HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (48)'5Pi6? sNwA re uir.ree # e
OWNER
Sulftowoa- ASSa-,4qa-otto
PHONE
b3\s fa\nurlc RD
MAILING ADDRESS
CITY
C.csrn rv\esA.
STATE/ZIP&, 1z62a
5.00
10.00
c4
I
FIXTURES
each plumbing fixture/trap
Dental Unit or Medical Gases
SEWER
1st 100'+Conn.
Ea. Add'l Conn.5.00
Ea. Add'l 10O' or Fraction 5.00
ftivate Sewage Disp. System 30.00
Oxr!.r-Bdl(br O.d-tfbn
lhereby atfirm that lam exmpl trom lhe Conlraclo/s Licms L8w ld the lollowing reason (S€c
7(I)1 5. Busrnoss and Prole6srons Code. Any city or county which roquiros r permil to construcl,
aller. rmprova. domolish. or rsp6ir any struclur6, praor to rts i$uanco, dso r6quirgS the applic8nt
lor such permit to ,ile I s€ned slllemont that he is lrcens€d pursuanl lo the provisions ol lhe
Conlractor's Licm3. Law (Chapler 9 (commencing wilh S€ction 7@0) ot Oivision 3 ol lhe
Busrn6s and Proldsaons @de) or lhal he is exempl lherelrom and the bssis lor the allegod
eremption. Any violahon ol Soclion 7031.5 by 8ny rpplionl lor r p€rmil subiEls the 8pplicant to
e crvil pemlty o, not more th6n liv€ hundred dollaB (35@):
E S*tionlola l.ssowneroltheproporty,o.myomployeBw(hwag€sasth€irsolecompon-
salion. will do tha wort, and the slructuro is nol intendod or orler€d ,or s8le.
E S."tion 7(N4B l. as own6r ot ths prop€rty. rm exclusuely conlrscting wrth liconlod
conlncloB to conslruct thg prol€cl.
Oste Owre. (Sr9 )
Conhtctoo L,'. Ooly
CONTFACTOR"iilgrh
nnt rc rt L ftPpicn na,07{-ot07
PHONE
CITY ,- L,qtg EkrataLe t"'^Vbgzo
I hereby lhst I em lrcmsed under lhe provisions o, Chapter 3olthe Busin6s
Contrsctor (Sig )
and ellftt.lnts lorce rnd3LlullcClass
sub,ecl to lhe Work6r's Compensalion Laws ol
t{olb. Io ADglb0l:
ll slls makrng thrs CslrlcateolEremptron, you should become sublet to the Wdker's Comp€n-
setton provrsrons ol lhe Labor Code, you must torthwith comply wrth such provistons or lhis
p€rmrl shall be demed revoled
ol Worter's
that lhe perlsmanceollheI
Oate Applicant (Si9.)
Dclr.llon
ol @nsent toI h€reby attirm thal I haw a
Cortified copy is tiled with the City
VeriliedExpires
whichthisperm( is issu€d. I shall nolemployany
Calafornra
Applicant (Sig.)
rn any manngr s a lo
pamalion
Oate
Erdr.llO
This tErmil 3h8ll expiro by limit8lion and bcom6 null and void a, lhe mrk sulho(izod by thi!
p€rmit i3 not commonc€d within t80 days trom the dsr6 ol lhis pormil or il work authorizod by thig
permit i3 sBp€ndod or abendongd rt any time afttr the wort is comaEncod tor s p€riod ol '180
deys. A n* permit shall bo obtEinsd lirst b€tore such worl can be rgcommenc€d
Atlc.nllO.ddo
I have road lhis appliolaon and stlle lhet th€ sboE
all ordimncB and state laws relaling to
Applicanl or Agent
I a0r6
and
of lhrs city to enter upon the
I cerlity lhal
comply with
authonzad
purpos
10.00
\
I
IReceipt No.9 Pc#
Water Service Ea. 100'
Over 2"
Backtlow Device 2" or Less
Orcr5
Vacuum Breakers 1-5
Bepair/Alt. Drainage or Vent
Deck Drain System - Fer Drain
PIPING
GAS SERVICE 1 to 4 Outlets
Ea. Add'l Outlet
Repair or Replace Gas Piping
Gas Service
MISCELLANEOUS
Water Heater - Electric or Gas
Water Piping Ea. 100'
Rain Water Piping (buried) Ea. 100'
Water Softner
- VentAlt. or Repair of
Sprinkler
System - Per Drain
lnd. Waste lnterceptor
Traps
5.00
'100.00
1.00
5.00
5.00
10.00
10.00
10.00
8.00
5.00
4.00
'r.00
10.00
5.00
6.00
't 0.00
10.00
3.00
8.00
5.00
Subtotal
Penalty Fee (when applicable)
Violation Fee
Plan Check 650/0 of subtotal
Plan Check (Adjustment)
lssuance Fee
TOTAL PEBMIT FEE-q-DATE
(s0.00)
(minimum 20.00)
Date
fl',:ts. gw VERIFIE (s'9 )-
(F)-
PERMIT ISSUED AY
A1t_ leCS pD ofu t^_o?q?
.Y):o ful-2l
o oa
APPLICATION AND
PLUMBING PERMIT
(TYPEWRITE OR PBINT IN INK)
CITY OF SANTA ANA
206 W 4th Street
667-273a
APPLICANT FILL IN AREA BELOW
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Iozo
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Hs
Orslnbulron 1 lnspector Copy 2 File Copy Frnance Copy 4 Applicant Copy
cs-6r 1
XResidential Elndustrial ECommorcial NO.EACH ToTAU
n
15.00
\5e
i
-p-
.<EIA
--toq
ns93.
(minimum $35.00)
(sig )
o o (-
PLUMBING I NSPECTION RECORDS
Ground Work (SoiU
Ground Work (Water)
Water Sarvice (Ground)
Gas Service and Und€rground
Lawn Sprinklers
Waste lnt6rceptor
Pool Traps
Sewer
Rool Drains
Waler Heaters
Water Soltner
Rental or Medical Gases
G-
Rough Plumbing
Final Plumbing
Temporary Gas Service
Notes
D.t.In.p.ctor Approv!l(8lgn.tur.)
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Remarkr
o
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t-
_.JPResidential Elndustrial !Commercial NO.EACH TOTAIU'?ryPa?" 5rr*7n wrui-d, -G EACH FURNACE INCL. DUCTS AND VENTS
-o//62
STA Z:L
15.00
20.00
Up to 100,000 BTU
EACH ABSORPTION SYSTEM
Orer 100,000 BTU
25.00100,000 BTU to 1,000,000 BTU
1,000,001 BTU to 2,000,000 BTU 30.00
EACH COMPRESSOR, BOILER, OR HEAT PUMP
Heat Pump Compressor less than 5 HP /25.00 2 S,q:
Ow€ullbrO.cattbn
I her6by at i.m lhal I am exmpt lrom tlE Contreclor's Licmsa L8w lor tha tollowing rsrsm (Se.
7(x}1.5. Bu3rna$ and ProtGsions Cod€. Any cily or counly which requirer a permit lo conglrucl.
alter, improvo, damolish, or ropair any structura, prior to its isuance, ds r6quir6 th€ applicanl
lor such parmil to ,il€ a signGd slatemonl thst he is liconsod puBuanl lo ths provisions ot th€
Conlractor's License Lil (Cheptil 9 (@mm6ncing with Strtion 7@0) ol Oivision 3 ol th€
Businsss and ProlBsifis Cods) or that he is exempt th€rstrom and th6 basig lor th6 sllegod
exemption Any vblrlim o, Sect|on 7031 5 by any epplicant lor a permit subiec,ts the applicant toI civil panally ol not mqe than tivo hundr€d dollars (35m):
E S*tion TOaaA l. as ownor ol lhe propsrty. or myamploys wilh wag8 alhair solecomp€ft
salion. will do tho wort, and tho slructure is rct intmded or olldod lor sele.
t] S*tlon 70448 l, s owner ol the propsrty, am exclusively conlrrcting wilh liconsed
contraclors lo construcl the prol*t
Oate Owner (Sig )
I hereby allirm that I am licensed undar lhe provisions ol Chapter 9, Division 3
?roltssions Code. md my ficens is in lull lqe 8nd(t?k rc?7/z c,n" c-zo
Cmlirtm t.b. Only
0
and*W'"o"etfect
Licms
ADDRESS
CITY
o,r" 121? 42 contrscro,
t|orlr.r3 Coltp3rr.lbn O..rrtbn
I htreby aflirm that I havo I cartitictlo o, @nmt lo $lt-insur6, or e csrtilicato ot Worldl Com-
I certify that in lhe perfo.mance o, the work lor which
person in any manner I 6 to be@me subiecl to the
Calilo.nia
Nolk. To Appllcil:
l, atts makrng thrs Cerlrlacale ol Exemplron. you should become subitrt to the Worker's Compen-
satron provrsrons ol lhe Labo. Code. you must lorthwtlh comply with such provtsions or thts
permrt shall be demed revoked
wrlh lhe
Dale Applicant (Sig.)
I shall not employ any
Comp€nsation Lils ot
ciYlflNo*tonrdooa'rmont.
EACH AIR HANDLING UNIT OR VAV BOX
Outdoor Dual Packaged Healing or Cooling
Bepair, Alt. or Add. to any Heating/Cooling sys
Hood with Ducl and Fan ftype ll)
10.00
(minimum $35.00)
Each or by
(s0.00)
61)
5HPto30HP
Fire Damper lnstallation
31 to 50 HP
Owr50 HP
Air Handling less than 2,000 CFM
2,000 CFM to 10,000 CFM
Over 10,000 CFM
MISCELLANEOUS
Floor Furnace
Heater; Suspended, Wall or Unit
Com'l Dryer Vents
Decorative Fireplace (Wood or Gas)
Range Hood with Duct and Fan (Type l)
Each Vent Fan Connected to a Duct
Fan Coil lnstallation
Fire Extinguishing System
Each Evaporatire Cooler
lncidental Gas
25.O0
4,0.00
30.00
10.00
10.00
10.00
15.00
15.00
15.00
15.00
15.00
10.00
15.00
15.00
20.00
15.00
'15.00
10.00
15.00
1
20.dn
Subtotal
TOTAL PERMIT FEE
Fenalty Fee (when applicable)
lssuance Fee
Violation Fee
Plan Check (Adjustment)
Plan Chec* 650/0 of subtotal (minimum
DateReceipt No.Pc#
Erphtabn
This permit shall expire by limit8tion and bscome nult and void i, the work suthoiized by this
lnrmil is not commonced within 180 drys trom the data ol this permit or it work authorizod by this
tprmit is sustEnd€d or sbandoned at any time artd the work is commenced lor I p€riod ol 1OO
days. A n* pdmit ghall be obtsinad ti6t bslore such work can be rmommenced.
Adc.nl'. D.d-.rbn
I certity that I have raad this applicatim 8nd state thet the 6bove intormstion is ctrret. I agre to
comply wilh all city ordimncB and state lils retaling to building cof,stuctbn, and horeby
aulhorizod repr€aontation ol this city lo cnta upon th€ abovc-mmtioned propdly ,tr insp€clio
l^-z^90 Applicent or Agent (Sig.)
purpos6
Dale PERMIT NO,DATE /2
k/<rHtvtry-/uiJ-
Bilt?i$" s19 vER F'Eo BY PERMIT ISSUEO BY (S'g )
-n!:'>- 4
1-4t
APPLICATION AND e
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o
APPLICANT FILL IN AREA BELOW
Drstnbution I lnspector Copy 2 Frle Copy 3 Frnance Copy 4 Apptrcanl Copy
CITY OF SANTA ANA
206 W. 4th Street
667-2738
(Dg-ozo
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maa
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cs-6r8
25.00
/
I
€
W/-l.oo
o
MEctNrcAL rNSPEcroN *=.to,
Remar*s
Forced Air Furnace
Wall Heater
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
Rough lnspection
Final lnspection
Dato lnsprctor Approvd
(Slgnaturcl
4/,,&*r^-
/q*tJ.dtu^-
I
Notes
a