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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 @grozo oo! m @ U) l(,^tlip IlvZl-r7 -ha C r o(\ eI h up 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 cs-6r I bAb t4 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) r/a,rl-t ,-7-<-P.,h I ? Az/x /4?1lhf ilnh h"prtt fu*ot ro- a1,.*-6r/'a,l %rl".Z;,-, r f li, \ 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 t!gr 9zo ool, m @a (f,) ! O U) 0) rf 0) r!, o P.HH pr @o U H c E H.rt IE \ 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