HomeMy WebLinkAbout3700-3710 S Raitt St - Misc. Permit (87)o o
APPLICATION AND
PLUMBING PERMIT
(TYPEWRITE OR PFIINT IN INK)
CITY OF SANTA ANA
206 W. 4th Street
667-273a lw
APPLICANT FILL IN AREA BELOW
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OWNER
SUNFI^ouJC{C- ftSSOL .sq6-0lto
PHONE
35 tS €arQuiao nO
MAILING ADORESS
CITY C-o9-\\ [he-sA,"dij'Tzazt
Oun -eullar Oadrrlbo
I heroby atlirm lhel I am exompt lrom lhe Crntractor's Lacmsc Law lor thg lollowing rga3on (Sec
7(Xll.5, Business and Prol6sions Code. Any city or county which .oquirgs a permrt to construct.
aller. rmprove, d6molBh. or repeir eny slruclure. prior to rls r8suanc6. elso roquiros th€ applicSnt
lor sch permil lo til3 a srgnad slalemenl th8t he is licensod puBuent to lhe provasions ol th€
Contraclor's Lics$ Las, (Chsptor 9 (commencing with Soclion 7m) ol Davision 3 ot th€
Busrnoss and Prol6sims Code) or lhat he is erempt thorelrom and the bagis lor lhe Sllog€d
exemplion AnyviolationofSoclionT03l.5byanyapplicsnllorsp€rmilsublectslhelpplicanllo
8 cival penalty ol not moro than tave hundred &llaB (tsm)
E SctronZOAa I.asownerolthsproperly.ormyemployeswithwag66thoirsolocompen-
salron, will do lhe mrt. and th€ slructure 19 not rntsnded or olls€d lor sale
E S*t,on 70448 l. 8s ownd of lhe property, am exclusively contractrnq wilh hccnsed
onlractm lo conslruct the prcj*i.
Oale otrner (Sig.)
Conlreloa t ta Only
Residontial !lndustrial !Commercial
s.00
10.00
NO.EACH TOTAL
ct(t
FIXTURES
each plumbing fixture/trap
Dental Unit or Medical Gases
15.00
30.00
5.00
5.00
5.00
100.00
1.00
5.00
Water Heater - Eleclric or Gas
Water Piping Ea. 100'
5.00
10.00
SEWER
Temporary Gas Service
1st 100'+Conn.
Repair or Replace Gas Piping
Ea. Add'l Conn.
Ea. Add'l Outlet
Ea. Add'l 10O'or Fraction
GAS SERVICE 1 to 4 Outlets
Private Sewage Disp. System
PIPING
A14 ^o-t o-t
PHONECONTRACTOR
lne 4*PtcA.L APda ck'TtoAJ
t e7f,l o;xr€? Av€
ADDRESS I
cttY hKE r LSt fi*€ ca
STATE/ZIP
rl Q-9bo
I hereby afi.m thal I am licen*d under the p.ovrsions ol Chapler
sub,ect to the Worte/s Comp€nsation Lars ol
No$c. To AlDllcnl:
It alter makrng lhrs Cerlrtrcale ol Eremptron. you should become subifft lo the Worker's Compen-
pf@rsims ol tlE Labor Code. you mugl torlhwilh comply walh such provisions or this
shell be dEmed ravoled
Erphdo6
This peimit shall exprre by limitatim and become null and void il thc mrk ruthdizod by lhis
parmil is nol commonc€d wilhin 180 days lrom the dele ol lhis permil d il work aulhorazsd by lhas
pormil is suspondod or rbandonsd sl 6ny timo aftor ths wolt is commnced tor a period ot 180
days. A ntr pdmit shell bo ootained tirsl b€tde sch wort en bo rscommncod.
3ot the
Compantalbn Dclf,allon
,4Pro16srons
{LLq"
Conlracto.
Exprres
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tnt5 lu ll
I sgrs loI certity thal I hav€thB application and 3late that lh€ abor6
Applicanl or Agenl
Code, and my elltrl
Calilornia
Date Applient (Sig )
I heraby alfirm that I
pensation
Oate
permil is Bsed. lshallnot employany
cerliimle ol consent lo slt-rnsu,e,
Certified copy is liled with lhe City
Applrcanl
the perfdmerceof
in any ronn67 so a
Apgloni't Madm
with all 8nd stil6 lews relatino to
horizsd this city to entd 10.00
I
Receipt No.7b
Wbter Service Ea. 100'
o'.pvr2"
Backflow Device 2" or Less
Orcr5
Vacuum Breakers 1-5
Repair/Alt. Drainage or Vent
Deck Drain System - fur Drain
Pool Traps
lnd. \rVaste lnterceptor
Bain System - Per Drain
Lawn Sprinkler
Rain Water (buried) Ea. 100'
Water Softner
- VentAlt. or Repair of
8.00
10.00
4.00
10.00
10.00
5.00
6.00
1.00
10.00
5.00
8.00
10.00
5.00
3.00
Subtotal
Penalty Fee (when applicable)
Violation Fee
Plan Check 650/o of subtotal
Pc#
Plan Check (Adiustment)
lssuance Fee
TOTAL PERMIT FEE -
-tDATE
(s0.00)
(minimum 20.00)
Date
Bi'A.-,li$"593]PERMIT ISSUED 8Y
fiv A7?721-4t2)dlz
Drslnbulron 1
CS-61 1
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MISCELLANEOUS
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BY (Sig
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PLUMBING INSPECTION RECORDS
Rcmarkr
Ground Work (Soil)
Ground Work (Water)
Water Service (Ground)
Gas Service and Underground
Lawn Sprinklers
Wasle lnterceptor
Pool Traps
Sewer
Rool Orains
Water Healers
Water Soltner
Bental or Medical Gases
Rough Plumbing
Final Plumbing
Temporary Gas Service
Noles @
Detc ln.pactor Approv.l
(Slgnaturo)
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APPLICATION AND a o CITY OF SANTA ANA
MECHANICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
206 W. 4th Street
667-2738 lhl
APPLICANT FILL !N AREA BELOW
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n Residential D lndustrial E Commercial NO.EACH TOTALJOB ADDRESS--37IO-Santa Fe Vlllage Dr., Unlt G
EACH FURNACE INCL. DUCTS ANO VENTS
15.00Up to 100,000 BTU"tT6/s+o-ortoo*Stfr,f lorer As soc iates
20.00Over|00,000 BTUMAILING AOOFESS
3315 Fairview Rd.
Costa Mesa
CITY STATE/ZIPcA 92626
EACH ABSORPTION SYSTEM
100,000 BTU to 1,000,000 BTU
30.001,000,001 BTU to 2,000,000 BTU
HEAT PUMPEACH COMPRESSOB, BOILER,
1 25.00 25.00Heat Rrmp Gompressor less than 5 HE-.
5HPto30HP 25.00
30.0031 to 50 HP
Over 50 HP 40.00
EACH AIR HANDLING UNIT OR VAV BOX
Air Handling less than 2,000 CFM 10.00
Orrat€ulot O.dt abo
I hsreby aflirm that I am exmpl lrom tho Cmtrtcto/s Lic63e Law lo( lhe lollowing rosm (Soc.
703 1.5. Businffi and Proto$ions Code. Any city or counly which rsquiro3 a permil to construcl.
eltei. improv€, demolbh. or ropair eny slructuro. prioi to ils isuance. al$ r6quir6 lh€ lpplicant
tor Buch permal to lilo s sioned statomonl lhat he b liconsed puBuanl to the provision3 ol tho
Conlraclor's Licon$ Lil (Chapld 9 (comencing wilh Selion 7mO) ol DivBim 3 o, ths
BBinoss and Proressims Codo) or that ha is sxompl lhoralrom and lho bsis lor the allog€d
eremplion. Any violalim ol S€c1bn 7@1.5 by my eppli$nt lor 8 pormit subiecils lhe spplicsnt to
I civil p€nalty ot not more than live hundr€d (bll8B (S500)l
ES""tionroat l,asownerotthoproperty,ormysmployesswrthwag6alheiisolecompen-
salion. will do the wort. and thg structure E not inlended or olrored to. sale.
E S*tion 70448 l. ss owner ol the prcperty, am oxclusively contrmling wilh licensed
conlreclm to con3trucl lhe protel
One
-
Oxnor (Sig.)
I horeby srlirm that I am licensed un@r the provisaons ol Chaptor 9. Orvision 3ol
AODRESS
3180 Broken Arrow
C|TY N-rA-rEz-,PNorco | 91760
Conlrrton t,tc Only
'2yryrvProlessrons Code. ild mv lrcense rs
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CONTRACTORSteel T. AIC
rn lull lorG 8nd 6tlel
o"r"lT21 47 conr.eroi
Outdoor Dual Packaged Healing or Cooling
Repair, Alt. or Add. to any Heating/Cooling sys.
15.001
10.00
10.00
2,000 CFM to 10,000 CFM
Fan Coil lnstallation
Owr 10,000 CFM
Each Vent Fan Connected to a Duct
MISCELLANEOUS
Floor Furnace
Heater; Suspended, Wall or Unit
Com'l Drler Vents
Decorative Fireplace (Wood or Gas)
Hood with Duct and Fan r)
25.00
20.00
15.00
15.00
15.00
15.00
15.00
10.00
15.00
15.00
15.00
10.00
15.00
15.00
15.00
Fire Extinguishing System
Each Evaporatilre Cooler
Fire Damper lnstallation
Each Appliance or Equrpment Begulalad by
this Code but not specifically listed abow
Hood with Ducl and Fan (Type ll)
lncidental Gas Piping
Suoto\l 60.00
*b.i.rr Coile.ildbn Oadrtbn
I hdeby affirm lhat I heve a cerlalicale ol @nsmt to selr-insure, or 8 cortilicate ot WoAd's Com-
p€mation lnsurence. @(tilied @9y B liled wilh the City brrilding
I cortrly that in the Frrormanceolthowork lorwhichlhig
p€Bon in eny mannd s as lo b@m€ lubi€cl to th€ Wtrto/3 Compons.lion Lrs ot
Calitomla
Nolle To Appllcrt:
ll alts makrng thrs Certrtrcateof Exemplron. you should be@mesub,*ttolheWqkeasCompen-
satron provrsrons ol the Labor Code, you musl lonhwrlh comply with such provrsrons or lhrs
permii shall b€ deemed revoked
anspetion dopartment
I shall nol employ any
Dale
-
Applicant (Sig.)
Oate
Erprres 4190 veriried By (sis )
on tt'L?'V7 Appricanr (sis
Penalty Fee (when applicable)
Violation Fee (s0.00)
Plan Check 65% ol subtotal 39. QQ (minimum 20.00)
Receipt No.Pc # 6917 Date 213
Plan Check (Adiustment)Cred\16.25
lssuance Fee 10.00
TOTAL PERMIT FEE (minimum $35.00) \r -0-
Erplr.llon
ThE permit shall oxpirs by limitatam and bocome null md void if lho work authsiz€d by lhis
permit B nol commsncod within 180 deys from th€ date of this parmit or it work aulhoriz€d by this
petmit is suspmd€d or abandonod al any limg arts the wort is cmm€nced lor a p€riod ol 180
days. A new ptrmit shall b6 obteinsd lirgt beloro such work cen be recommencod.
ADplb.Ga'3 hrrbn
I cartity thal I have read lhis spplicatim 8nd ststo thal lho above inlormalion B corr*t. I egre to
@mply wath all city ordinancG and slale l8ws rolstino to building con3tuction, and hsroby
authorized roprBsntetbn o, this city to ents upon lhe abovlmillionod prcp€rly tor i,|lpctim
o"a?a247 Applicent or Agent
purpos6
DATE / X.24-A 1 PERMtrNo. 1,37 7l l
Egl"fis"5L633 VERIFIEO BY (Sig.)PERMTT rssuEo BY (srs.) -- ailZ sn
vALroATroN (oFFrcE usE oNLY)ALL FEES PAID ON M 10865
t2 - LT - 8?
lion l lnspeclor Copy 2 Ftle Copy 3 Finance Copy 4 Applicant Copy
cs-6r8
25.00
I ?n nn
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MECHANICAL INSPECTION RECORDS
Remarks
Forced Air Furnace a
Wall Heater
Floor Furnace
Suspended Heaters
Air Handlers
Heat Pump
Plenum and Ducts
Compressor
Eoiler
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 lnrpoctor Approval
(Slgnaturol
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