Loading...
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- u,g Iozo oof,m U') U' UJ *\ s oo I sr ;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 -O- , 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 I r/z/a ^/L//,ra {%q ,ziozap (r1^lJ dot -^ ,/ %2,/-.-/.Z21zr.*,a i -.r " \ \ - -'t,' I /t/Uo'f 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 g, E-ozo ooI maa (, !o @ U) 0) rt A, trlo ts.HH 0, @o UI c H.rt a) 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