HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (80)t ,o
APPLICATION AND
PLUMBING PERMIT
(TYPEWRITE OR PRINT IN INK)
CITY OF SANTA ANA
206 W 4th Street
667-273a k-
APPLICANT FILL IN AREA BELOW
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JOB AOORESS3? I o sANTA
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OWNEFI
SUNfLO(r)CT( ASS(-,sqGrot\oPHONE
MAILING ADDRESS \"35\5- sRrRureo Ro
NO.EACH TOTAL
5.00
10.00
each plumbing fixture/fap
Dental Unit or Medical Gases
CITYcos-rh r\esA t{'l''q L;AG t 't5.001 st 1 00' + Conn.
Ea. Add'l Conn.5.00
l5s
Ea. Add'l 100' or Fraction s.00
Private Sewage Disp. System 30.00
GAS PIPING
GAS SERVICE 1 to 4 Outlets I 5.00 ;i9
1.00
5.00
Ea. Add'l Outlet
Repair or Replace Gas Piping
Orn t-ldld.t O.dtttbn
I hereby altrrm lhal I am exempt lrom tlE Cotraclo/s Lrcons Law tor tho tollowing r€aon (Soc.
7031 5. Bu3ine$ and Professions Code. Any city or county which requiros a permil lo construct.
aller. rmprove. demoligh, or repair eny slruclu76, prior to its isuancs, allo requii$ lh6 applicanl
lor $ch perml lo lile a signed 3tatgm€nl thel he is licms€d puBuanl lo lh€ prcvi8iom o, lha
Conlractor's License L8w (Ch@tor 9 (comm6ncing with S€ction 7@0) ol Oivision 3 ol lhe
Busrnoss and Pror6sioo3 Codo) or lhal he is exampt th€rolrom and lh6 basB lor th6 all€96d
gxsmplion AnyvaolationorSectionT03l.SbysnyapplicantrorrpermitsubiecBtheapplicantto
e civil p€nally of nol more lhan lavo hundted dollars (3500):
E S*tion ZOgl l. as ownorot tho properly, ormyemployeeswrth waga6 as thoirsol6compon-
salion. will do lhe mrt. and the structuro is not intend€d or ot erod ,or sale.
E S""tion 70448 l. s9 own6r ol th€ prcperly, 8m oxclusryely contraclang wilh licensod
conlractoE to conslruct the proi*l
Dare
-
Owner (Srg )
Conlrclon tl. Only
CONTRACTOR*i,eut*t tchL xmlt zaqott)L14 - o1s1
PHONE
l9tpl Mxwz Aue
ADORESS
CITYLXfe 6 Lst ^tr€
STATE/ZIP4aa%
I hereby alfirm lhsl I am licmsed under the provisions ol Chapter 3 ol lhe Eusrn6s and
b
Contractor
Code. and my is in tull eflffl
subiel to tho worke/s Comp€nslion Lils ol
ilo0o To ArDllcrl:
ll aller making thrs Cenrftcale of Exemptron, you should become sublsl to lhe Workeas Compen-
satroo provrsrons ot lhe Labor Code. you musl lorthwrlh comply wilh such provrsrons or th,s
permrt shall be demed revoked
Calalornia
Dale
Exprres
I
Dsle
-
Applicent (Sig.)
ol Woita,'s Com-
the crtypensationCertilied copy rs
Vontred By (Srg.
Applacant
lhe perrormance whichthis parmit is issued, I shall nol employany
I hereby allirm that I have
Erplrddr
ThB pormit shsll oxpiro by limitslim and become null and void il the rcrk aulho.iz€d by lhis
psrmil is nol commanced within tA)diys lrom tho data ot this pormit d il rcrt sulhorized bythis
pormil B suspanded or ebendonod at any tima atlar th6 wort is commnc€d ,or a p€riod ot 180
d!ys. A nil p€rmil 3hall b€ obteined ,iBt belore $ch wort en bo rscommencod.
AFlc.nl'. O.drdon
I cortity thst I hays rold lhis applicalim 8nd 3lrls that the lboyo I agr6 lo
andand stato rslatano locomply with 8ll
thas city lo enls
Apphcanl or Agsnl
aulhorared
DUr@36
Alt. or Repair ol Drainage - Vent Piping
10.00
100.00
cg
II
Oc)Subtotal
OATE o'
Temporary Gas Service
M/ater Service Ea. 100'
MISCELLANEOUS
Over 2"
Whter Heater - Electric or Gas
Backflow Device 2" or Less
Water Piping Ea. 100'
Over 5
Rain Water Piping (buried) Ea. 100'
Vacuum Breakers 1-5
Water Softner
Rain System - Fer Drain
lnd. Waste lnterceptor
Pool Traps
Deck Drain System - Per Drain
Repair/Alt.or Vent
s.00
10.00
10.00
10.00
8.00
5.00
4.00
1.00
10.00
5.00
6.00
10.00
10.00
3.00
8.00
s.00
Fee (when applicable)
Violation Fee
Plan Check 65% of subtotal
Pc#Receipt
Plan Check
lssuance Fee
TOTAL PERMIT FEE
(s0.00)
(minimum 20.00)
Date
(minimum
PERMIT
Laivn Sprinkler
PERMIT ISSUED BY (SigEYA.-"?YS51bLJ ,ER,F
ALL €res fo oN) m 7 770(ACCOUNT fl ,-41
Orstnbutron 1 lnspector Copy 2. File Copy 3. Frnence Copy 4. Applrcanl Copy
CS-61 I
(Residential Elndustrial DCommercial
FIXTURES
(\3'o94
SEWER
t
Comp.fr.lbn Dclrdbn
ot
)
o a
PLUMBING INSPECTION RECORDS
Rcmarkt
Ground Work (Soil)
Ground Work (Water)
Water Service (Ground)
Gas Service and Underground
Lawn Sprinklers
Waste lnterceptor
Pool Traps
Sewer
Rool Drains
Water Heaters
Walsr Sollner
Bental or Medical Gases
Rough Plumbing
Final Plumbing
Temporary Gas Service
*""' %r/.lo ,.zr/ l,rZ-- /a zfr,t@T
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D.t.ln.p.ctor Approvtl
(Slgn.tur.)
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JOB AODRESS Dr., Unlt A3710 Santa Fe Vil
OWNER
Sunflower Associates
1 Fairview Rd.
MAILING AOONESS
CITYCosta Mesa
& Residential E lndustrial tr Commercial
EACH FURNACE !NCL. DUCTS AND VENTS
EACH AIR HANDLING UNIT OR VAV BOX
10.00
NO.EACH TOTAL
PUMP
15.00
20.00
25.00
30.00
25.00
40.00
25.00
30.00
Up to 100,000 BTU
Air Handling less than 2,000 CFM
Over 100,000 BTU
EACH ABSORPTION SYSTEM
Owr 50 HP
100,000 BTU to 1,000,000 BTU
31 to 50 HP
1,000,001 BTU to 2,000,000 BTU
5HPto30HP
Heat Pump Compressor les.s lhan 5
EACH COMPRESSOR, BOILER,
Ottra?-Aulbt Dadraaba
I hsoby srrirm lhal I am oxmpt from tlle Contracto/s Licmse Law ld tho tolloring ro8on (S€c.
7031.5, Busin6s and Prolsions Codo. Any cily or counly which roquiro3 a pormit to con3ltucl,
sller. improve. d€molish. or repeir any 3tructuro. prior to ils isuanca, al$ r€quirsS lho applicant
lor such permit lo lile e 3ignad 3telmonl lhat h6 B licmsad puBuml lo lho pIovi3bn8 ol lha
Contractor's Licensa Lar (Chaplar 9 (commoncing with S€ction 7@O) ol Division 3 ol lhe
Businoss 8nd Profs$ions Cod€) or thel he is oxmpt th€refrom and th€ b83i3 lor the sllegod
oxemption. Any violation ol Socllon 7031.5 by any spplicant tor a pormil $biecB tho epplic8nl to
6 civil p€nrlty ol not more than live hundrod dollsrs (tgn):
ES€ction7O44A l,asownerotthoproperty,ormy€mployoeswilhwag€aasthgirsolecomp€n-
3ation. will do the wort. and tho structure E nol inlmded or otlred ,or sale.
E S*tion 7Oa4B l, as ownd ol the prcperty. am axclusively cmtreting with licms€d
conlractm lo construct the proitrt.
Oate Owmr (Sig.)
Conlrtcio[ Ll. Only
CITY
Norco
Broken Arrow
Contractor
CONTRACTORSteel T. AIC
orr"tL-77-?'1
Outdoor Dual Packaged Healing or Cooling
Repair, All. or Add. to any Heating/Cooling sys.
Range Hood with Duct and Fan (Type l)
Hood with Duct and Fan (Type ll)
1 5
20
1
1
00
00
10.00
10.00
2,000 CFM to 10,000 CFM
Fire Damper lnstallation
Over 10,000 CFM
lncidental Gas Piping
MISCELLANEOUS
Each Evaporative Cooler
Floor Furnace
Heater; Suspended, Wall or Unit
Com'l Dryer Vents
Decorative Fireplace (Wood or Gas)
Each Vent Fan Connected lo a Duct
Fan Coil lnstallation
Fire System
25.00
15.00
15.00
15.00
15.00
15.00
15.00
10.00
15.00
't5.00
10.00
15.00
15.00
20.00
15.00
or
but nol abow
by
Subtotal 60.00
tloltrs Corp.B.abn O.drtbn
I htreby at irm that I have 8 cerlitimto ot consont to selt-insure. or a @rtilicats ot Worltr'3 Com-
pensation lnsurance. Ctrlilied copy is lilad with lhe City building impection d6p8nm6nl.
peison in eny manner so as to be@me subjecil to the
Calilornia
l,lollc. To Apdlcil:
l, aller makrng lhrs Cerlricale o{ Exemplton. you should b€come subjct lo the Wo(ke. s Compen-
satron provrsrons of the Labor Code, you musl forlhwrth comply w(h such provrsrons or lhrs
permrt shall be deemed revoked
o,rJT'tl +7 Appri*nr (sis)
I cerlity that in the pertormanceoltho work 1forwhichthis
Date Applicanl (Sr9 )
oste 4 l90Expires -=-1- Venfied 8y (Srg )
Penalty Fee (when applicable)
Violation Fee (50.00)
Plan Check 65% of subtotal 39 (minimum 20.00)
Receipt No.pc # 6917 Date 213
Plan Check (Adjustment)Credi-t t6.25
lssuance Fee 10.00
rOTAL PERM]T FEE (minimum $35.00)-0-
Crplrdo.r
This pormit shall expire by limitation end become null and void it |tr€ work aulhoriz€d by this
parmit is nol commanced within lS0days lrom lho dsts ot this p€rmit or il work authorizod by this
,Ermit is sGpanded or abandon€d at eny time ettor th6 work is commncqd lor a tEriod ol ld)
days. A n* p*mil sh6ll b€ obtainod ,i6t belore guch work can b€ recotmenced
Appllc.nt.' O.dr.lton
I cenily that I have read thb spplacation and stalo that the 6bove informataon is corrtrt. I agreo to
comply with 8ll city ordimncB and slale laws rolatino to building constuction. and hsrcby
represenlation ol lhis city to onl6r upon the above.mslioned property ror
tuJ&Oate Applicent or Agsnt (Sig.)
aulhorized
pu.pos6
oArE , A-u -81 PERMrrNo. 13 7 6 4
HA.,gis.u&aJ VERIFIED BY (Sig )PEFrMrr rsSuED r" ,r,n, - -d9',- ba-
ALL FEES PArD 0N M1086s //_ a7 _ f ?
Ii"'8dr'i?'l {?'o!'cE
usE oN LY)
{AUUUUNT "'C L .{4//q
t
APPLICATTON AND .
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
I CITY OF SANTA ANA
206 W. 4th Street
667-2738 W
APPLICANT FILL IN AREA BELOW
(D
C-Izo
oo],
m
U)u)
b
ron I lnspector Copy 2 Frle Copy 3 Frnance Copy 4 Applicant Copy
cs-618
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l*HP
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P.rr
/546-017
2626
1 25.ot)
9t760
3oftho
MEctNrcAL rNsPEcroN *=.t*
Ramarle
Forced Air Furnace
Wall Healer
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 Bool
Evaporative Cooler
Repai( Alteration, Ducts
Fan Coil lnstallation
Gas PiPing
Fire Damper
Rough lnspection
Final lnspection
Date lnspector ApprovC
(Slgnaturol
Utu-
#1,{D*f
t
Notes