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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 *- @