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HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (78)a oAPPLICATION AND PLUMBING PERMIT (TYPEWRITE OR PRINT IN INK) CITY OF SANTA ANA 206 W. 4th Street 667-273€N APPLICANT FILL IN AREA BELOW @ E-9zo ool, m(,(, s JOB ADDRESS /! lndustrial E Commercial NO.EACH TOTAL 5.00 '10.00 each plumbing fixture/trap Dental Unit or Medical Gases MAILING STATE/ZIP )G SEWER Oun r-Buald.r D.drlba I hereby sltirm lhst I am exompl lrom tho Contracto/s Lrcens Law ,or the lollowing reasm 1Se. 7031 5, Businss and Pror6sions Codo. Any city or county which requires a p€rmit lo construct. alier. rmprcw. demolish, or reparr any slructura, prid to rls isuanc6, alsrequiresthe applicanl lor such permil to ,ile a 3igo€d stetemenl lhal he is licensed puBuant to lh€ provitiom ot lhe Conlractor's Licens Lil (Chepter 9 (commoncing with Seclion 7m0) o, Oivisaon 3 ol th€ Eu3iness and Proro3sims Cods) or thst he is oxempl lhsrolrom 8nd tho balb tor lhe sllegod exomption. Any violrtion ol Saction 7@1.5 by any applicanl tor a pormil subiect3 the applicant lo I ciyil penalty ot nol mo.o then tivs hundrod (bll86 (3500): E S*tionZOal l,asown6rollheproperty.ormyemployGswrthwsgaraslhsirsolocomp€n- salion, wall do lhs mrt. and lhe 3truclur€ as rcl antandod or otleed ,or sale. El S*tion 7(x4B l. a3 owner ol the proporly. m oxclusivoly conlreling wilh licffrod conlracloG lo conslruct the prolftl Oate - Owrer (Sig ) ConlrEton t,.. otily tfn /,j1d,",r;-L Allt rrT^;-,SONTRACTOR t7/- /7a7PHONE I CITY A . X, y', f y'n r- -u r-, STATE/ZIP ^qr33es I he,eby allirm lhsl I 8m licensd undar the provBions ol ilo(lc To ApellGal: ll aller makrng lhrs Cfrtrftcaleol Exemplron. you should becomesubtel lo lhe Wdker'sCompen- satron provisrons ot lhe Labor Code. you must torthwilh comply w[h such provisions or this permrl shall be dtrmed revoked Erpardo.r ThE pormit shall expiro by limilslim and b*omo null and void il tr€ work authoriz€d by lhig pormit is not commencod wilhin 180 dlyE lrom lhe deto o, lhis p€rmil d il rcrk authorizod by this permil is suspendod or sblndonod al rny tim erts tho work is cmmnc€d ,or a p€riod ol 180 dey3. A ner pormil shsll bc oblained ,iBl b€rqo $ch wort cln b€ ocommoncad. AFlc.all D.drilqr I corliiy lhsl I havo rood lhi! applicalion rnd strls lhal lh€ rbova 3ol lhe Vlo Contr8clor (Sig.) ol Works's I agrs to and ryfr";* Lfdnse No Oate Oate Expirei lhis parmil is issued, I shall nol employany to the Worker's Compenstion Laws ol which sub,trt Applicanl or Agenl Applicant Code, and my licens is in lull lorce end D*lr.tlon ol consent lo pensation lnsu.ance Cgtrlied I hereby allirm that I have a rn lhe performencoot th€ in any manrer so rs to Calrlornra comply with all and stale 186 relaling to this city to ontar upon the Dats - Applicant (Sig.) the clty aulhorized purpos6 Alt. or Repair of Drainage - Vent Piping Plan Checi< 65% of subtotal L S - (minimum 20.00) 5- ,/o 10.00 / / Subtotal I -, lst 100'+Conn. Wbter Service Ea. 100' Ea. Add'l Conn. Over 2" Ea. Add'l 100'or Frac'tion Backflow Device 2" or Less Private Sewage Disp. System Orer 5 GAS PIPING Vacuum Breakers 1-5 GAS SERVICE 1 to 4 Outlets Bepair/All. Drainage or Vent Ea. Add'l Outlet Repair or Replace Gas Piping Temporary Gas Service MISCELLANEOUS Water Heater - Electric or Gas Water Piping Ea. 100' Rain Water Piping (buried) Ea. 100' Water Softner Rain System - Per Drain lnd. Waste lnterceptor fool Traps Deck Drain - &r Drain 15.00 30.00 5.00 s.00 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 s.00 6.00 10.00 10.00 3.00 8.00 5.00 Fee (when applicable) Violation Fee (50.00) DatePc#Receipt No. Plan Check (Adjustment) lssuance Fee TOTAL PERMIT FEE (minimum PERMIT Lawn Sprinkler il-Y /toroA- 'o'PERMIT ISSUED BY (Sig.)\x-BUILOING PERMIT No.(srg IVERI J*-*- -,,--/ kn.l/1q7o )AiA- Stkt?fl -1- vALTDATTON (OFFTCE USE ONLY) (ACCOUNT '1 1-412) Drstflbulron I 2. File Cogy 3 Finance Copy 4 Applrcant Copy cs-61 1 FIXTURES il 4 /a=o - Z9-'- 5Y!a a, o o PLUMBING INSPECTION RECORDS Remarkr Ground Work (Soil) Ground Work (Water) Waler Servic€ (Ground) Gas Service and Underground Lawn Sprinklers Wasle lnterceptor Pool Traps Sewer Rool Drains Water Heaters Water Sortner Bental or Medical Gases Rough Plumbing Final Plumbing Temporary Gas Service Notes \' lnapoctor Appiov!l (Slgneturo)O!t. t-liln rr'* Arrl- u//n //, lrlfI rfua 2r*P{t (&zful^lo- I?4/ro H),^-/ %z/cy, J.Ar,n,- - i L. APPLTcATToN AND a MECHANICAL PERMIT (TYPEWRITE OR PRINT IN INK) o CITY OF SANTA ANA 206 W. 4th Street 667-2738 APPLICANT FILL IN AREA BELOW 4rL. @g-q zo ooIm CJ) @ (, !oo V) 0)3rt 0) Frl o H.HH 0r 0ao U H 5 ts.cl U JOA AOOBESS 3708 Santa Fe Village Dr., Unit D E Residential E lndustrial E Commercial NO.EACH TOTAL EACH FURNACE INCL. DUCTS AND VENTS Up to 100,000 BTU 15.00 Orcr 100,000 BTU 20.00 EACH ABSORPTION SYSTEM 100,000 BTU to 1,000,000 BTU 25.00 1,000,001 BTU to 2,000,000 BTU 30.00 EACH COMPRESSOB, BOILER, OWNER Sunflower Associates PHONE 7 t4 I s46-Ort0 MAILING AODRESS 3315 Fairview Rd.c''[osta Mesa STATE/ZIPcA 92626 Olltt{ulld.t O.dtabo I hersby Itlirm that I am orffipt lrom the Contracto/s Liconse Lew ,o, tha ,ollowing r8m (Se. 78t.5. Busins3s and Pror6sions Code. Any cily or county which requarB s p€rmit lo cmrltucl. alter, improve, demolBh. oi ropsii any struclure, prior to ils i33uance. al3o roquire3 lha lpplicant lor such ptrmil to lilo a sign€d 3trtemonl that he b liconssd purEuant lo lha provi3bns ol lh€ Conlractor's Licms Lrr, (Chepts 9 (@mmoncing with Selion 7mO) ol Oivision 3 ot tho Busins and Prot€3sions Cod6) or lhet he i3 oxmpl therolrom and the barB ,or lh€ allooed exemption AnyviolationorS€clionT03l.5bysnyepplicanllorapormilsbisclslhaapplicanlto I civil p€n8lly ot not more lhan live hundrad dollaB (35m): E S""f,on 7Ol4A l. as own6r ol the properly. or myemployss with wa96 a thoir solecompen- sation, will do tho wod(. and lh€ 3lructur6 is nol inlendod or olltrod tor sale. E S*,ion 70448 l. as ownsr ol tho prcpsny. em exclusryely cmtrrting with lacensod contreclors to conslrucl lhe proisct. Oate Owner (Sr9 ) Contrrlon l,!. Only PHONESteel T. AlC 279-3200 AOORESS 3180 Broken Arrow CITYNorco 'H76',o Heat Rrmp Compressor less than 5 HP I 25.00 2s.00 5HPto30HP 25.00 31 to 50 HP 30.00 Orcr 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 Owr 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 r)15.00 I hareby allirm lhat I am liceosed under the provisions r Pror6sions Cod6. and my lrcense 6 rn tull lde snd .,"*3(?o-trgztz c,o. c2o ol Chapltr 9. Orvrsion 3orthe Bujrnqsandleltsc,r. .fLa- 0150127 Each Vent Fan Connected to a Duct 4 15.00 60.00 tlo.tart Coipfi dbo Oadrlbo I haraby attirm lhst I hevo I cortilicate ot cons6nt to sll-insure. or a erlirieleot Wb.ttr's Com- ponsation lnsurance. Certiried @py is tilgd wilh the City building departmenl. Osle 4 90Expires Verified By (Sig.) Dale f?-2?-*7 Applicsnt I certify thal rn the pertormanceol tha work lor which this I shell not employ eny pe6on an any manner I es to be@me subiect to the Cali,ornaa Compensation Laws of Oate Applicanl (Sig.) ttlollc. To Apdlcit: ll atltr makrng thrs CertrlcateolEremptron. you sh@ld beomesub,ettotheWorker'sComper salion provrsrons of the Labor Code. y@ must fonhwilh comply wtth such provistons or thas Permrl shall be deemed revoked Fan Coil lnstallation 1 20.00 20.00 Fire System 15.00 Each Evaporative Cooler 15.00 lncidental Gas Piping 10.00 Fire Damper lnstallation 15.00 or by bul not aboE 15.00 Hood with Duct and Fan (Type ll)15.00 Subtotal Penalty Fee (when applicable) Violation Fee (s0.00) Plan Check 650/0 of subtotal 68.25 (minimum 20.00) Receipt l.lo.Pc # 69L7 Date 2 3 105.00 Erpkdon This p€rmil shall sxpire by limitalion 6nd b€come null aod void it th€ work suthori:od by thi3 permit 6 not commGnctd wilhin l@ dsys trom the dato o, thi3 pormil or il work 8uthorized by this permil is suspond€d or rbendonod Et any timo arls lhe worh is cmmncod lor a poriod o, rA) drys. A nil permil shall be obtainod li'8t baloro such work cln be racommenced. ADoLcfral D.Crdo.r o","12@fl Applrcant or Agent Plan Check (Adiustment)Credit 13.00 lssuance Fee 10.00 ' rorAL PERMTT FEE (minimum $35.00)-0- DATE ' a.4 - Eq PERMTT No. 1,37 62 PERMIT ISSUED 8Y (Srg )'/t^/h VALIDATION (OFFICE USE ONLY) (ACCOUNT rl r-4r2)ALL FEES PAID ON M10865 :n12- Orslribulion I lnspectoi Copy 2. Ftle Copy 3. Financo Copy 4. Applicant Copy cs-618 o"r"l7Z8:fl conrracror (sie I certrty comply thsl I have roed this Epplicalion and slale that the abova inttrmalion is corr61. I authorized repr6entstion ol thig cily lo 6ntd upon purpos6. inspelion gg$,lm 5t/ af,{F,F,ED By (sig )c,+,- MEctNrcAL rNSPEcroN *=.to, 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 Repair, Alteration, Ducts Fan Coil lnstallation Gas Piping Fire Damper Rough lnspection Final lnspection Dato lnspector Approval (Signaturcl /%_ lrA q. 4q4vrr *rrn^--/ Notes