HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (49)o o
APPLICATION AND
PLUMBING PERMIT
(TYPEWRITE OR PRINT IN INK)
CITY OF SANTA ANA
206 W. 4th Street
ffi7-273a /fu-
APPLICANT FILL IN AREA BELOW
@c-
9zo
ooI,
m
U)a
q
1
tI
JOB ADORESS
U
PHONE2Ab*each fixture/trap
NO,
b
EACH
5.00
Dental Unit or Medical Gases 10.00MATLtNG A+RESS
33 t'3-PL
STATE/ZIPq2 blc"''[sfuYt'rrr*1st 100'+Conn./15.00
Ea. Add'l Conn.5.00
TOTAL
FIXTURES
5-
Ea. Add'l 100' or Fraction 5.00
Private Sewage Disp. System 30.00
GAS PIPING
ormr-Sulldor Drdrdbn
I llereby elfirm that I em exempt |rom tl€ Contractor's Lrcense Law lor lhe lollowing reason (Sec
16l 5, Eusrness and Prol6saons Code. Any city or county which requrres a permit lo conslruct.
-r.. rmprove. demolish. or ,eparr any slructure, prior to rts issuanca. als requires lhe 8pp|cant
lgr trh permrt lo ftle 8 s€ned statement thal he 6 lrcensed puBusnl to the prcvrsrons ot lha
Gtiltr,lor's Lrcen* L& (Chapler 9 (commencing with Selron TCID) ol Orvision 3 ol lhe
],r-Er and P.ol6sims Code) or that he is exempt lherelrom and the ba36 lor lhe alleg€d
ararpl0r Aoy violston ol S€ctron 7031 5 by any applic.nt lor a permrl sub,ecB the spplicant to
a civil p3rally ol nol mor6 than frve hundred dollaG (3500):
E Seilo.r fOffe L es owna, ol the propeny, ormyemployffi wrth wa96 as the[ 3olgcomp€n-
lliorr. wll ab na Sr*, 8nd lhe struclure is not rntsdd o. orlorod lo. sale
E S-lot loaa l. - owne, ol lhe properly. em exclusively cmlrscting with licensad
conlr*-to't to oo{r*tal llc proioct.
Dare .-- Orner (Srg )
Conlrelon tJr. Only
l?9-ozol
PHONE
30CITY
I hereby altrrm lhal I am lrcensed un(br tho proy[irnt ol Chapler 9.3ol th€ BwiBs and
7y
(sis.)
subject lo the Worke/s Compon$lion Lils ol
No$c. To AtDlbil:
ll aller makrng thrs Cenricate ol Eremptron, you should become subl6t lo lhe Worker's Compen-
provrsrons ol th€ Lebor Cocle, yo musl lorlhwith comply wrth 3!ch prdi3ions o. lhs
shsll bo dened Boked.
Erdr.don
Thrs permrl shall exgrre by limilatrm and become null and void it lhe mrk author[sd by this
is not commncad within 180 deys lrcm lhe date ol lhis p€rmat q rl work eulho,izod by this
is susg€nded o. abandongd at any time atla the work i3 cmmnc€d lor 8 ,priod ol l8O
A ntr p€.mit shall be obleanod tiBt b€tore such work on bo ro@mmgncod.
Atlc.nl..Hrdon
cortify thal I have rerd lhB applicetion and slale that tho aboe I rgrs to
of
Erprres
Oale
and
V€ri li€d
Applrcsnl (Si9.)
I hereby atfrrm lhal I have
this p€rmit is issued, I shall notsmployany
DGlrttbn
copy is lilcd wilh the Cily
ot @nsst to
in any mannor I s
lhe porrormsnce
Applicant
wrlh 8ll and slato la$ relating to
city to snts
purpos6
Oale Applicanl or Agenl
Pensatron
Oale
(
/
I
5-
(minimum 20.00)
GAS SERVICE 1 to 4 Outlets
Water Service Ea. 100'
Ea. Add'l Outlet
Over 2"
Repair or Replace Gas Pipirq
Backllow Device 2" or Less
Temporary Gas Service
Over 5
MISCELLANEOUS
Vacuum Breakers 1-5
Water Healer - Electric or Gas
Repair/Alt. Drainage or Vent
Water Piping Ea. 100'
Deck Drain System - Per Drain
Rain Water Piping (buried) Ea. 100'
Pool Traps
Water Softner
lnd. Waste lnterceptor
Rain System - fur Drain
Alt. or Repair of - Vent Piping
5.00
1.00
5.00
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
TOTAL PERMIT FEE
Penatty Fee (when applicable)
lssuance Fee
Vidation Fee
Plan Check (Adjustment)
Plan Check 65% of subtotal
Pc#Receipt tlo.
(50.00)
Date
Lawn Sprinkler $
N-*'/t!*#,if".tflob
,ERTFTED BY (sie ).A-d-O'PERMIT ISSUEO BY (Sig,)
LQ *, /4 7?7)dJ^(ACCOUNT 1-1121
?
Dist,rbution: I lnspector Copy 2. File Copy 3. Finance Copy 4 Appl copv
cs-6r r
Ssesidential ! lndustrial fl Comm€rcial
Ao-
ob
,q4, -o// a
/
-7-
100.00
/
/
(minimum $35.00)
10007*-
Lrcen* No
oqand my lrcen* E n lul ,orca lnd afiad\
o I
PLUMBING INSPECTION RECORDS
Rcm!rk!
Ground Work (Soil)
GroundWork (Waler)
Water Servic€ (Ground)
Gas Service a}ld Underground
Lawn Sprinklers
Waste lnterceptor
Pool Traps
Sewer
Roof Drains
Water Heaters
Water Sottner
-Rental or Medical Gases
Rough Plumbing
Final Plumbing
femporaty Ga_s Service
Notes
O.t.lnagactor Approval
(8lgn.tur.)
,d/*,r /r-d U,cA
C/tz/tt ,4- P.-f
hpr/*tI
ilc/t,,trD-'4_
.a*/rt-v^%/*
/62,.4"
J./grrrr^-
/1 lrltt t
^
+\
l\:\
-.-.I
-t
ffiesidential E lndustrial ! Commercial NO.EACH TOTAL'"'?'E;Z ]rrn Zzvfl/#-il,,- /EACH FURNACE INCL. DUCTS AND VENTS
Up to 100,000 BTU 15.00
20.00Over 100,000 BTU
STATE/ZIP EACH ABSORPTION SYSTEM
100,000 BTU to 1,000,000 BTU 25.00
1,000,001 BTU to 2,000,000 BTU 30.00
EACH COMPRESSOR, BOILER, OR HEAT PUMP
25.00 2r.taHeat Pump Compressor le$s than 5 HP
5HPto30HP 25.00
Omr-aul(,.r O.drtbn
I hereby allirm lhal I am exompt lrom the Conlracio/s Liconso Law tor the tollowino t66oo (Soc.
7(81.5. Busin$ and Prot€$aon3 Codo. Any cily or county which require! e pctmit to construcl.
alter, improve. demolish, or roparr any structuT€. prior to ils isuance, d$ requiros lha applicSnt
tor sch permil to lile a sign€d slatomont lhst ho b licmsod puEuant to th€ prcvisions ot tho
Contrectoi's Licss€ Lil (Chapltr 9 (@mmencino whh Strtion 7m) o, Oivi3iof, 3 o, the
Business and ProlBims Crde) or thal ho is sxompl th€relrom and th6 basB td lh€ slleged
exemplion. Any violalion ol Saction 703t.5 by any applicant tor a permil sbiscis th6 applicant lo
I civil penally ot rct mors lhan tive hundred dollars (t5@):
E S*tion 7O44A l. I ownor ol the proporly, ry myemployosswrth wrg€G as thei. elecomper
sation, will do lho worl. and ths slrucluro B not inlend€d or oltored toa sala.
E S*'tion 7Oa4B I, a ownq of the proporty. em exclusively cmtr&ling wilh licms€d
contiactm lo construct the prolect.
Date Owner (Sig.)
Conlrrto[ t,.. Only
I
cr
I hereby allirm lhat I am licensed undor the provisions ol Chspter 9, Division
cesolzClss
Pro16srons
!!l?t""/)-
Code, md my lrcen$ is in lull fo.ce and €ftect fipsiaasana
o, @nsml to 3elf-insure. or a ce.lificate ol Worter's Com-
I certrty thal rn lhe pertormanceol the work lor which thrs
person rn any manner s as to be@me subjecl to the Worker's Compensatton Lils of
Calirornra
Nollcr To Appllcrt;
ll alla makrng thrs Cenrficateol Exemptron, you should become sublEt to theWorke/s Compen-
salroo provrsrons ol lhe labor Code. you musl lorlhwrth comply wrlh such provrsrons or lh6
permrt shall be deemed revoked
deparlm6nt.
(Sr9 )
,iled with the City
Oate Applicant (Sig.)
Wortm Con?.ndbn Oclrdbn
I shall mt mploy 8ny
EACH AIR HANDLING UNIT OR VAV BOX
Outdoor Dual Packaged Healing or Cooling
Repair, Alt. or Add. to any Heating/Cooling sys.
'0, r?
Hood with Duct and Fan (Type ll)
31 to 50 HP
Fire Damper lnstallation
Orcr 50 HP
lncidental Gas Piping
Each Evaporative Cooler
Air Handling less than 2,000 CFM
Fire Extinguishing System
2,000 CFM to 10,000 CFM
Fan Coil lnstallation
Over 10,000 CFM
Each Vent Fan Connected to a Duct
MISCELLANEOUS
Floor Furnace
Heater; Suspended, Wall or Unit
Com'l Dryer Vents
Decorative Fireplace (Wood or Gas)
Range Hood with Duct and Fan r)
30.00
40.00
10.00
10.00
25.00
15.00
15.00
15.00
15.00
15.00
15.00
10.00
15.00
15.00
10.00
15.00
20.00
15.00
or
bul nol abo\e
by
Subtotal
Penalty Fee (when applicable)
Violation Fee
Plan Check 65% of subtotal
(50.00)
(minimum
DateReceipt No.Pc#
Plan Check (Adjustment)il.2r
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00)*
Erd?don
This pormit shsll erpire by limitatim 8nd beore null and void il the work 6ulhoriz€d by this
permit E not commonced within lEO d8y3 trom the dds ot thi3 permit or il wort autho(iz€d by this
permil is susp€ndod or abrndon€d 8t any time Ittr lhe work is cmmncod tor e poriod ol '180
days. A n* pormit shall be obteinod liBt b€rore 3uch work can be rocommoncod.
AepLc.na'. D.dr.afm
I cenity that I have read this applrcstaon and stale that ths above intormation is correcl. I
authorized repr@ntation ol this caty to mt6 upon the
::T;u@
agr@ lo
hereby
Applrcanl or Agent
comply wrlh all crty ordrnancG aod state laws to building consluclion, and
Propsly lor inspction
D rE /z-;u4? PERurrNo. 137 52
E8A.-,rffi..fl llt ,ER,F,ED BY )PERMIT ISSUED BY (Srg )
f*P d>L 1t-/034r )4/,(l-41 2)
APPLICATION AND a a CITY OF SANTA ANA
206 W. 4th StreetMECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
ffi7-2738
&,,-
APPLICANT FILL IN AREA BELOW
E'g
7ozo
oo!
ma(r,
r
Oistribution 1 lnspeclor Copy 2 File Copy 3 Frnance Copy 4 Apptrcant Copy
cs-6r8
\
10.00
0?)
15.00
bat. n
COI{TRACTOR"2%;V r d-/n-?77-?ooPHONE
STATE/ZIP .TtzAo
on. lza?'*? conrracror (s,s
____Q__.
MEctNrcAL rNSPEcroN *r.t*
Rema*s
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
Rough lnspection
Final lnspection
Drtc lnrpector Approval
(Slgnaturel
Wqo ,ff;*
646 ,/
Zfurt tr-
Notes