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HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (50)o IAPPLICATION AND PLUMBING PERMIT (TYPEWRITE OR PRINT IN INK) CITY OF SANTA ANA 206 W. 4th Street 667-273a /h,,- APPLICANT FILL IN AREA BELOW g,q-Izo oo,maa (Qesidential D lndustrial E Commercial NO.EACH X ;5'E )^f--?r- I t ; r/.*- u &L o sll'at t o PHONE -t\, MAILING "'ufu V^r4ar STATE/ZIPq 2b>b 15.00 Ea. Add'l Conn. t2 5.00 10.00 TOTAL FIXTURES each plumbing fixtue/trap Dental Unit or Medical Gases SEWER 1st 100'+Conn. Ea. Add'l t00' or Fraction 5.00 Private Sewage Disp. System 30.00 GAS PIPING Ortl. -tulld.r O.drnbn I hereby Itlirm that I am ox€mpl lrom the Cslraclo/s Licas Law tor the tollowing rsaon (Soc. TGil 5. Busines and Prot8srons Code Any c(y or counly which requirs e p€rmrl to construcl, alter, improre. demolrsh. or rgparr any structure. prior lo ils issuonce, also reguiros the applicanl ,or such permit to tile I sign€d slatemsnt that he is licqnsod puBuanl lo tha prcvisioru ol lhc Conlracior's Lacense Law (Chapler 9 (commncing with Soction 7m) o, Oivision 3 o, th€ Susiness and Prore3siom Cod6) or thot he is oxmpl tharalrom and the bsis lor the allog€d exemplaon. Any vaolalion ot Soclion 7031 5 by Eny rpplienl tor I permit sbi*ls the applicant lo a ciul penally ol nol moro thln tive hundred (bllaB (3500): E S."tionZO{A l.!sownerolthepropony,ormyampblEssrthwsgessth€irsolacompen- 38tion. will do the rcrk. and lhe structuro is rcl rntond€d d ollsod ,oi sal6. E S""tion 70448 l. a! ownor ol lho propeny. am exclusryely cmtreting wilh lcans€d contracloE to comlruct lhe projecf Oate Owrer (Srg ) Contrrton t,!. Only CONTRACTOR 1|io--4o* -- l- aztztaZ,;tzlt-O707 PHONE AooRESs / f/ 7 7rt D"-,8 STATE/ZIP &-qr)3o I hereby atlirm lhel I am lacens€d under Ihe provBiom o, Chapts g subiecl to the Worker's Comp€n$tion Lews ol l{olbr fo Agdlcnl: ll alter makrng thrs Certrtrcate ol Eremptron. you shoutd b€come subirt to the Worke/s Compen- provrsrons ol the Labor Code. you must tonhwrlh comply wtth such provtsions or lhls shall be dftmed revoked ErCra0on This pormit shall sxpirs by limitstim and b€como null and void il th€ worl luthorizod by this pormit i3 not commencod within 180 days lrom tha dsle ol this permit Or il rcrk aulhtrized by this pormit is 3uspondod or lban(bnod rl any lime artd lha mrl is cmmncod lor a ,Eriod o, 'l8O A nar psmil shsll be obtorned ,i6l b€rore such w6k can b€ @mmencod. eggfcad'. D.d.ntqr I cerlity thal I have roed thB apolicrlim rnd slrls thal lhs rbovo 3ol the Busin6s andal Contracto. (Si9.) ot Worker's Applicant (Sig.) 7 insp€ction Verfred Oete Expires lhe Applrcant or Agenl (Sig Code, and my hcense is rn lull fo.c6 and etl*t. Cslilornrs DGlrdlon ol @nsst lo sll-insure, copy is lilsd uth the City I lprcby afti.m lhat I have a pensatron lnsurance. whrch this permit is issued, I shall nol omploy 8ny I agrs andto8nc slete lawscomply wilh all o, this city to Ods - (sig.) olth€ autho.ized purpos6 anymannersBto /o- 10.00 GAS SERVICE 1 to 4 Outlets Water Service Ea. 100' Ea. Add'l Outlet Over 2" Repair or Replace Gas Piping Backflow Device 2" or Less Temporary Gas Service Over 5 MISCELLANEOUS Vacuum Breakers 1-5 Water Heater - Electric or Gas Repair/Alt. Drainage or Vent Water Piping Ea. 100 Deck Drain System - Fer Drain Pool Traps lnd. Waste lnterceplor Rain System - Per Drain Lawn Sprinkler Rain Water (buried) Ea. 100' Water Soltner Alt. or Repair of Drainage - Vent 5.00 100.00 '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 Penalty Fee (when applicable) lssuance Fee Violation Fee Plan Check (Adjustment) Plan Check 65% of subtotal Pc#Receipt No. (50.00) Date (minimum 20.00) BUILDING PERMIT No (si9.l ?1"9- da o-PERMIT ISSUEO BY (Siig.) ed /4 74 7O4,,6-19.9? (ACCOUNT r1 1-412)a-(L Drstributron 1 lnsp*to, Copy 2 Fna Copy 3 Frnance Copy 4 Applicanl Copy cs-6r l a 5.00 t a t PLUMBING INSPECTION RECORDS Rcm!rkr Ground Work (Soil) Ground Work (Water) Water Servico (Ground) Gas Service 6nb Underground Lawn Sprinklers Waste lnt€rceptor Pool Traps Sewer Roof Drains Water Heaters Water Sortner Rental or Medical Gases a- Rough Plumbing Final Plumbing femporary Gas Service Notes I L.o f" i' '\ t'l' O!tc ln!9.ctor Approvrl (8le n.tur.) ',1//a frr//..f //*,zLt{ I {u/un q ,ht r^ 7 {xrl*.rh,* t', JOB ADDRESS CITY b EACH FURNACE INCL. DUCTS AND VENTS EACH COMPRESSOS, BOILER, OR HEAT PUMP Heat Pump Compressor less than 5 HP Up to 100,000 BTU Ovell00,000 BTU ! lndustrial ! Commercial EACH ABSORPTION SYSTEM 100,000 BTU to 1,000,000 BTU 1,000,001 BTU to 2,000,000 BTU 5HPto30HP 25.00 31 to 50 HP 30.00 Over 50 HP 40.00 EACH AlR HANDLING UNIT OR VAV BOX Oill;{ul.d.r O.drtbn I hsreby sltirm that I am exmpt lrom the Contrecto/s Lacenso Law lor tho lollowing reaon (S€c. 7@1.5, Businas and Prol83sions Coda. Any city or counly which rsquirs 8 p€rmil to con3trucl, aller. improv6. domolish, or roptir arry Btrucluro. prior to its i$uance, also roquiros tho spplienl for $ch permit to ,il6 a signod strtomont lhal h6 6 licmssd pur3ust to lho provisions ot tha Contraclor's Licslo Law (Chapler I (comancing with S€ction 7@0) ot Oivision 3 ol tho Busin6s and Pror6sions Cod€) or that he i! exompt lhoretrom and the ba3rs for tlre all6g6d exmption. Any vrolslion ot S€clpn 7ctr|1.5 by any applicant lor a permit subi€cts th6 applicenl to 8 civil p€nalty ot nol more lhan livo hundr€d (bllsr3 (t500): E S""tion Zolll l, as owner ol the property, or myemployoes with wages B theirBolecompon- sation. will do the work. and lh€ structure is not inlend€d or otlsed tor sale. E S*tion 70448 l, 6 owns ol lhe property, am exclusavely contrrting wnh licms€d @ntracloB to construcl lhe p,oist Date Owner (Sig.) Cont Eton t.l. Only -720 STATE/ZIP ,7/75/ PHONE cr I her€by allirm thel I am lcms€d under the provlsom ol Chapter 9. ProlGsrons Code, ild mv hconso rs(,il("!*.@Lz- c,*" oa'f*.iU-$. contracror andOrvisionPol tFusin6s in full lorce and gtlst. (sig ) Range Hood with Duct and Fan (Type l) I 2 n 15.00 7o.oo 10.00 10.00 10.00 Each Vent Fan Connecled to a Ducl Air less than 2,000 CFM 2,000 CFM to 10,000 CFM Over 10,000 CFM MISCELLANEOUS Outdoor Dual Healing or Cooling Floor Furnace Heater: Suspended, Wall or Unit Com'l Dryer Vents Decorati\re Fireplace (Wood or Gas) Repair, Alt. or Add. to any SYS, 25.00 15.00 15.00 15.00 15.00 10.00 15.00 20, e'o /arttt tvoilm Coi?.rlalbn Oaclralbn I hereby alllrm that I hav6 a cortiticato ol @nsent to $ll-insurs. or I cerlilicetool Worktr's Com- I certaty that rn the fErlormance ollhe work lor which this person in tny manner $ s to be@me subloct to the Worke/s Comp€nsation Laws ot Califo.nis l{oto To Appll6l: ll attq maktng thts Certiftcale ol Eremptton. you should become subltrt to lhe Worker's Compen- Satron provrsrons Ol lhe Labor COde, yOU musl lorthwtth comply w[h such provrstons Or thrs permrt shall be deemed revoled t Oate Applicant (Sig.) building inspection deparlmant I shall not employ any Hmd with Ducl and Fan fl'ype ll)15.00 (50.00) Fan Coil lnstallation Fire Extinguishing System Each Evaporative Cooler lncidental Gas Piping Fire Damper lnstallation by 20.00 15.00 15.00 10.00 15.00 Subtotal Violation Fee Penalty Fee (when applicable) Plan Check 65% ot subtotal rtr 6n (minimum 20.0O) Receipt No.Pc#Date7 Plan Check (Adjustment)6 i{'o lssuance Fee 10.00 TOTAL PERMIT FEE (minimum $35.00)+ Erpkdon This p€rmit shall oxpire by limitation and bo@ma nult end void it the work authorizod by this parmat B nol commenc€d withln 180 days ,rom the dsto ol this permit or i, work 8uthorized by this p€rmil is suspad€d or abendongd al any timo alls tha work is commonc€d ,or a poriod ol 180 days. A nd pdmil shall b€ obtained ti6t berora such work can b€ recommsncsd. AD9{cma'. D.drdcr I certity thal I hsve read this rpplicatim and st8t6 thlt tho aboe inlormstbn is correct. I aoroe to @mply with all city ordinanG and stete laB rglsting to buitding constuc{bn. and heroby authori2ed .oprosentstbn o, thi! city to ents upon tha eboFmmtioned pop€ity t6 iBp6ction lzaq frz**Applicant or Agenl (Sig ) purpos6 Dale o rE / 2- 7fifl PERMTT No. ByA.,li$" 5_1bl b u,^,,,,o ",)PERMIT ISSUEO BY (S'9 ) CL d, Ul fi* f*"U <-4-/or/r TL-:27=nVVALIOATION (OFFICE USE ONLY) (ACCOUNT t11-412) eppr-icAnoN AND e MECHANICAL PERMIT (TYPEWRITE OR PRINT IN INK) o CITY OF SANTA ANA 206 W. 4th Street 667-2738 4?,* APPLICANT FILL IN AREA BELOW (!q-oza ooI m <n U) \ Oislrabution: t lnspector Copy 2. File Copy 3 Fiobnce Copy 4 Applrcant Copy cs-618 filed (S€ ) NO.EACH TOTAL 15.00 20.00 25.00 30.00 /25.00 tlm 15.OO \ MEctNrcAL rNsPEcroN *=.t* Remarkg Forced Air Furnace Wall Heater Floor Furnace Suspended Heaters Air Handlers Heat Pump Plenum and Ducts Compressor Boiler Outdoor Dual Package Unit Decorative FirePlace Bange Hood - Duct and Fan Fan and Duct Appliance Vent Through Roof Evaporative Cooler Repair, Alteration, Ducts Fan Coil lnslallatron Gas PiPing Fire Damper Rough lnspection Final lnspection Date lnspcctor Approvrl (Signaturol Wq,/zgl/la,^, 6fr/u h* Notes