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Home My WebLink About3700-3710 S Raitt St - Misc. Permit (82)JOB ADDFESS'3'1ib sAN-iA fe u\uuRee Prt.#c- t^)}Jâ‚¬LO(r)ea F6SOE OWNER 5q6- ot t0 PHONE s3l5 rni<uied KD, MAILING ADDRESS Fil?iiazc CITY c-os-TA fnesA Our.r-Add.r O.dr.abo I hereby alrirm that I am exmpt lrom the Contracio/s Licmse Law lor the lollowing reasofi (Sec. 7q3l 5. Busines and Prot6sions Code. Any cily or county which raquires a permit lo construct. elte., rmprove. dgmolbh. or rgplir any strucluie, prior lo its isuancâ‚¬. al$ roguires tha Spplienl lor such permil to tile a signed stalemonl thal he E licenlod puEuanl to lhe provisions o, lhs Conlrsclor's Lrcen!â‚¬ Law (Chapler 9 (commencing with Soclion 7mO) o, Oivision 3 ol tho Busino$ and Prote3siof,s codâ‚¬) or lhel he iB exGmpt tlBrarrom and lhe basis lor the allogâ‚¬d aramplaon. Any vlolatlon ot Soclion 761.5 by lny applicanl lor I pâ‚¬rmit sbjacts the applicsnt to a civil penalty of nol more lhan fiv6 hundrod dollsB (t5@) E S*tlon lOaA l. as owner ol the properly. ormyemployoeswilh wagâ‚¬s aslheir sola compon- 3alion. will do lhe rcrt. end thc slrElure is not intendâ‚¬d d ollsed ,or $le. E S*fOn 7O&tB l. a ownd ol the propâ‚¬rty, am arclusively cmtrrting with liconsed contraclo6 to construct tho proiecl Oale Owner (Sig ) Conlrelon t,3. Only Lza - oto'r PHONE E lndustrial n Commercial NO.EACH TOTAL FIXTURES each fixture/trap \5.00 Dental Unit or Medical Gases 10.00 SEWER lst 100'+Conn.15.00 Ea. Add'l Conn.5.00 Ea. Add'l 100'or Fraclion 5.00 Private Seurage Disp. System 30.00 PIPING GAS SERVICE 1 to 4 Outlets 5.00 Ea. Add'l Outlet 'I .00 Repair or Replace Gas Piping 5.00 Temporary Gas Service 100.00 Water Heater - Electric or Gas 5.00 Water Piping Ea. 100'10.00 Bain Whter Piping (buried) Ea. 100'8.00 Water Softner 4.00 Alt. or Repair of - Venl 10.00 Lawn Sprinkler 6.00 Bain System - Per Drain 10.00 lnd. Wasle lnterceptor 8.00 Pool Traps 5.00 Deck Drain System - Per Drain 3.00 Repair/Alt. Drainage or Vent 10.00 Vacuum Breakers 1-5 5.00 99 Owr5 1.00 Backflow Device 2" or Less I 5.00 o<) Over 2"10.00 Waler Service Ea. 100'10.00 Subtotal teo Penalty Fee (when applicable) Date 10.00 CONTRACTOR n ici * tt tc ^ L hrplt e*noit R bo I he.aby atlirm lhal I am licensd under the provisions ol Chspler subiecl lo the Worke/s Componslion Lils ol taooc. To ADelbit: ll aller makrng thrs Certrficale ot Exemptron, you should become sublftt to lhe Wo,ker's Compen- provrsrons ol the Labor Code, you must forthwfh comply wnh such p,ovrsions or thrs 3ot the Code. and rs rn fullPrddsions4l iloLrdens*tto Com- Veriried Oale Applicsnt (Srg. ) Contractor (Sig. Coflrpadalbn Dclratlon I lEreby sllirm thal I pen$tion Erprres Oate permit is b8ued. I shell rcl gmployany ol consanl lo *ll-rnsure. copy rs filod wilh tho Crty Applicant (Sig. in the pâ‚¬rlormarcaolthâ‚¬ rn eny manner I a to Calrtornra fErmil shall be demed ,evoked Erpardo.t ThB pormil shall oxpire by limitstim and become null rnd void it lhâ‚¬ wort luthotizâ‚¬d by lhi! pâ‚¬rmil is not commsncod wilhin I 8() d!y3 ,rcm the dato ot thi! permit or i, work luthtrizod by lhig pormit i3 cuspâ‚¬nded or abandonod at any timo atlor tho work is commncad tor s Eriod ot 180 days. A nil pormil 3h!ll bo obtrinâ‚¬d ti'Et batore arch wort cln bo mmmonced AFlcdl D.Crao.r I certity that I have red this applicalion and state that lhe abovo inlo.mataon and Applacant o, A96nt (Sig.) and state lamcomply wrth 8ll to burldinO this city lo anler upon # Violation Fee Plan Check 65% ol subtotal Receipt No. Plan Check lssuance Fee TOTAL PERMIT FEE DATE (s0.00) olL (minimum 20.00) PERMIT ISSUEO BY ALt fâ‚¬cs 9P rn 777o't-41?. e IAPPLICATION AND PLUMBING PERMIT (TYPEWRITE OR PRINT IN INK) CITY OF SANTA ANA 206 W. 4th Street 667-27fi /W APPLICANT FILL IN AREA BELOW Z-lP rr o t o aDrstnbutionr 1. Inspector Copy 2.3 Frnance Copy Gopy CS-61 I (Dgrozo oof,maU' Iu r{\gt' I 15v \.5e MISCELLANEOUS I se I I 4 etttrt a I PLUMBING INSPECTION RECORDS Romrrk! Ground Work (Soil) Ground Work (Wateo Water Service (Ground) Gas Service and Undâ‚¬rground Lawn Sprinklers Waste lnterceptor Pool Traps Sewer Rool Drains Water Heaters Water Softner Bental or Medical Gas6s Rough Plumbing Final Plumbing Temporary Gas Service Notes O!tc ln.p.ctor Appiov.l (Slenrtur.) r/adr,,zt-D.f 7/zlrt n+Ahr.l //,/,tuur a fu,"H*'o.-, th/r,ilrt( %r/ez 4- Zotno* I