HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (86)o oAPPLICATION AND
PLUMBING PERMIT
(TYPEWRITE OR PRINT IN INK)
CITY OF SANTA ANA
206 W. 4th Street
667-273a M
APPLICANT FILL IN AREA BELOW
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.{Residential Dlndustrial ECommercial NO.EACH TOTALJOB AOORESS5I \O SANaA fe utuuned p<4F
FIXTURESOWNER
Sur.y0 uoocr- AgSoc-5t16-6t/o
PHONE
each plumbing lixture/trap 5.00 45!4
MAILING ADDNESS Dental Unit or Medical Gases 10.00
ITY
2GmcgA 1st 100'+Conn.15.00
Olni€uflaLr D.drdbn
I hereby affi,m lhat I am €xempt lrom the Contraclo/s Licen3e Law tor tho tollowing reason (S€c
TCKil.5, Busrn$s and Prolcsons Code. Any cily or county which r6quirgs a permit to construct,
aller. rmprove, demolish. or repalr any slruclure, pror to rts rssuance. al$ requirB lhe rpplionl
,or sch permil to lile a signed 3latem6nl lhat he is licens€d pureuanl to the provisiom ol the
Contractor's Lrcense Lil (Chapter 9 (commencing with S€ctron 7O0) ot Oivision 3 ol lhe
8Brnffi rnd Prot6sron3 Cod6) or that h€ as gxempt theretrom and the ba3a! tor the allaged
eremption Any violalron ol Soclion 7031.5 by sny applicant lor I permil subisE the spplicanl to
a crvil p€nalty ot not more than tiva hundred dollaB (35@)
E S*tion 7(X4A l. as owner ot the properly. ormyemploy*s walh wag6s lheirsolecompen-
lation, will do the urort.6nd lhe slruclure is rcl inlondod or ortared tor sale.
E S."tion 70448 l. as ownd ol th6 proporly. am exclusiv€ly contractang walh liconld
Ea. Add'l Conn.5.00
Ea. Add'l 100' or Fraclion s.00
Private Salage Disp. System 30.00
GAS PIPING
GAS SERVICE 1 to 4 Outlets 5.00 5
Ea. Add'l Outlet 1.00
Repair or Gas 5.00
conlracto6 lo construcl the p.ojsl
o.te
-
owmr (srg )
Temporary Gas Service 100.00
MISCELLANEOUS
Water Heater - Electric or Gas 5.00 gr
Contre.|or lrao Only
Water Piping Ea. 100'10.00
L+t c L Rain Water Piping (buried) Ea. 100'8.00
AOORESS Water Sottner 4.006L
Cl STATE/ZIP Alt. or Repair of Drainage - Vent Piping 10.00
Ls 2_,1o Lawn Sprinkler 6.00
I heroby artirm that I am licensed und€r lhe provisrons ol Chapts 3ol lhe Busrn6sand Rain System - Per Drain 10.00and my lrcen*tull b lnd. Waste lnterceptor 8.00
Contractor Pool Traps 5.00
Deck Drain System - Fer Drain 3.00
Com9.rilalbn O.clfdlon Repair/Alt. Drainage or Vent 10.00
I h€reby allirm thal I corliti@t€ ol consent to sll-insure.o,Com-
pensatron copy rs liled wilh lhe City Vacuum Breakers 1-5 5.00
Oate
Exprres Over 5 1.00
Applicant (Si9 ),Backflow Devic,e 2" or Less s.00
tn permil is issued. lshall rct 6mployeny Over 2"10.00in any mannar I s subiacl to the Workor's Compenstion Laws ot
Calrlornra Water Service Ea. '100't 10.00
Oero
-
Applicrnt (SiO.)
t{olb. To APflllcil:
ll atler makrng lhrs Cerlrfrcate of Eremplron. you should become sub,rcl to the Worker's Compen-
provrsrons ot tlE Labor Code. you must lonhwith comply wilh such p7oi8im3 or thE
shall be dem€d .*oked Subtotal
Penalty Fee (when applicable)
Erpardo.
This po/mit sh6ll expira by limitation and bocome null and void it llE work autho.izod by thi3
tErmit it not commnced within 180 days trom the dat6 ol thir pormit or il work suthorizod by thi3
parmil ir suspend€d or abendonod al any timo arter lhB wort is comrnoncod ,or s ,prbd ol IEO
day3. A n* pe.mit Shall be obtainsd liBt b€rore such worl can bc mmmcad
Violation Fee (50.00)
Plan Check 65% of subtotal (minimum 20.0O)
Receipt No.Pc#Date
I carrity thar I hav6 read thi3 Epp,,""rffi:;ffifl"u*"I agr€€ lo Plan Check
comply with all 8nd state laws to and lssuance Fee 10.00authorizad
purpos.
this cily lo ents
TOTAL PERMIT FEE
Applic8nt or Agsnt PERMIT
EUILOING e
PERMIT PEHMIT ISSUED BY )
At-U fGTS P r-(ACCOUNT t-'t12)
()
ltear
772 o
Orstrbutron 1 lnspeclo. Copy 2 File 3 Finance Copy 4 copy
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SEWER
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PLUMBING INSPECTION RECORDS
Remr.ka
Ground Work (Soil)
Ground Work (Waler)
Water Service (Groundl
Gas Service and Underground
Lawn Sprinklers
Wasle lnterceptor
Pool Traps
Sewer
Rool Drains
Waler Healers
Water Soltner
Rental or Medical Gases
a.
Rough Plumbing
Final Plumbing
Temporary Gas Service
Notes
D.t.ln.p.ctor Approv!l
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442/*
3710 Santa Fe Vlllage Dr., Unit F
JOB ADDRESS
CITY osta Mesa
"^53?SoTlTrview Rd.
OWNERSunflower Associ-ates
Oun -lufi(l.r D.Ct lbn
I horeby allirm lhat I am oxmpt lrom tho Cmtrrclo/s Li6sa Law d lhe lollowing reason (S€c.
70ir1.5. Busin6s and Prol6sions Code. Any cily or county which roquires I p€rmil to conllrucl,
alter. improve. domolBh. or ropair any slrucluro. prior to it3 issuanc€. also roquiros tho applicant
,or such permil lo tile 8 signod stalemanl th8t he b lic€n36d pur3uant lo the provisions o, lhe
Contractor'3 Liconso Lil (Chaptor I (commencing with Selion 7qtr) o, Division 3 o, the
Businos and Prol6$io.r8 Coda) or that he is axempt theretrom and the basis rot tha allsgod
oxomption. Any violrtion ot Section 7031.5 by 8ny applicant lor a psrmit subjecls the spplicanl to
a civil p€nally ol nol more than tivs hundrod dollarc (35@):
E S""tion 7044A l. as ownoi ot th6 proparty. or my 6mployffiwilh wag6 a thoir solacompon-
lation, will do the wort, and lhe structure is rct intend€d or ottGr€d tor 3elo.
E] S""tion 70448 l. as owner ol lh€ prcporty. m axclusavoly contrrling with licensad
conlracloB to coretruct lhe proiet.
Oate Owrer (Sig.)
I hgrsby altirm thsl I em lacenged under the provislom ol Ch6pter 9, Divispn
Contrr{on lrao Only
Norco
01
3otth€BusinBs ad,'/tr
50t27
CONTRACTOR
CITY
puq
Steel- T. AIC
Oata @nlr&toi (Sig )
in full lorce and et act.
c20.J3P_ddil::
E Residential U lndustrial n Commercial
EACH FURNACE INCL. DUCTS AND VENTS
EACH AIR HANDLING UNIT OR VAV BOX
Repair, Alt. or Add. to any Heating/Cooling sys.
20.00
NO.EACH TOTAL
3
1
by
abow
or
this notbut
Up to 100,000 BTU
Over 100,000 BTU
EACH ABSORPTION SYSTEM
100,000 BTU to 1,0O0,000 BTU
1,000,001 BTU to 2,000,000 BTU
EACH COMPRESSOR, BOILER,
less than 5 HPHeat Rimp
5HPto30HP
31 to 50 HP
Over 50 HP
Air Handling less than 2,000 CFM
2,000 CFM to 10,000 CFM
Over 10,00O CFM
MISCELLANEOUS
Outdoor Dual Packaged Healing or
Floor Furnace
Heater; Suspended, Wall or Unit
Com'l Drpr Vents
Decoratile Fireplace (Wood or Gas)
Hood with Duct and Fan (Type l)
Each Vent Fan Connected to a Duct
Fan Coil lnstallation
Fire Extinguishing System
Each Evaporatiw Cooler
lncidental Gas Piping
Fire Damper lnstallation
15.00
20.00
2s.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
10.00
15.00
15.00
15.00
15.00
10.00
20.00
15.00
't 5.00
Hood with Duct and Fan (Type ll)15.00
Subtotal 90.00
Wb.tm Conrp.Edbn O.clr.lbn
I hsaby atfirm lhat I have a certifiole ol @nsst to slr-in3ure. or a carliricata ol Worls's Com-
pensation lnsuranco Cs.tilied @py is liled wilh the City building inspoction
peBon in any manner so a lo bg@mg subjocl lo ths
Calilornia
taollo To Appllcrl:
It atter makrng lhrs Certricate ol Exemption, you should become subitrl to the Worke,'s Compen-
salron provrsrons ol lhe Labor Code, you must forlhwrlh comply with such provisrms or thrs
permrl shall be deemed revoked.
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I cartit that in the pertormance
rcanl
ollhework lorwhich
Date Applicsnl (Sig.)
Compensation Laws of
I shall mt omploy eny
Dare L I qO
Expr,es -:4 VeritiedBy(Srg)
Fenalty Fee (when applicable)
Violation Fee (50.00)
Plan Check 650/o of subtotal 58. !Q (minimum 20.@)
Receipt No,pc # 69L7 Date 213
Plan Check (Adjustment)Credit 3.25
lssuance Fee 10.00
TOTAL PERMIT FEE (pinimum $35.00)
Erpkdon
This p€rmit shall expire by lamitation and become null and void il tho work authorized by this
permil is not commenc€d within 180 deys lrom the date o, this p€rmil o it work suthorizsd by thig
permit is suspended d abandoned al any time atts the wdk is commnced for e pariod ol 180
days. A n* permit shsll be obtained ta'8t b€lore such work en bo r&ommencod
Apoec..rl't O.drdon
I cenity lhal I hav6 roed thb applicalim and slala that tha abovo intormation is ctrrect. I aoree to
comply wnh all cily ordinancG and stste laws ralating to building consluclion, and h€raby
authorized ,eprc€ntstion ot this cily to ents upon th€ abovFmenlioned property tor in3p6ction
Applicsnl or Agent (Sig.:::B'uq DArE
'
e.4_g NO.
sjPlzvERrFrEo
BY (sie)
EUILDING
PEHMIT No
'nlrr> 1PERMIT ISSUEO BY (Sig I _
ALL FEES PAID ON M 10865,, -r9'->ffi
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APPLICATION AND I
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
o CITY OF SANTA ANA
206 W. 4th Street
667-2738 w.'
APPLICANT FILL IN AREA BELOW
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ion l. lnspeclor Copy 2. File Cogy 3. Fin8nc6 Copy 4. Appticant Copy
cs-618
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STATE/ZIP
ca. 92626
HEAT
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15.00
45.00
-0-
200
MEctNrcAL rNSPEcroN *=.t*
Remartr
Forced Air Furnace
Wall Heater
Floor Furnace
Suspended Heaters
Air Handlers
Heat Pump
Plenum and Ducts
Compressor
Boiler
Outdoor Dual Package Unit
Decorative FirePlace
Fange Hood - Duct and Fan
Fan and Duct
Appliance Vent Through Roof
Evaporalive Cooler
Repair, Alteration, Ducts
Fan Coil lnstallation
Gas Piping
Fire Damper
Rough lnspection
Final lnspection
Dato lnspcctor Approval
lSQnaturel
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Notes