q6-0rro PHONE Ssls fqtnutca., 'RD MAILING ADORESS "''brrstn Mesn U',''Tzc2c NO.EACHD lnduskial fl Commercial 5.00 10.00 each plumbing fiLture/trap Ea. Add'l 100'or Fraction Dental Unit or Medical Gases Ea. Add'l Conn. SEWER lst 100'+Conn.15.00 5.00 5.00 ftivate Sewage Disp. System 30.00 GAS PIPING GAS SERVICE 1 to 4 Outlets I 5.00 6cD O$r.r-lu[.br D.drrfbn I heraby alrirm thal I am exempt ,rom lhe Contractor's Lrcms Law ,or the lollowing reson (S* 7(El 5, Bugrna$ and P.ol6srons Code. Any city or county which requires a permit lo conslruct. alter. rmprove. demolish, or .epaar eny slructure. pfltr lo its rsuance. al$ requires the applient lor such permrl lo lile I signed stet€monl thsl h6 is licensad puBuanl to lhe provisions o, the Conlrsclois Lrcens Lrw (Chepter 9 (commencrng w,th Setaon 7(m) ol Davision 3 ol the Business and Prol6sions Code) or that he ig erampt lhorelrom and lhs basis tor th€ allegod exemption Any violalion ot S€clion 7G3l 5 by 8ny applicanl tor I pormil sb,els lhe applicant to 8 civil penslly ol not moie than live hundred dollec (35@) E Section 7Oa4A l, a3 ownor ol the prop6ny. ormyomployoeswrth wag6 I lheir solecompen- galaon. will do the $ork, and tho struclurg is not ,nt6nd6d or otlorod tor sela El S*rion 70448 l. as omer ot lhe proporty. am €xclusively contmling with licsnsed conlradoB lo construcl the prolrct Date Owner (Srg ) ConlrEton t,!. Only 'llli3'ibn, )tu L fWirsri r/^?*0707PHONE 2 o that I am licensd un@. tha provisaons ol Chaptor 9. subiocl lo the Worker's Comp€nsation L*s o, Noilc. To ADPllcrl: ll atter makrng lhrs Cerlrtcate ol Exemplron. you should become sub,ftt to the Worker's Compen- ion provrsrons ol th€ Labo. Code. you musl lorthwath comply wath such pr@6ons o, thig 3ot lhe Busr Worker's Com- shall be dEmed revoked ettrct 3 Verified Contiactor (Sig ) Clss Date Applicsnt (Sig.) I hereby allirm penstron I copy is liled with Calilornaa Applicant (Sig.) r n t he perrorma nce ol the in eny menner s s to this permit is issuad, I 3h8ll not 6mployeny I heve a of consent to sll- Date Expires Erpardo.r ThB p.rmit shsll sxpire by limitetion tnd bGcoms null and void rl tho wort lutho.irod by thi3 permil is rct @mmanced wilhin 180 days trom lhe date ot this p€rmit or il wort authoriz€d by thii lErmit is $sponded d abandonod al 6ny lim atlor lh€ wort is cmmncod lor e potbd ol l& days. A nd !trmil 3h8ll be obtain€d lir3l botors such worl can be Ecommncod. r c€rr,y rhet rhsvs ro.drhisappri"r,m*ffi;*I agrs lo the Applicanl o, Ag6nl comply wrth all crty and stata lsws releting to ot this city lo entdauthorizod purpos. Device 2" or Less 10.00 C.$L a) o Ea. Add'l Outlet Temporary Gas SeMce Repair or Replace Gas Piping 1.00 100.00 5.00 Water Heater - Electric or Gas Owr5 Water Piping Ea. 100' Vacuum Breakers 1-5 Rain Water (buried) Ea. 100' Water Softner - VentAlt. or Repair of Lallrn Sprinkler System - Per Drain lnd. Waste lnterceptor Pool 1?aps Deck Drain System - Per Drain or VentRepair/Alt. 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 5.00 Orcr 2" Water Service Ea. 100' Subtotal Penalty Fee (when applicable) Violation Fee Plan Chec'k 650/o of subtotal Pc#Receipt M. Plan Check (Adiustment) lssuance Fee TOTAL PERMIT FEE DATE (s0.00) (minimum 20.00) Date O?y*ilyl,b?Gl ^* (sig )PERMIT ISSUEO 8Y (Sig O. fees Pb. oru \q 20 1-1121 /Yl Orstrbulron t Copy 2 Fila Copy 3 Frnance Copy 4 Applrcsnt Copy a- CS-61 1 roraY FIXTURES q Ll 5u I t3@ 8.00 l No and my lcense rs rn t O PLUMBING INSPECTION RECORDS Remrrki Ground Work (Soil) Ground Work (wale4 Water Service (Ground) Gas Service and Underground Lawn Sprinklers Wasle lnl€rceptor Pool Traps Sewer Rool Drains Water Healers Waler Soltnet Fl6ntal or Mec,ical Gases }- Rough Plumbing Final Plumbing Temporary Gas Service Noles Oat.lnrpoctor Approvel (Slgneturcl rlsfu d,r*r r:lrA ./% /,/r* at //,7h lLt*4- tl fu*@ -2%_zZfudz' ill/tn ,4, Ur- t, o APPLICATION AND T o CITY OF SANTA ANA 206 W. 4th Street 667-2738- MECHANICAL PERMIT (TYPEWRITE OR PRINT IN INK) APPLICANT FILL IN AREA BELOW (! srIzo oot mao \ tr"rbJOB € 4//a MAILING 'ATE/ZIP ,t44v I Orr-ldld.t D.dtibn I horsby attirm thal I am sxempl trom tho Contrsclor's Licon3€ Llw lor the tollowing roaon (Soc. 7031.5, Busin€.s md Prol6sions Code. Any city or @unly which require3 a psrmit to conslrucl, aller. imprcvo, dmolBh, or repair arry strucluro. prior to itE irguancg, al3o r€quird th6 applicent lor $ch permit to lilo I3ignad statomsnl thal he B licens€d puBusnt to tho prcvisions ol lhe Contractor's LicerB€ Law (Chaptd 9 (commoncing with S€c,tion 7q)) ot Division 3 ol tho 8u3in€3s 8nd Proto$ions Cods) or lhsl ha is oxompt lherelrom and the basE lor th€ allegod exomplion. Any violalion ol S€dion 7031.5 by any applicenl tor a pormil subiects tho applianl to a civil ponslly ol not more lhan ,ive hundr€d (bllars (35@): E S*tion zOUl l, s3 om6r ot th6 proprny, 07 my employG wilh wag€3 as thoar 3ol3 comper salbn. will do the work. and the slructuro 6 not intended or otls€d lor sslo. E S*tion 704{8 l. 8s owner ot the prop€rty. am oxclusivsly conlrrcling wilh licens€d @ntreclofs lo construcl the pfol€ct. Oale Owre. (Sig.) I horeby allirm lhat I am lrc6sed under th€ provisions ol Chaptd 9, Orvision Conlrelon (,3. Only ?o CITY andfl@,"o" C-7Prolssrons #{^k" Cod€. md my license is in lull lorce and 6tl*1. Conlractor (Sig ) &ala ",o"o",h'ilfi So.f.6 Corf.oibo O.dr.lbn I hereby altirm lhal I have a cortilicate ot @nsent to rlf-ansure. or a corlilicato ol Workff's Com- I cerlity lhat in lhe p€rlormance ol the work lor which this p€r3oo in any manner s a lo bG@mo lubiod to lho Worto/3 CompaIr3rlbn L!w3 ol Caliromia ilo$c. To Ap9llc l: ll atler making lhrs Certrficate ol Eremption. you should become subi&t to the Worke/s Compen- salron provrsrons ol lhe Labor Code, you must forthwrth comply wrth such provrsrons or thrs permit shall be deemed revoked lil6d wilh the (sig ) Oate Applicant (Sig.) anspection dopartment. I shall nol employ any EACH FURNACE INCL. DUCTS AND VENTS EACH COMPRESSOR, BOILER, OR HEAT PUMP EACH AIR HANDLING UNIT OR VAV BOX Outdoor Dual Packaged Healing or Cooling Repair, Alt. or Add. to any Heating/Cooling sys. Zfr rtt 15.00 /OO EACH TOTAL or by E lndustrial D Commercial NO. 15.00 t({tz Hood with Duct and Fan (Type ll) Up to 100,000 BTU Over 100,000 BTU EACH ABSORPT]ON SYSTEM 100,000 BTU to | ,000,000 BTU 1,000,001 BTU to 2,000,000 BTU Heat Pump Compressor less than 5 HP 5HPto3OHP 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 Fiteplace (Wood or Gas) Range Hood with Duct and Fan (Type l) Each Vent Fan Connected to a Duct Fan Coil lnstallation Fire Extinguishing System Each Evaporative Cooler Fire Damper lnstallation 15.00 20.00 25.00 30.00 25.00 40.00 25.OO 30.00 10.00 10.00 10.00 25.00 15.00 15.00 15.00 15.00 10.00 15.00 20.00 ,,r? 15.00 15.00 10.00 15.00 Subtotal Penalty Fee (when applicable) Violation Fee (s0.00) Plan Chec*65%of subtotal STAO (minimum 20.00) Receipt No.Pc#'/ 7 Date Plan Check (Adiustment)i.zf, lssuance *e 10.00 TOTAL PERMIT FEE (minimum $35.00)€ Erpktfo,r This p€rmil shell expire by limitation and bacome null and void it lhe work suthdized by lhis petmil B not commoncod wilhin IEO dsys rrom lhc dste ot this permit or il wort suthorizod by this fprmit is suspsded or sbandonsd at any time alls the work i3 comrnenced tot I poriod ol l@ days A new permil shsll b€ obtainod lirst belore such work csn be rrcommmcod. AoDfcrta3 Nrdo.r I certiry that I hevo r6ad this spplicalio and stste that the abovo intormatbn is corr61. I agr6 to comply with all cily ordinancG and state laB rolsting to building cmEtuclion, and her.6y aulhorizod rcprmnlrtion ol thB city to antor upon lhc pu7po36.izr€e*Oate Applicanl or Agent (Sig lor insp€clion DATE l2-2u--t7 PERMIT NO. BUTL'TNG a4bt> PERMTT r'ro g__l_l_i vEHtFtEO By (Sig )+r PEBMTT rssuEo ev rsis1 Ln"(* l2 -/o 84//-rVALIOATION (OFFICE USE ONLY)(ACCOUNT '11-412) Drstribulion I lnspeclor Copy 2. File Copy 3. Finance Copy 4. Appl,cant Copy cs-6r8 '4 / lncidental Gas Piping '15 00 6a Date Applrcant (L. MEcf,NrcAL rNSPEcroN *r.t* Bemartc Forced Air Furnace Wall Heater Floor Furnace Suspended Heaters Air Handlers Heat Pump Plenum and Ducts Compressor Boiler Outdoor Dual Package Unil Decorative FirePlace Range Hood - Duct and Fan Fan and Duct Appliance Vent Through Boot Evaporative Cooler Repail Alteration, Ducts Fan Coil lnstallation Gas Piping Fire Damper Rough lnspection Final lnspection Dsto lnrpcctor Approval lSlgnaturel t1 4rtb oil*^ @ro !-/ . o*a0".*, Notes