HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (85)o o
APPLICATION AND
PLUMBING PERMIT
(TYPEWRITE OR PRINT IN INK)
CITY OF SANTA ANA
206 W. 4th Street
667-2738 W
APPLICANT FILL IN AREA BELOW
(!g
7Izo
ooI,
m
<no
hlr
p
[^l>
IZ
A
t;
lrh
I
C
Cr3
0'')
$\
o
lF
*
l,
sANTA {e urt-r-nee O<. # E
Ot tg3us)
R
JOB ADDRESS
3bl5 FAtnrlrcO \qo
MAILING ADORESS (
(i'i'TtazcCITYc-6\A rf\CSA 1st '100'+Conn.15.00
NO.EACH TOTAL
\
FIXTURES
Dental Unit or Medical Gases
each plumbing fixture/trap 5.00
10.00
Ea. Add'l Conn.5.00
Ea. Add'l 100' or Fraction 5.00
Private Sewage Disp. System 30.00
GAS PIPING
\5.00GAS SERVICE 1 to 4 Outlets 5eq
1.00Ea. Add'l Outlet
Repair or Replace Gas Piping 5.00
Om.r{rrlld.r O.dttbn
I he.eby atfirm that I am exmpl trom lhe Conlracto/s Lrcss€ Law loi tha lollowing rsam (Str.
7@1 5. Business and Professions Code Any city or counly which r6quir6 a pormil to conslrucl,
altor. improv6. d€molBh. or rep'ir any structure. prior to its igsuance. als r€quires tho applicant
tor such p€rmit lo lile I signed slatemenl thet he is licanssd puf,tu6nt lo tho pmvirion! ot lhe
Conlrsctor's Licsns Lan (Chapter 9 (commencing with Section 7m0) ot Oivision 3 ol lhe
Busrnoss and Pror6sions @de) o. llst he rs exempl lhorstrom and the ba3i8 lor lhe allog€d
oromption AnyvDlalimo,Soclion7001.5byanyappliantlorapermilsubioclsth€applicanlto
a civil penslty o, not more lhen ,ive hundrsd dollsE (t5O0)
E S.ction 7044A l. as owner ol lh6 property, or myBmployees wrth wa96ss thoirsolecompen-
sltion. will do the mrt. and th€ slructure B rcl intmdod or olttrod tor sale.
E S*tion 704{8 l. s owns ol the propany. am erclusively conlreting with licmlod
conlracto't to conslrucl the goiect.
Date Owner (Sig )
100.00
5.00
Conlreioo lraa Only Water Piping Ea. 100'10.00CONTRACTOR
tlt€ 4+0,lttcAL *dl LxTt<,N h4 - qto'lPHONE
Rain Water Piping (buried) Ea. 100'8.00
Water Softner 4.00t81 El DF-xteB xv€ADORESS I
Ah. or Repair of Drainage - Vent Piping 10.00STATE/ZIP
d Q-n\oCITYL*fe EL<tNoR€ (a Lawn Sprinkler 6.00
Rain System - fur Drain 10.00
lnd. Waste lnterceptor 8.00
Pool Traps 5.00
I hereby sltirm that I am licen*d und6r the provi3aons ol 3ol th6
Conlractor (Sig.)
and
is rnCode. and my
Deck Drain System - Per Drain 3.00
Repair/Alt. Drainage or Vent 10.00
l 5.00
1.00
I 5.00
10.00
I 10.00
9c
"g6aWbnoclr.tbnthat t trave a /anrfrete ol consmt to sll-rnsure. o,
subjrct lo the Worker's Compansation Les ot
l'otb. fo ApPllcrl:
lf atter makrng thrs Cerlrficate of Exemptron. you should become sublsl to lhe Worke.'s Compen-
satron provrsrons of the LSbor Code. you must lorthwrlh comply wrlh such provrsons or lhrs
permrl shall be demed revoked
ol Wo.ker's Com-
'7
CalrlornE
Oate Applacsnl (Srg )
in lhe p€rlormanca
Applicant
this parmit is is$ad, lshallnot smployany
Cstitied @py is filed wilh the Cilypensalion
I hereby aflrrm
Oale
Expires
(s0.00)
Vacuum Breakers 1-5
V\hter Service Ea. 100'
Orcr5
Over 2"
Backflow Device 2" or Less
Subtotal
Fenalty Fee (when applicable)
Violation Fee
Plan Check 65% ol subtotal
Pc#Receipt Nol
Plan Check
20.00)
Date
lssuance Fee
TOTAL PERMIT FEE
10.00
q
@
Temporary Gas Service
Water Heater - Electric or Gas
MISCELLANEOUS
Erdrdon
This permit shall oxpare by limitation and b€come null 8nd void it ttE work authorizd by this
B nol comm€ncod wilhin t80 days trom the date ol lhis permil tr il work aulhorizod by lhis
is susp€nd€d sabendon€d at any time and tho worl is cmmnced lor a p€riod ot 180
A nfl pdmit shall be obtsaned liGl b€lore such work en be recrmmnced.
Oate Applicanl or Agont (Srg.
Arlolc.nl'! Oadaiatil
end stato that lh6 abovecertity lhst I havs rsd this I agrs lo
wath all andend strt€ laws to building
this city to ents
purpos6
-(D-
BSAt?iS" 5!63t PERMIT ISSUEO BY (Sr9.
PERMIT
ALr fe€s ?D. lv-ffi,l l-ial2)
,Y)
Oistribution: L lnspeclor Copy 2. Flle Copy 3. Finsnca Copy I copv
cs-6r 1
UtrResidential ! lndustrial ECommercial
q t{ 4,99.
SEWER
oI
I
\6s
a t
PLUMBING INSPECTION RECORDS
Rcmarkr
Ground Work (Soil)
Ground Work (Water)
Water Servlce (Grouncl)
Gas Service and Underground
Lawn Spranklers
Wasle lnterceptor
Pool Traps
Sewer
Rool Drains
Water Heaters
Waler Soltner
Bental or Medical Gases
Rough Plumbing
Final Plumbing
Temporary Gas Service
Notes
lnapaclor Approval
(Slgn.turc)Ort.
,/H^ l)--rfrt.Pt
thth 44,bhr
r/rn A/^, rr{(
4^J
rz*r,uz.-
rh6,tl.-l-,(
44r/ea
14/ ..4zz*
3710 Santa Fe Village Dr., Unlt E
JO8 ADORESS
"oSStSoT5Trview Rd.
o*dtlr,f lor"r Assoc lates
c'tosta Mesa
h(hesidential Elndustrial DCommercial
EACH FURNACE INCL. DUCTS AND VENTS
NO.EACH TOTAL
1 25.00
Up to 100,000 BTU
Owr 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,
Heat Pump Compressor less than 5
5HPto30HP
3l to 50 HP
15.00
20.00
25.00
30.00
25.00
30.00
25.00
EACH AIR HANDLING UNIT OR VAV BOX
Owr 50 HP
Air Handling less than 2,000 CFM
Ortrr-tsll(bt O.drabn
I hereby altirm thsl I am exompl lrom ths Cdlraclo/s Lic€n3€ Law lor the tollowing rsaon (S€c.
7031.5. Busin6!s and Prole3sions Code. Any city or @unty which r6quit63 8 pcrmit lo conrlrucl,
alter. impreve. d€molish. or ropair arry strucluro. prid to ils isluanco, also roquiroe lho appliclnt
lor ech permit to tils I signad stalem€nl lhat h€ i3 lic6ns€d tprsurnt to lh€ ptovi3ions ot tha
Contrector'3 Licons€ Law (Chsplor 9 (commencing wilh Soclion 7m) ot Divl3ion 3 ol tho
Bu3in6ss and Pror6$ioos Cods) or lhst he is sxmpt thorerrom rnd lho bais tor lh€ alloged
aremptaon. Any yiolalion ol Soclion 7G11.5 by any lppliclnt tor e permil $bioc'ts lho appliclnl to
a civil ponalty o, rcl more than liva hundr€d dollaB (t500):
E S""tion ZOga l, sr owner ol lho property, or my employ€os wilh wlg€s rs thsir sole compen-
sstaon. will do tho wort. and the strucluro b not intmdod or ottssd tor salq.
E S*tion 70448 l, as owner of th6 prop€rty. am exclusivoly contraclang wnh l,c€nsed
@nlracloB lo construct tho poect.
Oate
-
Owner (Sig.)
Conli&ton t .c Only
Norco
I STATE/ZIP
I srtoo
CONTFACTOB
CITY
Steel T. AIC
ADDRESS
3180 Broken Arrow
I hareby allirm that I am licensad undor lh€ provisions of Chapter 9. Division 3ol lho
ProleSsrons Code. ed mv lrcens rs
..13(?o---:souz,*"
o""fL'L?.Y contracror
and
(sig )
rn lull lorce and aflet
Outdoor Dual Packaged Healing or Cooling
Range Hood with Ducl and Fan (Type l)
45.003
Each or by
Repair, Alt. or Add. to Heating/Cooling sys.
10.00
10.00
2,000 CFM to 10,000 CFM
Fire Damper lnstallation
Owr 10,00O CFM
lncidental Gas Piping
M]SCELLANEOUS
Each Evaporative Cooler
Fire Extinguishing System
Floor Furnace
Fan Coil lnstallation
Heater; Suspended, Wall or Unit
Each Vent Fan Connected to a Duct
Com'l Drpr Vents
Decorati\€ Fireplace (Wood or Gas)
25.00
15.00
15.00
10.00
15.00
15.00
15.00
15.00
15.00
20.00
10.00
15.00
15.00
Wortm Comemtbn Oadralbn
I hseby artirm that I heve e @rtitiote o, @nsmt to $lr-insure. or a csrtilicate ol Works's Com-
p€nsation lnsuranco. Cortiried @py is ,ilsd with the City building irupmlion d€parlment.
I cenity that rn lhe tErtormencg ol th6 work fo. which thas
p€lsm in any mannor $ as to be@mo gubjec{ to lh€
Crlilomia
NollcC To Appllcfrl:
ll atter makrng lhrs Cenrfrcale ol Exemptron. you should b€@me sublml to the Worker's Compen-
salron provrsrons ol lhe Labor Code. you must lorthwith comply wrth such provrsrons or thrs
permrl shall be demed revoked
Oate Applicant (Sig )
Vtrilied By (Sig.)
Compensation Lils ol
I shall not employ any
Bpkdon
This p€rmil shall oxpiro by limilalion and beom€ null and void il the worl authoriz€d by this
p€rmilisnotcommsncadwithln t80daystromth€dat6o,thi3pdmitoritwork6urhorizedbythis
p€imil rs suspend€d or rbandoned al any time sttor th6 wort ig cornmancod lor a poriod ot 180
days. A ner ptrmit shall be obtainod liBl borois $ch woik can b€ recommenced.
A9Dfo.f'. D.drdar
I certity thal I have rsad this spplic8tion snd stol6 that th€ 6bove inrormation is corrst. I aoreo to
comply with all caly qdinanG and stato law! rolating to building cm3tuclbn. snd h€reby
authorizad roprBentation ol lhis cily lo onler upon tho lboEmslionod propsrty tor insp€ction
Ewq Applicanl or Agent (Sig.)
purpos6
Oete
Plan Check 650/o of subtotal 58.50 (minimum 20.@)
Hood with Duct and Fan (type ll)15.00
90.00
10.00
-0-
Pc * 69L7 Date 2 3
Subtotal
Penalty Fee (when applicable)
Violation Fee (50.00)
Receipt No.
Plan Check (Adjustment)
lssuance Fee
TOTAL PERMIT FEE $3s.oo)
PERMIT NO.DATE t a-Zq.81
BUTLD,NG {ltrZt qa
PERMIT ISSUEO 8Y (Sig )
VALIOATION (OFFICE
(ACCOUNT t11-41a
EL ALL FEES PAID/s oN M 10855-JT- 9?
".*Vrfl,
APPLICATION AND O
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
206 W. 4th Street
667-2738 W
APPLICANT FILL IN AREA BELOW
E)grIzo
0ol,
maa
(f,){
o
U)piIrts
rd
o
ts.HP
A)
0qo
UH
E
H.rt
t{
Drslnbutron 1 lnspector Copy 2 File Copy 3 Finance Copy 4 Applicant Copy
cs-6r\
'?tt/sao-or rc
STATE/ZIPcA 92626
40.00
10.00
,n nrr
CraAi t ? 25
PHONE
279-3200
Pg?* 4/eo
orr"lZ'Ul+?
U0.,_*_
ta
MECHANICAL INSPECTION RECORDS
Remarks
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, Alt6ration, Ducts
Fan Coil lnstallation
Gas PiPing
Fire Damper
Rough lnspection
Final lnspection
Dato lnspector Approval
(Slgnaturel
?-_tlto rlJrr
a
Nores &! JL - ro *- @