HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (77)o IAPPLICATION AND
PLUMBING PERMIT
(TYPEWRITE OR PRINT IN INK)
CITY OF SANTA ANA
206 W. 4th Street
667-27fi
APPLICANT FILL IN AREA BELOW fu-
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;fresi<tential Elndustrial ECommercial NO.EACH'f ;';'E L-*,1, l),v/,,r-ra, , s(-
offi-fuu-,rur' f^; .5/L-O/tt-s
PHONE q 5.00
10.00
15.00
CITY
33
STATE/ZIP
ab 2-G
ING ,2/-5
1st 100'+Conn.
JEIYEN
Ea. Add'l Conn.5.00
rOTAL
FIXTURES
Dental Unit or Medical Gases
each plumbing fixture/trap
Ea. Add'l 100'or Fraclion 5.00
ftivate Sanage Disp. System 30.00
GAS PIPING
GAS SERVICE 1 to 4 Outlets 5.00 5-
Our.r-lulld.r O.d-nbn
I hereby allirm that I em erompl from lh6 Contraclo/s Licsso Law lor the lollowing rcason (Soc.
7031 5. Busrn6s and Prol€ssions Coda Any cily or county which r6quiroa a p€rmil to construcl,
aller, improve. demolBh. or repa,r any glructuro. prior lo its i$uanca, als r6quir$ lho applicant
tor 3uch parmat lo lile a 3rgn€d stalemenl thal he B lrcens€d putsuanl lo lhe prcvisiom ol lh€
Contractor'3 Liconso Lffi (Chrptsr I (commncing wilh S€ction 7m) ol OivBon 3 ol lh€
BusrnBss rnd Proleasims @del or that he is arempt thorolrom 8nd the besis lor tho ellegod
orcmplion. Any violrlion ot Saclion 7031.5 by 8ny spplicenl loi I permat sbi*E the applicant to
a civrl penalty ot mt mors then irvs hundrsd dollaB (t500):
E Saation ZOlll l. as of,n€r ot lhe prop€ny. or myomployeeSwilh wlg€sas lhoarsolacompen-
sation. will do the rort. Snd lhe 3lruclure is nol rnlendod or olterod lor sale.
E S*tion 70448 l, as owns o, the p,ope.ly. am orclusivoly cmtreting wilh licmlod
contrrclm to comtrucl th€ proiect.
Osle Owmr (Sig.)
Conlrclon lrt. Only
CONTRACTORLln u^-0, an,;-0 . tlAa lrzfi-L /r74-07D7
PHONE
E7'*frln fl;*,r--STATE/ZIP
--r l XVz o
I he,eby affrrm thal I am licens€d under the provisDns ot
full lorce and
subiet to tho Worker's Compen$tion Laws ot
Lodc. To APellcil:
ll 8fter makrng thrs Certrficate ot Exemptron, you should become subl@t to the Worker's Compen-
satron provrsrons of the Labor Code. you musl torthwdh comply w(h such provrsrons or lhrs
permrt shall be dmmed revoled
ol Worttr s Com-
Verilaed By
Oate Applic8nt (Sig )
I t€reby srlirm thal I
pensation I
thispermat isissued. I shall nolemployany
Certilied copy is lilad with the Cily
in any mannor so as to
t he porformr nce ol the
Applicsnt (Sig.
Oate
Exprres
Errrddr
This pomit shall expiB by limitslim and bocome null and void it tho wort authorizod by thir
pormit B rct @mmncod withan l80 dey6lrom tha dato ol lhiE p€rmit or il work 8uthorized by thi!
permil is suspgndod or lbsndoned tt any tim€ attor th€ wort is cornmncod ,or a p€riod ot IEO
dayg. A nil ptrmit shsll bo obtain€d lilsl botoro sch wo.t dn bo rocommnced.
r csrrry rhar r heve 'Ed rhis appri"",ml:"ffi,f"oo,"
Applrcant or Agent
I agr6
andand@mply with all
ot thi8 city toaulhorized
purpos6
Plan Check 65%ol subtotat 58.Sc, (minimum 2O.OO)
10.00
Rain Water (buried) Ea. 100'
DATE t7-
Ea. Add'l Outlet
Water Service Ea. 100'
Repair or Replace Gas Piping
Over 2"
Backflow Device 2" or Less
Owr5
Vacuum Breakers 1-5
Repair/Alt. Drainage or Vent
Deck Drain System - Per Drain
Gas Service
MISCELLANEOUS
Water Heater - Electric or Gas
Water Piping Ea. 1@'
Water Softner
ofAlt. or - Vent
Lawn Sprinkler
- Per DrainRain
lnd. Waste lnterceptor
Pool
1.00
100.00
5.00
5.00
10.00
10.00
10.00
8.00
5.00
4.00
1.00
10.00
s.00
10.00
10.00
3.00
8.00
5.00
(50.00)
Date
Subtotal
Penalty Fee (when applicable)
Violation Fee
Pc#Receipt lrb.6
Plan Check (Adjuslment)
lssuance Fee
TOTAL PERMIT FEE
PERMIT ISSUEO BY (Sig ))(nEUILDING
PERMIT No VERI (srg )
LrA &,"- /147q 7o
(ACCOUNT 1-1121
Orslribu t lnspector Copy 2 File Copy 3 Frnance Copy 4 Applicant Copy
cs-6r r
.L^ 'or ''
6.00
3 ol the Busan6s end
Class
Contrector
Dclratlon
the
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,
I o
PLUMBING INSPECTION RECORDS
Rcmarkr
Ground Work (Soil)
Ground Work (Wateo
Water Service (Ground)
Gas Service and Underground
Lawn Sprinklers
Wasle lnlerceptor
Pool Traps
Sewer
Roof Drains
Water Healers
Waler Soltner
Rental or Medical Gases
>
Rough Plumbing
Final Plumbing o
Temporary Gas Service
Noles
lnapactoi ApproYrl(8lgn.tui.)O.t.
r/rt/tt
il/n 44. t/f
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APPLTcATToN AND a
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
206 W. 4th Street
667-2738 NAPPLICANT FILL IN AREA BELOW
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RBesidential !lndustrial nCommercial NO.EACH TOTAL
EACH FURNACE INCL. DUCTS AND VENTS
15.00Up to 100,000 BTU
Owr 100,000 BTU 20.00
EACH ABSORPTION SYSTEM
JOB AOORESS Dr., Unlt C
/ s46-Ott
MAILING AOORESS
3315 Fairview Rd.
STATE/ZIPcA 92626Costa Mesa
CITY
OWNEESunflower Associates
3708 Santa Fe Vil
100,000 BTU to 1 ,000,000 BTU 25.00
30.001,000,001 BTU to 2,000,000 BTUOrffi{uld.r O.drtlbo
I hereby atlirm that I am oxmpt lrom tho Contractor's Licenso Law lorlhe tollowing rsaon (Se.
70:]1.5. Busin6s 8nd ProlaSiong Code. Any city or counly which roquirs 8 p€rmil to construcl,
alter. imp,ovo, domolish. or repair any struclura. prior lo ils isuance, d$ r€quirB the applicsnl
lor such pffmit to tile e signod 3lalsm6nt that he is licansod pucuanl lo tha prcvisions ot tho
Contractor'3 Licsnse Lil (Chapter I (commsncing with S€ction 7@) ol Oivision 3 ot th6
Businass and Prof6dom Cod6) or that h6 iB sxsmpt th€relrom and tho b83B ,or th3 allog€d
axamplion. Any violltion o, Soclion 7C[}1.5 by sny applicant tor 8 parmil subiects tho epplacent lo
6 civil pen8lly ol nol mora than liva hundrod (bllars (tso):
E S""rion 70444 l. as owner ol tho propsrly. or my Bmployeeswilh wag6 as th€ir solecompon-
Sation. will do lhe wort, and the slruclure B rct inlmdod or otfored lor salo.
E S*tion TOrl,lB l, e3 ownor ol the prcporty. am exclusivoly contretang with licens€d
@ntrEcloG to @mtrucl the p7ol6t.
Oate Owner (Srg.)
I hereby attirm that I am licensed under lhe provisions ol Chapttr 9. Oivision 3
Prol63ro.js Code, md my ticonse is I
."*L3/.90--150212,..
orn t?..Lit -fr contraclor
Conlrrlo[ (,la Only
CITY STA
Norco 9t760
3180 Broken Arrow
in lull lorc€ end otltrt
(Srg )
olthe BusiBsand
-fl-lct
CONTRACTORSteel T AIC
Heat Pump Compressor less than 5 HP
EACH AIR HANDLING UNIT OR VAV BOX
Range Hood with Duct and Fan (Type l)
25.001
or by
3
1
Fire Damper lnstallation
lncidental Gas Piping
Each Evaporative Cooler
Fire Extinguishing System
Fan Coil lnstallation
Each Vent Fan Connected to a Duct
EACH COMPRESSOR, BOILER,
5HPto30HP
31 to 50 HP
Over 50 HP
Air Handling less than 2,000 CFM
2,000 CFM to 10,000 CFM
Owr 10,0@ CFM
MISCELLANEOUS
Outdoor Dual Healing or Cooling
Floor Furnace
Heater; Suspended, Wall or Unit
Com'l Dryer Vents
Decoratiw Fireplace (Wood or Gas)
Repair, Alt. or Add. to any sys.
25.00
40.00
25.00
30.00
10.00
10.00
10.00
25.00
15.00
15.00
10.00
15.00
15.00
15.00
15.00
'15.00
20.00
10.00
15.00
15.00
Each
this
45 .00
20.00
Hood with Duct and Fan ffype ll)15.00
Subtotal 90.00
$orfa.. Coltfaralbn Oaat tabn
I heraby allirm lhal I have a certitaete ol @nst to sll-insure. or a certiricete o, Work6's Com-
pensalion lnsurance. Certiliod copy as lil6d with the City building inspgction departmenl.
I cartrry that in lhe perlo,msnc€ ol the work fo, which this
poBon in any mannor so 8s lo bgcomo gubiacl lo lh€
Calilomia
Lollcc To AgplbIt:
ll aller making thrs Certilicate o, Ex€mption. you should become subiet to the Worke/s Compen-
salron provrsrons ol the Labor Code, you must lorlhwith comply with such provrsons or this
permrl shall be deemed revoked
Veritied By (Sig )
Applacant
l shall rctomploy any
Comp€nsslion L8w3 ol
Deto
-
Applicant (Sig.)
3:1"*. 4/90
o"r" ttz'\-*?
Penalty Fee (when applicable)
Violation Fee (s0.00)
Plan Check 65% of subtotal 58. JQ (minimum 20.00)
Receipt No.Pc* 6917 Date 213
Plan Check (Adiustment)Credit 3.25
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00)-0-
Erpkiba
ThB tE mil shell erpare by limitation and bocoma null and void i, th6 work aulhorizod by this
p€rmit is not comm€nc€d within tSOdays lrom the dat6 ol this tpimit o. it wort authoriz6d by this
permit is sBpendod or abandonod at any tims alts the work is commncsd lor a p€riod o, 180
deys. A n6{, psmil shall bo obtainod firlt betore 3uch work can b€ recommancod
Applbmtl O.dr.0on
I certity thsl I hsve read lhis spplicstion and stale that lhe abovs inrormetion is correct. I 80re to
comply with 8ll city ordimncas and stato lffi rolating to buitding constuction. 8nd heraby
euthorized r6p.€6entation ol lhis city to 6nt6r upon thG abovemstionod
Applicant or Agsnt
lor inaptrlion
:::Lpfr DArEre.z"t-E4 PERMIT NO.
Esl,.,si$"5_1/ 64 aL.,,,,
o "",,,n,aE PERMrrrssuEo av $,gt ?Lb fi -CL
ALL FEES PAID ON M10865 Ir-4r 2)
rcE usE oNLY)
Orstflbutron I lnspecto. Copy 2 File Copy 3 Frnance Copy 4 Applrcant Copy
cs-6r8
'l5.oo
MEclfNrcAL rNSPEcroN *=.t*
Ramarks
Forced Air Furnace
Wall Healer
Floor Furnace
Suspended Heaters
Air Handlers
Heat Pump
Plenum and Ducls
Compressor
Boiler
Ouldoor Dual Package Unil
Decorative FirePlace
Range Hood - Duct and Fan
Fan and Duct
Appliance Vent Through Roof
Evaporative Cooler
Repail Alteration, Ducts
Fan Coil lnstallation
Gas Piping
Fire Damper
Rough lnspection
Final lnspection
Date lnspoctor Approval
lSlgnaturcl
tab
'rih,5;,-,
Noles