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HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (76)o t APPLICATION AND PLUMBING PERMIT (TYPEWRITE OR PRINT IN INK) CITY OF SANTA ANA 206 W. 4th Street ffi7-27*f{{- APPLICANT FILL IN AREA BELOW (Dc-Izo oo], ma cn \\ \ I NO.EACH TOTAL@esidentialD lndustrial E CommercialJOB4 "V;-,U*"r-- 6nn*r, . lFxorue5'//"' o //o ualLrr.rc 416oness33t5 3.rr,^;-*,"''bnL 7rz--a--STATE/ZIPTaazC Ounr-Bulld.t D.dt tbn I hereby arrrrm that I am erempt l,om the Contractor's Lrcense Law lor the lollowrng re6oo (S& 7031 5. Busrness and Prol6srons Code Any city or county whrch requrres a FErmtt lo conslruct. aller, rmprove, demolish. or reparr any sl.ucture. pnor to rls rssuance. also requtres lh€ applicant lor such peimrl lo lile a sgned statement thal he rs lrcensed pu.suant lo the provtsons ol lhe Contraclor's Lrcense Law (Chapler 9 (commencrng wrth Sectron 7@0) ol Oivasron 3 ol lhe Busrness and Prol6srons Code) or thal he rs exempt tt€refrom and the basts lor lhe alleged exemplron Any vrolalron ol Sectron 703 1 5 by any applrcanl tor a permil subrects the apptucant lo a crvrl penally ol nol mo.e than ive hundred dollars (S5OO) E S*l,on 7044A l. as owner ol lhe properly. or my employes wrth wages as lheir sol€ compen- salron wrll do the rcrk and the structure is nol rnlended or ollered lor sale E S*t,on 70448 l, as owner ot the p.operly, am exclusrvely contracthg wrth lrcensod contractors lo construct the proiet Oale Owner (Srg ) Contlrbn lr.. Only b7L1- D7D7 PHONE "'" Xry',, f-hr),-, -STATE/ZIPq237 D I heraby afi.m lhal I am lrcensad under lhe provisions of Cods. md my lien* is in lull torce and Contractor Pro16srons flfrp.. '.otc. To APPllc-l: ll alter makrng thrs Certrftcale ol Exemptron, you should become sub,trt to lhe Worke/s Compen- salron provrsrons ol the Labor Code. you must lorlhwrth comply w(h such p,ovrsrons or lhts permrl shall be demed revoked of consenl lo Dclmllon of California this parmil is issuad, I shtll notemployany to the Worker's Comp€nsalDn Lils ot whrch subjmt copy is lil€d wiih the City Dete - Applic8nt (Sag.) pensatron lnsu,ance I hereby atirm that I have FIXTURES each plumbing ftxture/trap 5.00 Dental Unit or Medical Gases 10.00 SEWER 1st '100' + Conn.15.00 Ea. Add'l Conn.5.00 Ea. Add'l 100' or Fraction 5.00 Private Sewage Disp. System 30.00 GAS PIPING GAS SERVICE 1 to 4 Outlets 5.00 Ea. Add'l Outlet 1.00 Bepair or Replace Gas Piping 5.00 Gas Service 100.00 MISCELLANEOUS Water Heater - Electric or Gas 5.00 Water Piping Ea. 100'10.00 Rain Water Piping Ea.100'8.00 Water Softner 4.00 Alt. or of - Vent 10.00 Lawn Sprinkler 6.00 Rain - Fer Drain 10.00 lnd. Waste lnterceptor 8.00 Pool Traps 5.00 Deck Drain System - Fer Drain 3.00 Repair/Alt.or Vent 10.00 Vacuum Breakers 1-5 5.00 Orcr 5 1.00 Backtlow Device 2" or Less 5.00 @er 2"10.00 Water Service Ea. 100'10.00 Subtotal Penalty Fee (when applicable) Violation Fee (50.00) Plan Check 650/o of subtotal ,6.5O (minimum 20.00) Receipt M.7C Pc#Date Plan Check (Adjustment) lssuance Fee 10.00 TOTAL PERMIT FEE DATE -)7- ErDarr0on ThB permit shall oxpire by limitltim and beome null 8nd void il the mrk authorizod by this permilisnotcomm€ncodwithin l8Odly3 lromlhodalsotthiEpermitorilwortsuthori26dbythis parmil is 3uspended or abandonsd at 6ny lim6 Itld ths worl is commsncad tor a poriod ol 180 days. A nfr psmit shall be oblsined ,iBl b€rda sch wort can bo rscommn@d. AFfcarll H.rdqr I corlity that I havc rdd this applicalim 6nd sllte that th€ !b@s Applic8nl or Agent corrocl. I 80r€o_ andcomply wth all city and state l8m releting lo thi3 city toauthorized purpos6 PERMTT TSSUEO BY (Sig.)n0-Bgltii$. 5rU2 j u, ,,i,",n, -2r-- ^----!, hvt /t4-2?7o y'Wm. S.t*$ vALroATroN (oFFrcE usE oNLY) (ACCOUNT r11-4r2) /? -l-8- , Oistnbutron lnspeclor 2 Ftle Copy 3 Frnance Copy 4 Applicanl Copy cs-61 1 q Oate Erprres Verified Applrcant lhe I t PLUMBING I NSPECTION RECORDS Ramark! Ground Work (Soil) Ground Work (Wator) Waler Servic€ (Ground) Gas Service and Underground Lawn Sprinklers Waste lnterceptor Pool Traps Sewer Rool Drains Waler Healers Water Soltner Eental or Medical Gases Rough Plumbing Final Plumbing Temporary Gas Service Noles 1. D!t.ln.p.ctor Approvrl (Slgnrturc) ,44n 2"lrl.+ ;/t zbs ^aL /J.ft //t//,1 ,2r"///tl {tt*/.zfflruo-t lzlo valtzr.r,/ /2r/^n*r.r,-, I ---.E+.-_. It JOB AOORESS 3708 Santa Fe Vl11age Dr., Unit B Ehesidential !lndustrial ECommercial NO.EACH TOTAL EACH FURNACE INCL. DUCTS AND VENTS OWNERSunflower Associates PHONE 714-546-0rLO Up to 100,000 BTU 15.00 MAILING AOOR€SS3315 Fairvlew Rd.Owr 100,000 BTU 20.00 EACH ABSORPTION SYSTEMCITYCosta Mesa STATE/ZIPcA 92626 100,000 BTU to 1,000,000 BTU 25.00 Our-lufl.bt D.dtilil I htroby sltirm lhat I sm sxgmpl lrom tha Contracto/t Licffs6 Law lor tho tollowing raaon (Soc. 7(x}1.5. Busim md Pror6sions Code. Any city or county which toquiro! 8 pormit to construcl, all€r. improvo, d,gmoligh. or ropeir any 3truclurs. prior to itg isurnco. also r€quirss the sgplicanl tor $ch pdmit to tila I signod alat6m6nt that ho is licons€d puBuanl lo tho provisiom ol lhs ContTaclor's Licffle Law (Chepler I (@mmencing with Soction 7@0) ot DivBion 3 ot th€ Busins 8nd Prolasions Code) or that ha is orempt thot€lrom end the b83B tor th€ slleged exomption. Any violetion ol Saction 7031.5 by 8ny 8pplicant tor a p€rmil ilbjecB the applicsnt to a civil psnelty ot nol more than tivo hundrod dollaB ($sm)l E S""tion zOga l. as ownor ol th6 proporty, or my omployoe3 with wag€s a3 thsirsolacompan- salion. will do th6 wo.t, and th€ 3tructuro B nol inlmdsd or ollerod for !ale. E S*tion 70448 l. as ownor ot the property, am oxclusively conlreling with licenssd @ntracloG to conslTuct thg pro,et Oate Owner (Sig ) 1,000,001 BTU to 2,000,000 BTU 30.00 EACH COMPRESSOR, BOILER,PUMP Heat Pump Compressor less than 5 HP 25.00 25 .00 5HPto30HP 25.00 3t to 50 HP 30.00 Over 50 HP 40.00 EACH AIR HANDLING UNIT OR VAV BOX Air Handling less than 2,000 CFM 10.00 2,000 CFM to 10,000 CFM 10.00 Or,er 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 Dryer Vents 15.00 Decorative Fireplace (Wood or Gas)15.00 Repair, Alt. or Add. to any Heating/Cooling sys.10.00 Range Hood with Duct and Fan (Type l)15.00 Each Vent Fan Connecled to a Duct 3 15.00 45.00 ConlrElo[ t,.. olrly CONTRACTORSteel T A/C AODRESS 3180 Broken Arrow STATE/ZIP 9t760 I h€reby attirm thal I am licensed under ths provisions o, Chtpter 9. Division 3 ol thq8usinBs 8nd ProlB3rons Corre, md my liense rs in tull lore and alt6cl. -l-O-' .-."12*/nP o_l! 9 L I 7",*"c20 015012 o*" rttl -X? conrrscror (sie Y tlod(.rt Comgrmalbn Ordrlbn I hereby affirm that I have a cerlrricate ol @nsent lo *ll-rnsu.e, or a certilicale ol Works s Com- pensalron lnsurance Certa,ied copy is fil6d wrth lhe City building inspetion department which lhis mployany pe'3on in any mannsr !o !3 to b€come subiocl to the Calilomh Compensation Lils ol Dale Applicant (Sig.) l{otlc. To Appllcil: ll alls makrng thrs Certrtrcale ol Exemplron, you should become subltrt to lhe Worker's Compen- Salron provrsrons ot the Labor COde. you must lorlhwrth comply with such provisrons or thrs permal shall be deemed revoked Fan Coil lnstallation Fire Extinguishing System Each Euaporative Cooler lncidental Gas Piping Fire Damper lnstallation Each Appliance or Equipmonl B€gulated by this Code but not sp€cilically lisled abo€ Hood with Duct and Fan (Type ll) Subtotal 1 20.00 20.00 15.00 15.00 10.00 15.00 15.O0 15.00 90.00 Penalty Fee (when applicable) Erp.rdoa ThE permit shall expire by limilalim and b@me null end voad il the work &rhorizod by this pormit E not commanced within 180 days rrom tha dste ot thb parmil or il work suthoriz€d by thi3 permit ,s Suspendsd or abandoned al any limo alt€r the work ig comrn€ncad ror a poriod ot 180 deys. A nfl psmil ghtll be obtained tiBt boloro $ch work can be recommonced. A9olbmat O.drifon I certity that I hava rBd this spplacatiof, and stats that the abds inlormetion B correct. I aoree to comply with all city ordinanc€a and state laws r€lsting to building con3tuc{ion.8nd h€reby for iiltpstionaulhorired purpos6. .epr6enlstion of lhis city to enler upOn the abovlmentioned o^";.''''L7'9 Applicant or Agent (Sig Violation Fee (50.00) Plan Check 65% of subtotal 58.50 (minimum 20.00) Receipt No.Pc# 69L7 Date 213 Plan Check (Adjustment)Credit 3.25 lssuance Fee 10.00 TOTAL PERMIT FEE (minimum $35.00)-0- oArE / A -2A.91 PERMrrNo. 1 3 7 60 eurr-orHco f {ba}ERTFTED By (sie.)PERMTT rssuEo BY (s,q ) - Vlz- >q eL, APPLICATION AND .a CITY OF SANTA ANA 206 W. 4th Street 667-2738MECHANICAL PERMIT (TYPEWRITE OR PRINT IN INK)&*APPLICANT FILL IN AREA BELOW (DgrIzo oo f, maa (, !o @ (/) 0,irt 0, rrl o H.HP 9, oco UI c E H.rt t, Oislribulion '1. lnspmtorCopy 2 FileCopy 3 FinancoCopy 4 AppticantCopy cs-6r 8 I PIIONE 279-3200 CITY Nnrnn Oale Expirs Vtrilied By (Sig.) Date Applicant I ceniry th8t ALL FEES PAID ON M10865 -2 ol MECHANICAL INSPECTION RECORDS Rcmarl<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 Root Evaporative Cooler Repair, Alteration, Ducts Fan Coil lnstallation Gas Piping Flre Damper Rough lnspection Final lnspection Date lnapcctor Approval lSlgnatur., l/zh" \-f,brrrru / Notes