HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (83)3710 Santa Fe Village Dr., Unit C
JO8 AODHESS
OWNEF
CITYCosta Mesa
a
Sunflower Associates
iew Rd.
Oura?-lulld.t Dadraabn
I hsraby atrirm lhal I em exempl lrom tho Contraclo/g Licmse Lsw d lho lollowing roeaon (S€c.
703 1.5, 8u3an€ss 8nd Prol€alions Code. Any city or county which roquirgs r p€rmil to con8ttucl.
altor. improve. demolish, or repair any slructura. prior lo ils i$uancg. als roquirs3 lhg applicant
lor 3uch permit lo tile E 3En€d 3talement thsl ho is lioensed pursuanl to lha povi3ionE ol lhe
Contrsctor's Licms Lil (Chaptd I (@mmncing wilh S€clion 7@0) o, Division 3 ol thg
B6ine$ and Protsasims Code) or thll he is exempl theretrom 8nd the bais lor the slleged
exemplion. Any violslion ot S€61ion 7031 5 by 8ny spplicanl tor a p€rmit ubiects the sgplicanl to
a civil penalty ol not more lhan tivs hundrod (bllsrs (gsm):
ES."tionUOIU l.asownorotthspropsny,ormyemployEswilhwag€sasthoiTsolacompan-
salion. will do lhe woft, and the slructure is not intmded o, ottsed lo.3ale.
E S*tion 70448 l, 8s ownor ot th€ poperty. am oxclusrvoly cmtr&ling with licef,sed
contraclm lo comtrucl lho prolffl.
Oate Owno, (Sig.)
Conlrrlo[ t,3. Only
I h€reby allirm that I am licensed und€, the provrsaons ol Chapter 9, Orvisaon 3
l2
t^+7EOate @ntraclor (Sig )
in lull for@ and etlecl
c20 Licsse
ottYit*d
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AODRESS3180 Broken Arrow
Prol6sroN Code. md mv license rs
,-,"""1""2#o 5507ra*"
m Residential E lndustrial E Commercial
EACH FURNACE INCL. DUCTS AND VENTS
Heat Rrmp Compressor less than 5 HP
EACH AIR HANDLING UNIT OR VAV BOX
Outdoor Dual Packaged Healing or Cooling
Repair, Alt. or Add. to any Heating/Cooling sys
Range Hood with Duct and Fan (Type l)
25 .00
.00
TOTALNO.EACH
PUMP
1Subtotal
4
1
by
abow
15.00
20.00
25.00
30.00
25.00
40.00
25.00
30.00
10.00
10.00
10.00
25.00
15.00
15.00
15.00
15.00
15.00
15.00
10.00
15.00
15.00
10.00
15.00
15.00
20.00
15.00 60.00
20.00
Up to 100,000 BTU
Owr 100,000 BTU
EACH ABSORPTION SYSTEM
100,000 BTU to 1,000,0@ BTU
1,000,001 BTU to 2,000,000 BTU
EACH COMPRESSOR, BOILER,
5HPto30HP
31 to 50 HP
Over 5O HP
Air less than 2,000 CFM
2,000 CFM to 10,000 CFM
Orcr 10,000 CFM
MISCELLANEOUS
Floor Furnace
Heater: Suspended, Wall or Unit
Com'l Drlor Vents
Decorative Fireplace (Wbod or Gas)
Each Vent Fan Connected to a Duct
Fan Coil lnstallation
Fire Extinguishing System
Each Evaporatiw Cooler
lncidental Gas Piping
Fire Damper lnstallation
Hood with Duct and Fan il)
Uort.lt Conpfi rlbn Oaciribn
I hdeby atfi.m lhel I have a ce.lificalo ol @nsl to slt-insur6. or a cerlilicaleol Worts's Com-
pensation lnsurance. Certified copy is lalsd with the Cily blJilding inspsclion deparlment.
I certity lhsl in tho porlormanceot th€ worl forwhich thi3
person rn any manner I as to become subiect lo the
Calilornra
Lotc. To Af'pllcit:
ll attgr makrng lhrs Ce.iricate of Exemplron, you should become sublet lo the !Vo,ker's Compen-
salron p.ovrsrons ol lhe Labor Code, you must lorihwith comply with such provisrons or thrs
permil shall be dmmed revoked
Applicant (Sig
Date Applicant (Sig.)
Compensation Laws ol
I shell not employ any
on lVLlST
Dsre L I qO
Exprro3 'r -- VeriliedBy(SE)
Penalty Fee (when applicable)
Violation Fee (50.00)
Plan Check 650/o of subtotal 68.25 (minimum 20.00)
Receipt No.pc # 6gL7 Date 213
CreditPlan Check (Adjustment)13.00
lssuance fue 10.00
TOTAL PERMIT FEE (minimum $i|5.00)-0-
Erpkrabo
This pormit shall expira by limitation snd b€com€ null and void il the work authorized by lhi3
petmit is nol commencod withan 180 days lrom th€ dal6 ol this pormit or il work aulhorizgd by this
p€rmit is s3p€nded or abandonod at any timo erl6r lh€ work is commnced lor 8 poriod ot l8O
days. A nfl pdmit thall b€ obtained liBt bclora such work can be rscommencod.
ADelc.ril'a Dadraaldr
I conity thal I h8v6 rsd lhB applrcalion and slate that lhe above into(malion is corracl. I Egree lo
comply wath all city ordinanca and slate l8ws relaling to building constuctbn. and horoby
authorizod roprG€nl8lion ol tlris city to onter u pon tho rbove mantioned propsty ld inspsction
Appricsnr or Aeenr (s.s.) -'A *,
'4purpos€8
on"WLl-fl DAIE ta-ut.f4 PERQurNo. 13766
BHAiliS. -5U,,nq^F,Eo By (sis )
q,?,
PERMIT ISSUED BY (S'9 ) -
'tJ-
ALL FEES PAID ON M 10865
Y)c -"L
VALIDATION (OFFICE
(ACCOUNT r11-412)
APPLICATION AND .
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
206 W. 4th Street
667-2738 W
APPLICANT FILL IN AREA BELOW
Orslribution: I lnspelor Copy 2. File Copy 3 Finance Copy 4. Applicanl Copy
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cs-618
PHONE
7 t4 I 546-Ot|
STATE/ZIPcA 92626
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CONTRACTOR I PHoNEI zts-zzooSteel T. AIC
I STATE/ZIP
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MEctNrcAL rNSPEcroN *r.fir,
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
Repair, Alteration, Ducts
Fan Coil lnstallation
Gas Piping
Fire Damper
Rough lnspection
Final lnspection
Date lnrpector Approvcl
lSlgnaturcl
%
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Notes
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