HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (75)o IAPPLICATION AND
PLUMBING PERMIT
(TYPEWRITE OR PRINT IN INK)
CITY OF SANTA ANA
,
APPLICANT FILL IN AREA BELOW
206 W. 4th Streel
667-27fi
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AGCITYP
O /^5.00
10.00
NO.EACH TOTAL
5.00
E lndustrial D Commercial
each plumbing lixture/trap
Dental Unit or Medical Gases
15.00
30.00
5.00
5.00
SEWER
GAS SERVICE 1 to 4 Outlets
1st 100'+Conn.
Ea. Add'l Conn.
Ea. Add'l 100' or Fraction
Private Disp. System
PIPING
Ea. Add'l Outlet 1.00
Repair or Replace Gas Piping 5.00
Temporary Gas Service 100.00
MISCELLANEOUS
Ounr-Bulld.r O.drllbn
I hereby alfirm that I am erempl from tlE Contractor's Lrceose Law lor the lollowrng reason (Ss
7(Xll5.BusrnessandProf6sronsCode Anycrlyo.countywhrchrequrresafPrmrltoconstrucl.
alter.rmprove.demolrsh orreparranystructure.pflo.lortsrssuance,atsorequrrestheapplacant
lor such permrl lo tile I slgnd stalement thal he rs fucensed pursuanl lo the provigions of lhe
Conlractor's Lrcense Lil (Chapter 9 (commencrng wrlh Setron 7@0) of Oivrson 3 of lhe
Busrness and Prolssrms Code) or thal he rs exempt theref.om and the basrs for lhe alleged
eremplron Any vrolatron ot Seclion 7031 5 by any applicant tor a p€rmil sublsts the applrcanl to
a crvrl penalty ol nol more than ive hundred dollars (5500)
E S*t,on 7044A l. as owner ol lhe propeny. or my emproyes wrth wag6 as therr sole compen-
satron. wrll do the rcrt.8nd lhe slructure rs nol intended or ollered lor sale
E S*,ion 70448 l. as owner o, lhe properly. am exclusryely contraclrng wrth lrcenged
contracto6 to construcl lhe proi6t
Oale Owner (Si9.)
Water Heater - Electric or Gas /5.00
@olirbo t r. Only
10.00
W^ii"d r,",, r. -o . fl ^i a I -.D,)Lz*-oza z
PHONE
8.00
4.00
Rain Water Piping (buried) Ea. 10O'
Alt. or Repair of Drainage - Vent Piping
Water Piping Ea. 100'
Water Softner
10.00STATE/ZIP
O Lawn Sprinkler 6.00
Rain System - Fer Drain 10.00
lnd. Waste lnterceptor 8.00
Fool Traps 5.00
I hereby aflirm lhel I am lrcensgd under the provrsions ol Chapter 9.lhe Busrn6sand
7eCode, and my tcen* rs rn lull lorce and et ect.
Contrector (Sig )
Class
Deck Drain System - Per Drain 3.00
Repair/Alt. Drainage or Vent 10.00
Vacuum Breakers 1-5 5.00
Over 5 1.00(Sig I
Backffow Device 2" or Less /5.00
10.00
10 00
subloc,t to the Worker's Compon$tion Laws ot
ilodc. To ADPllcal:
It atte( makrng thrs Ce.tricate ol Exemptron. you should be@me sublftt lo the Wo.ler's Compen-
salron provrsrons ol the Labor Code, you musl todhwith comply with such provisions or thrs
permrl shall be demed.evoked
Comp.utbn Oclrlbn
Wo.kd's Com-
Oate Applicant (Si9. )
ol consent to slt-rnsure.
Csirtiad copy is lil6d with rho
this permit is issu6d. I shall notemployany
Applrcanl
in theporrormanceol
rn any mannor s
Calito,nra
Oate
Expires
I horeby at rrm that I
pensaton Insurance.
(minimum 20.0O)7
Pc#
(50.00)
Owr 2"
Water Service Ea. 100'
Subtotal
Plan Check (Adjustment)
Penalty Fee (when applicable)
Violation Fee
Plan Check 65% ol sublotal
Receipt
Erdta0o.r
Thrs pemrt shall 6xpim by limitalion end b€come null and void il th€ wort ruthorizod by lhis
permil is nol @mmncod walhin 180 days rrcm lh€ delo o, this permit ff il work suthsizod by this
p€rmit is su3pmded or abandon€d st 8ny lime rllor lhe worl i3 cornmncad ,or o porbd ot 180
dty3. A nil psmit ahrll bo oblsinod liEt boldo sch wort en bo rcommamed.
I cedity thrt I hsve road thB eppti-,m;ffi,n*
Applicanl o. Agent (Sig.)
to
comply wilh all and state laws ralating to building
authofized ol lhrs cily lo lssuance Fee
TOTAL PERMIT FEE
10.00
(srg )
'O-PERMIT ISSUEO BY (Sig )
sla,f-lt't-4121
Oislnbulron 1 Co 2. Filo Cogy 3. Fanance Copy 4 App[canl Copy
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PLUMBING INSPECTION RECORDS
R.m!rkr
Ground Work (Soil)
Ground Work (Waler)
Water Service (Ground)
Gas Service and Undorground
Lawn Sprinklers
a
Waste lnterceplor
Pool Traps t
Sewer
Roof Drains
Water Heaters
Water Sottner
Rental or Medical Gases
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Rough Plumbing
Final Plumbing
Temporary.Gas Servrce
Notes
$ r..
Ort.ln.p.ctor ApproY!1
(Slgnaturo)
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JOB AOORESS
3708 Santa Fe Villlage Dr. //4,
OWNER
Sunflower Assoclates
MAILING AOORESS
3315 Fairview Rd.
CITYCosta Mesa,
ERosidential D lnduslrial ECommercial
EACH FURNACE INCL. DUCTS AND VENTS
Up to 100,000 BTU 15.00
olrcr 100,000 BTU 20.00
EACH ABSORPTION S\6TEM
100,000 BTU to 1,0@,000 BTU 25.00
Ourr-Eulda? Daarralbn
I haraby atrirm lhat I am axempt ,rom tho Conlrsclo/s Liconso L8w lor th€ tollowing re8m (S6c.
7€81.5. Busin$ and Prol6sions Cods. Any city or @unty which r€quir6 a permat to construcl,
,lt6r, improvs. demolish. or rapaii any 3lruclura, prior lo its ilauance, al$ r6quir6 tho epplicel
lor such pormil to tile e signod 3trlement thal ho is licansad puEuant to the proyisiong ol lhg
Contraclor's Li6* Lff (Chapt6r I (@moncing with Smlion 7@0) ol DivBion 3 ol th€
8u8ine$ and Prolsims Coda) or thst hs is orempt thererrom and lhe b8!is lor the sllogod
examplion. Any viohlion ot Soction 7031.5 by eny applidnl ,or a pormit subjects tho epplicenl to
a civil p€n8lty ot nol moro than riva hundr€d dollars ($500)
E S*f ion 7O4,aA l. as owner ot the proparly, or myomployo€3with wag6 as lheir8olecomp€n-
sation, will do lha wofi. and the slruclure B not inlended or ottergd tor 3ale.
E S*tion 7O4ilB l. 8s ownff ol the proporty. am oxclusively contrrtang wilh lrcms€d
@ntractm lo construCt the p.Oioct.
Oste
-
Owrer (Sig.)
Conlrclo[ t .. Only
CONTRACTOR
Steel T. A/C 279-3200
AODRESS
3180 Broken Arrow
CITY STATE/ZIP9t760Norco
1,000,001 BTU to 2,000,000 BTU 30.00
EACH COMPRESSOR,HEAT
Heat Pump Compressor less than 5 HP 1 25.00 25.00
5HPto30HP 25.00
31 to 50 HP 30.00
Orcr 50 HP 40.00
EACH AIR HANDLING UNIT OB VAV BOX
Air Handling less than 2,000 CFM 10.00
2,000 CFM to 10,000 CFM 10.00
Over 10,000 CFM 10.00
MISCELLANEOUS
Outdoor Dual Packaged Healing or Cooling 25.00
Floor Furnace 15.00
Heater; Suspended, Wall or Unit 15.00
Com'l Vents 15.00
Decoralire Fireplace (Vllrod or Gas)15.00I hereby Itlirm that I am licensed und€r th6 provision3 ol Chaptg I Oavisbn 3ol tho BusinBs and
Prof6sions Cod€. &d mv lrconse rs
1el"9."q.550717 cro"
in lull lorce and ottoct.*
27
orr" |L'Z7E crnrracror (sie
Repair, Alt. or Add. to any Heating/Cooling sys.
Range Hood with Duct and Fan (Type l)
Each Vent Fan Connected to a Duct
10.00
'15.00
1 15.00
tlo*.n Coltp.nraba O..rra5o
I hsreby Itlirm that I have a cerlilicate ol @nssl to selt-insur€, or a cortilicate ot Worktr's Com-
pemation lnsuranco. Crlilied @py is tiled with the City brJilding impection department.
Oate
Expires 4 90 Venlied By (Sig )
,?
o^" t2:?-? q Appridnr
I c6rlity thal in lhe perlo,manceolthe work lor whrch lhis I shall not smploy any
porlon in any msnntr ao a3 to bo@me 3ubiocl to tho
Calitomia
Laws ol
O.t6
-
Appticant (SiO.)
l{otlca To Appllcnl:
lf atls makrng thrs Cerlrficaleol Exemptron, you should b6com€ subl*t to theWorkar's ComfEn-
sation provrsrons ol the Labor Code. you must lonhwith comply with such provtsrons or this
permtl shall be deemed revoked
Fan Coil lnstallation
Fire Extinguishing System
Each Elaporatire Cooler
lncidental Gas
Fire Damper lnstallation
Emh Apphance or Equrpment Regulated by
lhis Cod€ but nol spscifrellv listed abm
1 20.00 20.00
15.00
15.00
10.00
15.00
15.00
Hood with Duct and Fan (Type ll)15.00
Subtotal 60.00
Penalty Fee (when applicable)
ErDlrabo
ThB permil shall sxpire by limitation and be@me nult end void r, ths work authtri2ed by this
permrt n not commenced wilhin 180 dsys trom the date o, this permit or irwork authoriz€d by this
p€rmit i3 suspmded or abandonod at any time alls the work is commoncod lor I p€riod ot IEO
days A nor pdmrt shell b€ oblainod riBl b€fore such work can bo rocommenced
epgflenl't O.drrlloo
I conaly that I have r€ad this applicetion and state that tho abov6 inlormation is corroct. I eoi€a to
comply wilh all city ordinsnc6a and stete taws releting to buitding cmstuction. and h€roby
authorized raprGentation ol this city to enter utpn lhe sbovFmtrtionod prclDrty tor inspetion
:::bu+Applicanl or Ag6nl (Sig.)
Violation Fee 39--(s0.00)
Plan Check 650/o of subtotal (minimum 20.00)
Receipt No.Pc # 69L7 Date 2 /3
Plan Check (Adjustment)Credit t6.25
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00)-u-
DATE / a-"4. Sal PERMIT NO.137s9
.r,.o,"o54 bJI
PERMTT No- , VER|FIED 8Y (Sig )o+'
VALIOATION (OFFICE USE ONLY)
(ACCOUNT rr 1-412)
T ALL FEES PAID ON M10865 l) -2?_n<>? r
APPLICATION AND T
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
a I
CITY OF SANTA ANA
206 W. 4th Street
667-2738 IW
APPLICANT FILL IN AREA BELOW
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Orstnbutron I lnspector Copy 2 Frle Copy 3 Frnance Copy 4 Applicant Copy
cs-618
7t4-546-0tLO
STATE/ZIPcA 92626
NO.EACH TOTAL
15.00
PHONE
PEFMrrrssuEo "rr",n, \ul- q CL&/A-
MEctNrcAL rNSPEcroN *=.fir,
Remarks
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
Repail Alteration, Ducls
Fan Coil lnstallation
Gas Piping
Fire Damper
Rough lnspectlon
Final lnspection
Dete lnspcctor Approva!
(Signaturel
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Notes