HomeMy WebLinkAbout2233 S Oak St - Misc. Permit (6)o oAPPLICATION AND
ELECTRICAL PERMIT
(TYPEWRITE OR PRINT IN INK)
CITY OF SANTA ANA
206 W 4rh St.
667 -2738
APPLICANT FILL IN AREA BELOW
iro EACX tola!E aa,oenr,at D lndushar El commercar
F... Hot 13, uot.l.. Apt, S{r tr
G.r. or C.rport! sq Fr o2
50
50
tftJ-
I
G: A-v.a--.-.
0-L)S
.)<-"-
€ach
500ADp.ovd Factory Wi.ed Unn
8u3waE, ap€clEl rac€e5yr. und.r rroor duct
tolloy or plugrn bu3lray3 6a. !00'500
Fre Signalrng Systom. Minrmum ls€
Oull6t. 8mok. ot h€al seruor
r0 00
50
tryhting Sland.r@ *rlh Ono Lrhp
Each AddI nnure on samo sEnd.rd
500!oo
OuiaLdar Daclr.rfon
I lE .Ot.tlim thlr I .m sx.mCr 1106 th. Co.rrcror'! Lic6n!. t w lo. fi lo{owi.g r..!o.! lS..
7031.5. Suri.rr.rxl PrcL.lidis Co& A^y cry o. calnry *t!€h iqu".t r t rmt ro con ru.r,
ata.. tmroE. damorah. d ,.p.n lny 3r$ie. 9.s lo i! qteb., arao r.q@! rh..ophcrrr to.
e,.n pard lo la a rg..d ia.@ rfl h. '! r6.rd p{.!!,lr io rh. ,.o$ao,!a ol n co.raa-
ls'r Lc..l. L.* lcrr.Cs 9 lco.rraE.g sni S,-to6 ,ml o, Omtoi 3 o, i!. BuJr... rl(l
Iro{.troE Cod.) o. fir aE ir.r.rifl lh.r.i.o.n 16 iE b.*!,o. nr d.!.d.rtfttto.t AnytEL.
uo. ol S.clb. 7O3i 5 b, ,r Bdi:&rr lo. r C..nn riFcB ih. .Caa.mr to . cMl p..xIy ol ior
.r!o.rhtl t6n rdod doL61,6@lr
X Or* r*^ 1,.!o*n r or h. Droo.ny, o, hy.mdov..! * hw.c!rrtrh. .ohc6.
/ D.^aarM, dll ab rll. *o,r. ar{ rh€ n uartr! ra nor n|.n<bd o. ott 6dld{L
E S*-r rO{a l. 6 6rrrr ol r't o.o.r. trrr.,@rurv!
tct'' b carEEr aa !,lacl{* l'lt.'71*-,n,
5000Marnlonanco P6rm lannua0
Up Io a00 .mp., p.r m616.
Ov€l 4m .hp.. p€l ,n.t6.
Ovsl l20O omp6, p.r mol€r
s'gns and hrgh pol6.tar gas lub€ r€hlrng 15 00
Swmlni.g pool8, lounla'ns, 6pag 3500
Swilchboard. molor conlrol c€nl.r or !ub-pansls
Each
r500
Tornpo.rry conalruclion m.lcr tanlca pola
E ch dlrdbutbo pota
25@
5m
I h...by .$m th.t I rm llc.n*d ondr ,r plovillont ol Ch5pr€r 9, OMron 3 ol rh6 8{d.or! |nd
Prol.so.B Co&, .nd hr rEo$ ts '^ ,Ldl ldc. ..d.ltel
O.Lcdurrd{s{r-
Conl..ctor U.. Only
CITY
-
C'ty LE n.-
Tompo.a.y conllruc1roo lightng
50O tempa o, tcaa
Ovar 50O l.mp.
200
a00
Tihe clock o. pholo €loclric c.ll 3.00
POWEA APPARATUSj Gen6ralor.. motor!,
Iraftlorm..3, r.clillcrr, indullri&l h.aliog,
coofihg, or baklne aquiprn.nl .nd olhc,
apparalua a! lollow!:
up lo and mcludlng i HP, Kw, l$A
Ov6r 1 and nol over 10 HP. XW, Kva
Ov€r 10 and nol ov€r 50 HP, XW, KVA
Ove,50 enO nol ot.r 100 HP, KW, KVA
O/or 100 and nol ov€. 5)00 HP, KW, XVA
Ovor 5O0 HP. KW. XVA
2-00
5.00
r0.00
m.00
30.00
a0.00
'llll)tut-,t t /o-ar .0--a./i6:
(1'I
9&iLa.r Co.llp.nratlon D.dt..drr
l h...bv .fiifr hll 1 n.6 . cdr,l'@to oi cons ro $rr-nu6, or r c.n'lc.l. ol Wod.r'! C@p.n-
eU@ h$66 C.nrl.d copy 6liLd w'tn rl Crry bu'rdr.C 'n3p@ho
I c.rnly lh.r 6 nx p.do.rn ft. ol rh. wcl ld whdr rhl. p.rm'r l' llled. I $!rr mr mpby ey
p.r$.r
'. .ny hlnmr to rr to b.conr. $bacr ro ir6 Wb.td's Comp.nr.non L.w' ol C.l orn[
XodotAeCc.rt
ll. dtdt&[ ii. Ciiili..r. ol Etmdb.. roe rhdrld b.co.r. rn dio,rltb r'! cdtp..r
r.rirr 9ro!is.. ol nr l.tD. Co.b. vo{ nud |rrri-dr cdrloly wi6 rrcl| C.!!tE|t oi dir ,.irn$.4bd-n d,.d.d
7-,
tti. Er4il..- \r-ti.d 8y lsa ,-
o.r.- &olt .nr lslo I
1'
Ponalty Fo€ (wh6. applrcabls)
VolalDn Fe€ (mnmun 35Om)
Plen chect 65it ot s{btotat{mlolmum 3mm)
r0 00
TOTAL PEaIr FEE lmrnrmum t3500)
Erdrdor
Ih6FE(naa.rrDbvrRr.to...rdb.cdt'.nulrdvld t wtrrtbn.dtytf.!p..Dit''
rcrcdi rEE d*in lO d.y. ti(n rtr d.r. d 0!6 t m d n \,,qt.utno.lr.d !v ta,..ntr !
rrI.o6d o.D...lqrd d lny o,il..t . rr "rdt. csrrl.rl..d to.. C.r'od ol !8Odw! 4..*
F it tlr.a !. otr..r.d L, !.to.l r.h wqt c,r !.,rdwrx.rc.d
arrnL,c.rr'.i o,rrl.r.rl'on
/L-l-t)-/t ApolEar d Ac6r ls'c r
OATE l-r2-t?6FPERIIT XO.
4 VER'FIEDBYTS{ r_
AUILDING
vAUOAl0r roFf rcE usE onLYr
tAccouNlrr-ar3)0r/ru8 3?+gPll {13
Disrribution: l.lnspoclo.Copy 2 Fil€ CoDy 3. Flnance Copy 4 Applicanr Copy
I
15 00
35 00
7500
rc No-
At
M4L
ii: . 0rll
W
@c
Ezd)
oc,*
aa
a,lNt\
{A
tA
I
l
tA
DlBtl-lrs
It
I
I
..!lr*,"o1 rNSPEcro* *r.t,,
Rema*s
Arr Condtrone,s
Bonding
Faclo.y Wrred Unrl
Floor Duct
LOht Fixlures
LEht Slandards
Srgns
Spas, Pools, Fountarn
I6mOorary Ughling
Tasn{ormers
Oate lnapactor Aporoy.l
{Shortur.l
a/rria 4*.r.fr)
t
EACH TOTALil4"""""0", I
"arstriet
E comm.rciat r{o.
FIXTURES
JOBADDsESS
9+Y-t3(2_-2r/*6 4.00each plumbing fixture/trap
(-/
10.00Oontal Unit or MedicalGas€s
SEWER
10.00lst 100' + Conn
3.00Ea Add'lConn
3.00Ea. Add'l 100'or Fraction
30.00Private Sewage Disp. System
GAS PIPING
5.00GASSERVICE 1 ro 4 Ourlets
1.00Ea. Add'lOutlet
20.00T€mporary GasService
MISCELLANEOUS
(}Il|--8dd.rM.l
I h.l!b! lrrhn $d Lm .r6mpr lrom ltls Co.$acrof3 Li6.s L.w lor tho lollowing rden lse.
7031.5, Bu.lr'.3r ..'d ProLrlih! C.d.: Any oiy or co'rnly which 6qui63 t p.rhil to co.rlttucl,
lltlr. imo.o'.. rhholi.h, o. l!o.t .nv $ructuG, p.id lo il! isane. !l5o Gquire. rhe lpplic&l ld
'rl p.mn b fl. r nlnod .r.t m6nt thlt h€ is licsns.d ptr6oDl lo t16 proenoru ot itB Cmt*_
to.'. Ljcons L.w {Ch.trd I lcmmei.g wih S.cIifi Tmol ol Dividm 3 o, tho B{$n.$ end
Prsl.lliro Co.hl d lh.t h. it .xompl li€.llldn .nd lho b.!i3lor lh. !ll6!Ed .r6mprio.r. Art viol&
ton ol S.crb. 703r.6 by .ny .pd'c!.t tor , p.nar arbiecl! ih. 6poli@.t lo . .M p.n.lv ol nol
mo.. th.n liE h0.d6d d,olhls I asOO):
! S"a,on ZO.l,ol l, !.o*mr oftn6 p.op6rty, or hy oholoyess wlh w.o.saslh€ sol6 com'
o.nsrid, will .k rh. wqk, .nd rhs lltuctu.s is nol ,nbn&d or otl.Bd lor 3.16.
E S*ri- U OalA l, .! oem.r ol th. po?..|y, .m 6xcrusivolY co.lrscri.C with licon$d @n_
racto.r lo @Nltlcl th. projEr
D.,. O*mrrs{ r
-
STATE/ZIPCITY
C
5.00Wat6r Heater Eloctric orGas
Cooir.cto. Ur. Only 4.00Water Pipinq Ea. 10O'PHONE
$t -t ot 1s
CONTRACTOR
4.00Bain Water Piping (buried) Ea. 1OO'
4.00Water Sottener
?-3 Sa-z.. '&ov.--rllj t)< .w 't
Alt. or R6pairot Drainag€ -Vent PipingCITY
t--fr,...)- ^ l-|r -._o
t olr,r9 >oi3*3.OOL,awn Sprinkler
4.00Rain System - Por Drain (inside)
8.00lnd. Waste lnterceotor
5.00PoolTraps
3oo IIRoof Drain Systom - P€. Drain
3.00F€pair/Alt. Drainage or Vent
5.00Vacuum Breekers 1-5
1.00Over 5
5.00BacHlow Devico 2" or Less
10.00Ovet 2"
i.\\
Waler Service
RE
-
o.ov'soDsol Ch.ord 9 D'v'eoo 3 ollh. Bu3'ns3!3.d
;." {rfu"a-rt< . rarl- 0{A
tryori-. Cor|rp.lr..tlon o.dr.don
I hs.sby.tl.m tn.r I h€w ! @nifE.|' ol coh!.nr ro $lt-in3ur6, q ! c.nilicao ol l4b*sr'3 comp.n_
l6niiy thlr n $o O.rtomem6 ot tho wol( ld which lhB p€rmrl is issu€d, I shall ^ol omploy 6ny
p.rso i. 6ny m6h@r e sr ro b.come sub,ocr ro rh6 wb.r.r's comp€n*ion L3ws ot cBlildni.
Y
(
I h..&y.flim U.rl.m lic.n*d und6. lh6
Po'6s@ f lzrt9qey Xonre€+'I -r-'z
4l
Subtotal
'--"rar$
eY "riru,E^wpl
_r" ,wopfCI/Oi.
Penalty Fee (when applicable)
Violation Fee (mlnlmum t35.OO)
Plan Check Fee (minimum $t5.OO)Accl.* 1 1-402
Bece pt No No.
10.00lssuance Fee
314TOTAL PEnMIT FEE (rnlnimum l35.Oo)
PERMlr o. 58 /4o^fE li -/h*t
ExPhort
Thl! Fmir !h!ll.xri.. by limitltim .nd b6com. nlll .dd wid it lh. rcd .ulhdizod by thit p..mn E
mr c@Nnc.d wibin 180 d.t! iiorn th6 d.r. ol this o€rftt o. wo.t 6!lho,iu.d bv ttB p.mir is
wsp6i{6d o. .5.ndon€d d .nV rim .ft.r rh€ wdt i! cmm.nc.d ld . p..iod ol rAO dly3 A Ew
p.m !nr[ !. obrriNd fi'lr bolo., .uch wqk c.n b6 r@omm6.c.d
A99lclrl'. Ordr.do.r
I @.tly th.r I hrv. 6.d rhis rppli€tio..d 31116 rtul lhe sbos
comD! wirh lll city ddim@! snd 3la1s law3 .sl.t.o ro boildi
un (^'t \ Q-( /*,clnr
q re6nr rsi!
ton is comct I dg.6 to
.iz. l.pr.si.tiw! ol this cily to 6.16. upon lh.
PEfiMITISSUEDBY ISE
3500:b 311S8-siIR 3lcVAUOAIION IOFFICE USE ONLYI
IACCOUNTTll-4121
a | .,r"orsoNrAANA
20 CIVIC CENTER PLAZA
834-4186
APPLICATTQN AND
PLUMBING PERMIT
0A{TYPEWRITE OR PBINT IN INK)
APPLICANT FILL IN BELOW
c
Iz
Distribution: 1. lnsDeclor Copy 2. Fil6Copy 3. Flnonce Copy 4. Applicant Copy
-1
>>3' ,. o^z-
cL-f4<-*+
D.r.- a@lrcan' rSE r
tlodc. To Agglcrrr:
ll. .li6 m.ti.g rhis C..trfE!16 ot Uomprion, you should b.coh. sub,6ct ro fic U,{cltor's Cmpon_
r.ton ,.ovisrons ot rh€ Lsbo. Cod€, y@ hu3l lo.rnwnh .omp1Y wirh such prryEion3 or lhB p€rmh
sh.ll ba rL€m6d rwot.d
Y,*i:;f," z? r21 u,,,,,o ,,*,,,ufu&-
" S1.t tt
3.00
a a
PLUMBlNG INSPECTION RECORDS
\
Romarks
Ground Work (Soil)
Ground Work {Water)
Water Service {Ground)
Gas Servic€ and Underground
Lawn Sprinklers
Wasta lnt€ac6ptor
PoolTraps
Sewor
Bool Dr.ins
frentalor MsdicalG6sos
Bough Plumbing ,/,/t 6-
Final Plumbing
Temporary Gas Service
Notes
h
Dato lnapaclor Approval
lSirnlturcl
ZroUa.-'64
d fu-+ar"--,
?
TTHI
t
/,O a:/-
A/,
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