HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (81)o aAPPLICATION AND
PLUMBING PERMIT
(TYPEWBITE OR PRINT IN INK)
CITY OF SANTA ANA
206 W. 4th Street
667-273a W
APPLICANT FILL IN AREA BELOW
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AResidential Elndustrial DCommercial NO.EACH TOTALJOB AOORESSqniii-s$rrA $e vlutAce DK. 4e
FIXTURESdwNER
Sur.)sLour-(< AgS(-
PHONE
sq 6-0 I lo each plumbing fixture/trap IL 5.00 (b%
Dental Unit or Medical Gases 10.00(D
fE/ztP
u
LING
\3
[\es.A"ccg\a SEWER
1st 100'+Conn.15.00 l5s
Ea. Add'l Conn.5.00Orna?-Brrlldar D.drdbo
I horeby atlirm lhal I am ergmpl trom the Contractor's Lrcms€ Law lo. ths lollowino reason (S€c
7@l 5. Bwim$ and Prot6sions Code. Any city or counly which requrrG a permit to construct.
altsr, rmprcve. demolish. or repair any struclure, prior lo ils rsuance, als requireg the applicant
lor such permit to ,ila I signed stalemonl lhat he E licmsad pursuant to the provisiom ol lha
Conlractor's Licens Ls (Chrplsr 9 (commncing with Setaon 7m) ol OivBion 3 ol ths
8$iness and Pror6sions Cod6) or thrt ha is exempl thsrerrom aod tho baaE lor lhe allegod
oromption. Any violalim ot Saction 7031.5 by 8ny spplicanl lor a permit subiecls the applicant to
6 civrl penally ot nol mora than rivo hundr€d (bllaB (t5O0):
E EectionTO44A l,asownerotlhoproporty.ormyamployeeswdhwag€!astheirsolocompon-
sllion. will do lhe wort. and the slrrclure b not inlend€d or olrssd lor 3ala.
E S*tion 7(N48 I, as owns o, tho prcporty. rm erclusryely contiacting wilh licmsGd
conlracloB to construct the proie€t
Oate Owner (S€ )
ConlrEton t .. orily
CONTRACTOR
lntr Ut*ttlLh L Aed-t c*nrotl C;t4 - o1o1
PHONE
t n1 P I ErTErz- Ave
AbDRESS
Alt. or Repair of Drainage - Vent Piping
\
Ea. Add'l 100'or Fraction
Priwte Sanage Disp. System
Water Softner
Rain Water Piping (buried) Ea. 100'
Water Piping Ea. 100'
Water Heater - Electric or Gas
MISCELLANEOUS
Temporary Gas Service
Repair or Replace Gas Piping
Ea. Add'l Outlet
GAS SERVICE 1 to 4 Outlets
PIPING
5.00
30.00
5.00
100.00
1.00
5.00
s.00
10.00
10.00
4.00
8.00
'"LAL€ ELst A)oR€
PSTATE/ZI
^0 2n?o Lawn Sprinkler 6.00
I hereby alfirm lhal I am licensd under lhe provasions of
Oate
and in lull loce and
subiecl lo the Worke/s Compensation Lfrs ol
|'olb. Io Afdlcltl:
ll atter makrng lhrs CerlricateolExemptron. youshould becomesubi6ttolheWorker'sCompen.
salron provrsrons ot lhe Labor Code. you musl lorihwrth comply wdh such provasions or lhrs
permrl shall be demed revoked
of
I ihe
copy is
Verated
Oate Applicant (Sig )
Come.naalbn
ol consmt to
with tha City
I horeby alfi.m that I
pensalion
Erprres
Oate
which this permit is issuad, I shall not employ any
any mnnef so 0s to
Applicant
ot lhe
Erpa.auc!
Thrs pormit thell oxpire by limitaiion .nd beomo null and void il th€ rcrk aulho.iz€d by thi3
p€rmit is rcl commenced wilhan 180days lrom lhe date ol this pormit or il work authdized by lhig
p€rmit is suspanded or 0bandongd at ony lime alts the work is commncad ,or 8 period ol t8O
days. A nil pdmit shSll & obtained li6t b€tore such work can b€ Ecommanced.
I certity that I have lhis Epp[catron and stete thal lhe above
Apglicsnt or Agenl
Apglc.nl'r D.df,.do
I rgre
and st6to law3 rolatino to@mply with all
ol this cily toauthorizod
purpos6
oo
10.00
10.00
10.00
8.00
10.00
5.00
5.00
3.00
'r.00
10.00
5.00
Rain System - Fer Drain
llhter Service Ea. 100'
lnd. Waste lnterceptor
Over 2"
Pool Traps
Backflow Device 2" or Less
Deck Drain System - Per Drain
Oler 5
Repair/Alt. Drainage or Vent
Vacuum Breakers 1-5
Subtotal
TOTAL PERMIT FEE
Fenalty Fee (when applicable)
lssuance Fee
Violation Fee
Plan Check 65% ol subtotal
#Receipt l.l,o.
Plan Check
(50.00)
(minimum 20.00)
Date
(sig.)
NG
No.ruw PEBMIT ISSUEO AY
s tPD [f) -LL
Y)
t-4121
777o ?
Oislribution: I lnspector Copy 2 File Copy 3. Finance Copy 4 Appli
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bAb
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Contrector (Sig
t a
PLUMBING I NSPECTION RECORDS
Bam!rk!
Ground Work (Soil)
Ground Work (Water)
Water Service (Ground)
Gas Service and Underground
Lawn Sprinklers
Waste lnt€rceptor
Pool Traps
Sewer
Rool Orains
water Heaters
Water Soltner
Rental or Medical Gases
>
Rough Plumbing
Final Plumbing
Temporary Gas Service
*o'"' 1bh, -zr-/.ttnz . huffi
7
\
O.l.ln.p.ctoi Approvrl
(8le neturc)
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I
? Az/x /4?1lhf
ilnh h"prtt
fu*ot ro-
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APPLTcATToN AND e
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
a CITY OF SANTA ANA
206 W. 4th Street
667-2738
APPLICANT FILL IN AREA BELOW &N
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JOB AOORESS
3710 Santa Fe V Unit B
Sunflower Assoclates
Dr
OWNER
MAILING
CITY
Omr&lld.r t.drdbn
I haraby slliim thet I am oxmpt irom tho Contraclo/3 License Law ,or thg tollowinO reason (S6c.
7@t 5. Busin€as md Prolmions Code. Any city or county which roquiras a p€rmil to conStrucl.
altsr, improve, demolBh. or ropeir sny slruclure. prior to rls i$uance. also roquir$ thg rpplicant
,or such pormil lo lil€ a signod statement that hs is licgnsod pursuanl to lhe provisions ol lhe
Conlraclor'3 Licms Lil (Chapter 9 (@mmncing with Ssction 7d)0) o, Oivision 3 o, tha
Busin6s and Prot€3dms Codo) or that ha i8 erempt th€relrom and the basb tor lho allagd
oxGmplion. Any violalion o, Soclion 7031.5 by any Epplicanl lor a permil sbjects the applicant to
a civil penally ot not more than five hundr€d (bllaB (t5&):
E S."tion 7O{4A l. as owner ol lhe propsrly. or myamployoes wath wag€6 as thsrrsolgcompoft
sation. will do the wort, and th6 structure i8 nol intonded or otlgred for 3a16.
E S""fion 7Orl4B l, I ownd ol the pDpany, sm exclusively cmtEting wilh licmsod
conlraclors lo construcl lh€ proiect
Oale Owner (Sr9 )
Cmliactoft t.b. orrly
CITY
Norco
STATE/ZIP
9L760
Steel T. LIC
ADORESS
3180 Broken Arrow
EACH FURNACE INCL. DUCTS AND VENTS
Heat Pump Compressor less than 5 HP
EACH AIR HANDLING UNIT OR VAV BOX
Range Hood with Duct and Fan (Type l)
25.00
15.00
30.00
NO.EACH TOTAL
PUMP
1
2
15.00
20.00
25.00
30.00
25.00
40.00
25.@
30.00
10.00
10.00
10.00
25.00
15.00
15.00
15.00
15.00
10.00
15.00
15.00
Up to 100,000 BTU
Each Vent Fan Connected to a Ducl
Owr 100,000 BTU
EACH ABSORPTION SYSTEM
100,000 8TU to 1 ,000,000 BTU
1,000,001 BTU to 2,000,000 BTU
EACH COMPRESSOR, BOILER,
5HPto30HP
31 to 50 HP
Orcr 50 HP
Air Handling less than 2,000 CFM
2,000 CFM to 10,000 CFM
Over 10,000 CFM
MISCELLANEOUS
Outdoor Dual Fackaged or Coding
Floor Furnace
Heater: Suspended, Whll or Unit
Com'l Dryer Vents
Decoratirae Fireplace (Wood or Gas)
Repair, Alt. or Add. to any
Flesidential fl lndustrial n Commercial
20 .00
90.00
of @rusnt to slf-ansure. or a cartiticata ot Worker's Com-
tiled with lhe City building inspection department.
I certaty thal in the pertormanceolths work torwhichthig
person in any manner so as to be@me subiocl to the Work€/s Compensation Laws of
Calarornra
l5llc. To App0crll:
lr alls making this Ctrtilicatoof Exsmptiofl. you shoutd bmmo subict tothoWorks/sComtpr
salion provisions ol ttc Labor Code. you must lorlhwilh comply with such provisions ot this
p€rmit shall ba deemed revokod
t](-^ c7
I hsoby aftirm that I hava a certili@te
pensatron lnsuaanc6 C6rtrtr6d @py isDat€ 4 l90Exprres -----:--- Vtrrfied By (sig.)
Date Applicant
Woitm Compentdbn O.drrtbn
I shall nol employ any
Dale
-
Applacant (Sig.)Hood with Duct and Fan (Type ll)15.00
Each or
bulthis
Fan Coil lnstallation
Fire Extinguishing System
Each Evaporatirc Cooler
lncidental Gas Piping
Fire Damper lnstallation
by
20.00
15.00
15.00
10.00
15.00
Subtotal
Fenalty Fee (when applicable)
Plan Check 65% of subtotal
Violation Fee (50.00)
58.50 (minimum 20.00)
DateReceipt No.Pc#
CTedffPlan Check (Adjustment)6.50
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum S5.00)-0-
Erpa?r0o.r
This p€.mil shall exprro by limilstion and bocome null and void it th€ work authortred by this
tErmit is not commencod within 1€() dsys lrom ths dste ot lhis psrmit or il work authorizod by this
FErmil is susp€nded or abandon€d at any time alts the wdk is cmmnced lor a p€riod o, tth
days A n* permil shall be obtsined liBl b€rora such wdk cen be rtrommencad.
I corlity thal I havo ro6d lhis applcation snd st6le that lhe abfla anldmetlon is cdrel. I agr@ to
comply wilh all city ordinancB and stete laws relating to building cmstuclion, snd heroby
lulhorizod reprsntatbn ol this city to antof upon the
purpo36.
Applicant or Agonr (Sig.)
ptoperty lot
"""11:4fr o^rE I2.zq-a:PERMIT NO.
SAheYrr rFrEDaY(sie)
BUILOING
PERMIT No PERMIT ISSUEO BY (SIS,) _
(ACCOUNT r11-4r
VALIDATION
H -t7-ALL FEES PAID ON M10865
,Y)
Dislrabulion: t lnslEtor Copy 2 File Copy 3 Finance Copy 4 Applicsnt Copy
cs-6r8
s46-01 17
-L
I
15 00
CONTRACTOR PHONE
279-3200
I horeby artirm that I am licensed under the provisions ot Chepter g Diva3pn 3otthe Businqa a4rP
Prolqsg{orl9ed6. ond my licsnse is in lull lorco and oltGct. ./2L.tr
..".'*'d"'aII9Z17.,o" cLo c,rAL,cons 0150L27
on" fa'L7 4 conrrscror snr@
MEctNrcAL rNsPEcroN *=rt*
Remarts
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
R6pair, Alteration, Ducts
Fan Coil lnstallation
Gas Piping
Fire Damper
Rough lnspection
Final lnspection
Drto lnspcctor Approval
(Slgnaturel
4/^4/,{;4.f
I
Notes