Loading...
HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (84)I Resaentiat E lndustrial E Commercial NO.EACH TOTALJOe aoox€ss31 to EAN-IA f€ UILLAGC 9R.D+ FIXTURESOWNER Solr$tOWcr AS'SOC Stl6- Ot t O PHONE each plumbing lixture/kap \\5.00 55- Dental Unit or Medical Gases 10.0033\ S .elrnuicr^l B.D MAILING ADOHESS SEWERCITYGC6-TA NtgA 'ifi''{,c-arc Orm.r-&dl(br O.drtbn I hereby attirm thal I am ermpl lrom the Conlracto/s Licmta Law lor ths ,ollowing ro8on (S€c. 7031 5, Businoss and Prol6sion3 Cod6. Any city or county which requires a p€rmit to conslrucl. alter, amprovs. d€molbh. or rapair eny slruclure. prior to it3 isuanca. also roquireS lhe apdicant ,or such p€rmit to ,ile a sagnod slatemenl lhal h6 i3 licansod puBuant lo lhe prcvisiom ol lhe Contractor's Licens Law (Chaplar I (commencing wilh S€ction 7@) ot Oivision 3 ot tho Business and Pror6sions Crdo) or tMt he is sxompt th€ialrom end the b8is ,or tho alleged exmpton Anyviolst,onotSoc{ionTO3l.5byanyappliclnllorapermitsbiocl!lheepplicanlto t civil penalty o, not more than live hundr€d dollars (ts(x)): E S*tion Zolll l. as flner ol the property. or myemplorr€swithwag€sas thoirsolecompon- calion, wrll do lho mrt. and lhg strt clure is nol inlendod or orlared lor sale. E S."tion 70448 l. as ownsr ot tha piop6ny, am erclusively conlrrcting with licansod conlracto.s lo conslruct the prolel. Oale - Owner (Srq.) 5.00 1st 100'+Conn. Waler Heater - Electric or Gas Ea. Add'l Conn. MISCELLANEOUS Ea. Add'| 100' or Fraction Temporary Gas Service Private Sewage Disp. System PIPING GAS SERVICE 1 to 4 Outlets Ea. Add'l Outlet Repair or Replace Gas 15.00 30.00 5.00 5.00 5.00 100.00 1.00 5.00 Conlrdoil t .. Only CONTRACTOR ln F CltAtA L kL SnLt ca.rl<ttl PHONE / Lta -o1o1 lP-lfl AexteL Lv€ IAOORESS CITY ltrr f Lst Ng'.€ cA ^ 42i9oSTATE/ZIP I hereby alrirm that I 8m licensod undet Conlrector tnCode, and my license ,rac".*-erbnDct abn I hereby slrrrm thSl I hgve rt€rlilr@te ol @nsenl to slf-rnsure, o, subiecl to the Worker's Compenstion Laws ol tlo0c. To ApP0c.tt: ll6fter making lhis CtrtrricaleolExemplion. youshould b€comsubiEllo theWdk6/sComp€ft sll|on provisrons ot the L8bor Code. y@ must lorthwith comply wlth such prfl6i6s d this permit shell be dsmed r*oked with the City permil is issued. I shall nol employ any ot Wo,ker's p€Gon in any mnmr s 8!t Calitornra Oate - Appli6nt (Srg.) Att. or Repair of Drainage - Vent Piping l I 10.00 10.00 8.00 10.00 4.00 5.00 10.00 1.00 6.00 5.00 10.00 10.00 8.00 3.00 5.00 Water Piping Ea. 100' Water Service Ea. 100' Rain Water Piping (buried) Ea. 100' Over 2" Water Soltner Backflow Device 2" or Less Oler5 Lawn Sprinkler Vacuum Breakers 1-5 Rain System - Per Drain Repair/Alt. Drainage or Vent lnd.' Wbste lnterceptor Deck Drain System - Per Drain Pool Traps Subtotal TOTAL PERMIT FEE Fenalty Fee (when applicable) lssuance Fee Violation Fee Plan Check 65% of subtotal #Receipt No. Plan Check (50.00) (minimum 20.00)gL (o oate ErpHdt This p€rmit shall axpire by limatetim and b€come null and void it the rcrk authtrizod by this permil is nol @mm€ncd within 180 days lrom lh6 date ol this pormit or il rcrk au0rtrizsd by this p€rmil is suspend€d or rbandonod ,t any trmo arlr lho worl is cmmncod tor a FErbd ol 18[) days. A nfl ptrm,t sholl be obtsinod tiBt b€tor6 such wort can be @mmncod. I certiry that I hava r6d thr rpp,,-,ffi:;ffir*, and Oate Applicant oi Agent I ag.e€ to comply with ell city ordinancs and state lews to building lhis city lo entsraulhorized pu.pos6 BHAlli$" <?6 O ,,.,8Y PEBMIT ISSU€O BY (Sig Au- fecs PD ,1 t-ata Y) 11 inanca Copy i( - APPLICATION AND PLUMBING PERMIT (TYPEWRITE OR PRINT IN INK) '} o CITY OF SANTA ANA 206 W. 4th Street 667-273a /W APPLICANT FILL IN AREA BELOW (!g-Izo ool, ma(t lcIJ lo I I a d -l -{-,a 9r 6\\ or + D Oistribution l. ln3pector Copy 2. Fil6 Copy cs-61 1 I t* <e I (minimuq.l3!.00) -Ss- -@- -roE- tcos looo-5 I )lIt ffi _/ o t PLUMBING IN ON RECORDS Rom!.kr Ground Work (Soil) Ground work (Waler) Water Service (Ground) Gas Service and Underground Lawn Sprinklers Wasle lnterceptor Pool Traps Sewer Rool Drains Water Healers Waler Soltner Renlal or Medical Gases Rough Plumbing Final Plumbing Temporary Gas Service *o'"' /zr/h - bLti@ I O.t.ln.p.ctor Approv.l (8lgneturc) t'/./*1 //i.P.* ilth 2-hrf /t /r,/q a.ud a / ,6r*.-/htorr- 6/q/tu Ptf// %r,6 Z;* APPLTCATION AND I MECHANICAL PERMIT (TYPEWRITE OR PRINT IN INK) t CITY OF SANTA ANA 206 W. 4th Street 667-2738 W APPLICANT FILL IN AREA BELOW q,grIzo oof,, m U)(, (, ! o Ll) 0)p rrp) ri{ o ts.HH 0r 0ao Ui F H.rt U Distflbution 1 lnspeclor Copy 2. File Copy 3 Finan€a Copy 4. Applicent Copy 3710 Santa Fe Vlll-age Dr., Unit D JOB AODRESS lower Associates "^5'StfT"trview Rd. "''[osta Mesa Orn -!rr[d., O.clrtloo I h€rsby altirm thrt I am srdnpt lrom tho Contrec'to/s Licons Law lorthe lollowing re.son (Sec. 7@l 5, Bu3in6s and Por6sims Codo. Any city or county which r€quiros I p€rmil lo construcl, alter. improve. demolish. or ropair any struclura. prior to ils issuance. also roquires tho lpplicsnl fo, such pormit lo lile a signod stltGmsnl lh8t ho b licmlod purluant lo th€ provi3ions o, lhc Conlraclor's Licmse Lar (Chapl6r I (commencing with Soction 7m0) o, Oivirion 3 ot lh6 Business 8nd ProtGions Codo) or thal ho ir exempl tharelrom and lhe blsis ror lhe alog€d oxemption. Any violetion o, S€clion 7031.5 by any applicant lor a pdmit subiecls the applicsnt to s civil penalty of nol more lhan lave hundrod (bllers (3500): ES""tion7(f4A l.asowndollheproparty,ormyemployswithwag€3esthearsolecompoft 3ation, will do the work, and tha 3lruclur6 is not intgnd€d or ottorod lor g6le. E S*tion 70448 l, I owner ol the pop6rty. em exclusively conlr*ting wifh licsnled @nlractors to conslrucl lhe prcjocl. Dale - Owm. (Sig.) ConlTatoil l..o Only 3180 Broken Arrow CITY STATE/ZIP 9t760 CONTRACTOR C AOORESS el T I heroby alrirm that I am licensod under th€ provisions otCheptar g Oivi3ion 3oltheBugnesgri, Prote3sions Cods. and my licanso is in lull ,orc6 and etfacl. .4Zb/ orrcll'tlfi conrraaor (s.s ) c20 0150127..J?./"90 5507 1 7",*" EACH FURNACE INCL. OUCTS AND VENTS Heat Pump Compressor less than 5 HP EACH AIR HANDLING UNIT OR VAV BOX Repai( Alt. or Add. lo any Heating/Cooling sys. Range Hood with Duct and Fan (Type l) 20.00 NO.EACH TOTAL 1 Up to 100,000 BTU Otaer 100,000 BTU EACH ABSORPTION SYSTEM '100,000 BTU to 1,000,000 BTU 1,000,001 BTU to 2,000,000 BTU EACH COMPRESSOR, BOILER, 5HPto30HP 31 to 50 HP Over 50 HP Air Handling less than 2,000 CFM 2,000 CFM to 10,000 CFM Owr 10,000 CFM MISCELLANEOUS Outdoor Dual Packaged Healing or Floor Furnace Heater; Suspended, Wall or Unit Com'l Dryer Vents Decoratile Fireplace (Wood or Gas) Each Vent Fan Connec.ted to a Duct Fan Coil lnstallation 15.00 20.00 25.00 30.00 25.00 40.00 25.00 30.00 10.00 10.00 10.00 25.00 20.00 15.00 15.00 15.00 15.00 15.00 10.00 15.00 Residsntial !lndustrial nCommercial 105 .00 tlo*.n CorD.lrdbn O.clrtbo I hareby arlirm lhal I have a cortiliota o, @nsmt to self-insuro. or 8 certiticato ol Workr'9 Com- pensation lnsurenc€ Cstified @py is lil€d with ths City brrilding inspection dcpsrtmont. I certity thal in lhe fprlormanco of the work rorwhich this peBon in any manner so rs lo bocomg subioct to tho Calitomia tlolb. To Appilcnl: lt 6fttr m8king this C€rtiticatgolExomption. you Bhoutd b€come3ubisct to theWdke/sCompor aalion provisions ol th€ Lrbor Code. you mBt lorthwith comply wilh such pr@isions o, thi8 permil shsll b€ deemad ravokod. orr" t7414 Applicanl Oate - Appticsnt (Sig.) 3i;?". 4/90 veriried By (sis ) Hood with Ducl and Fan (Type ll)15.00 by abow Fire System Each Evaporatiw Cooler lncidental Gas Piping Fire Damper lnstallation or but nol 15.00 15.00 15.00 10.00 Subtotal Penalty Fee (when applicable) Violation Fee (s0.00) Plan Check 65% ot subtotal 68. 25 (minimum ZO.OO) Receipt No.pc # 6917 Date 2l I Plan Check (Adjustment)Credit 13.00 lssuance Fee 10.00 TOTAL PERMIT FEE \1]ninimu]n $3s.oo)-0- Erpl?.tbn This pormit shall erpiro by limitetion and b€come null end void it the work 8uthdi26d by this parmat b not commonc.d *ilhin 1@days trom the dats ol thls p€rmit or it work authoriz€d by this fErmil is susp€ndod or abandoned at any tim6 atls lh€ work is commnced tor a period o, IEO deys A nfl pormit shall be obl8insd li6t b€toro such wdk can bo rsommof,cod. ApDllc.nl'. D.dribn I certity thal I hsve read this application 8nd stste that the above inlormation is correct. I agroa to comply with all city ordinancss and stete taws,eletino to buitding cmstuclion. and heroby .uthorized reprmtstbn ot lhis cily to enl6r upon thG purpoS€3. o"6t24?-$- Appri*nr or Ae€nr (sis.) inslElionabov*mmtoned property lor ."Jr -tDATE NO. BUILOING PERMIT No FIEO BY (Sig,)r-!r,YtPERMIT ISSUEO BY (SIg ) USE ONLY) (ACCOUNT ALL FEES PAID ON M 108651-4'2l cs-6r8 l"1T[/sao-or rc l"tff'9'zozo I Z). UU 4 bU. UU 15.OO MEctNrcAL rNSPEcroN *r.t* Remerks 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, Alleration, Ducts Fan Coil lnstallation Gas Piping Fire Damper Rough lnspection Final lnspection Dsto lnrpcctor Approval lSlgnaturel 4b- t/vlq ^luY .{ I *o'"' fu/ro .z*/,.laL - au:Z;@