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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 (!g-q zo oo! ma @ I tlr lo [,t>lz l-lt> l- P I IC F a (r\ LO ln Ir bh, I JOB AOORESS3? I o sANTA +A€e Uf \-Ln6€ 0( 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 '',\ D.t.ln.p.ctor Approvtl (Slgn.tur.) t-/er/t ai.v.F il2/rr ,"/rr//{ t fuoo *2 o*t rr,-, //rho -,U.h tf 442,A q vZ/-lzo.- .t '- F . 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 (,{ O U) 0)5 r+ 0r rd o l*HP 0)gq o UFl c E 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