HomeMy WebLinkAbout2233 S Oak St - Misc. Permit (7)I
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APPLICATION AND
PLUMB!NG PERMIT
(TYPEWRIIE OR PRINT IN INK)
APPLICANT FILL IN AREA BELOW
CITY OF SANTA ANA
206 w 4th Street
6€,7-273a
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t{o.EACH
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55
5.00
r.m
5.m
Or|...tlrL! O.drabG
I fpr.6y .rt.h rh.r , .D .trnDr hoD tlr C@rr.cro/r L'cde l.r b. ri. tolloiig r.ron ls.c
7001 5 8(,'lr... .rld P,ol6]o.r. co.. Arry ot, o. cou.ry *hlcn ,q!'.- r 9.rdr ro coiirtrecr
1r... rhcrm firndrrr. o, ..r.. lny rndul.. ,i6 lo 'r. rru.nc.. .llo r.qurn t .ctlrcr.l
io. rrcn ,ardr ro tE . arc.- .rarainarn tnar ha '' nc6ild 9!6ead ro rha Prov[arn oi m
conrt cro.. Lr...- ld (chrrr I lco'r lo., hh s.do 7@) ol on.lo r 3 6a !r.g{fit r..nd ProLr..!. co&, o, It5l h. lt .trh9i rLrlarm ..., i!. !-. d tn *!-
.r.6lclloi Any roar|o.r ot s.croo rBl 5 Dt rry.ccr..rn b..9..nir..4.cn ln. p ctrr ro
. c'v'r Foty ol .ol no.. rr.. tv. n nri, (blrr'r 65@)
O s."to" roge Irdn .ol ln. prq.iy.d.itornpbr-.r'rnrrg-.. rxntoEco.ts.G
tarro.r dl (b lta roa. a,!d tE rlt,clrrr! ! .or .{adad r oalra., b. rda
E S."r- zorrs r. - osr ot trr ,.o!.ay. rn .rdrlr.ty cort,-tn9 ran lE .d
cornracldt lo corsld tu p.lract
On
-
Orr.r (99 )
Ternporary Gas Servbe
Whtsr Healer - Eleclric or Gas
100.00
5.00
10.00
8.00
CONTFACIOFk .\lo, rr/nrra Ce,r.r-rclz-32q -6tolPHONE
4.002-O-1 lO s Lc'ArPtrpoO
aoohEss 0
r0.mCITY
d,r.f?Sorr)
STATE/ZIP
cA 109q6 6.00
Bain \ hter Piping (burbd) Ea. 1m'
All. or R€pair of Drainage - Vont PipirE
.Eain Sy$€m - Fer Orain
\rvater Piping Ea. 100'
Water Soflner
Lafln Sprinkler
10.00
8.00
I na.by artrm lhai I an |rctnlad !.d.r ttE p.o6loB ot
L
Cr(b. Ii! 6y haar, 6 '. lurr lo.ca ..d .ti..l
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lo.Lr Ccrtan &i o.d.aci
r rs.6y.nr6 rMr I h.-. o.r tc.a ol @lu.llo-rl-'^&o, or. alrlral.oa lrb.t- a coG
9.r!.16 rEd.^o Cdi'i.d @pt . nbd rnn tr crry b!'k 'n9 '.rp.crrsr .br.dnlnr
I c.rl.t lh.l 'nln.D..lo.h.dolIn wort,o.rnl.nlhl'Carm ra arrad.I ah.ll trol6doy.ny
!.rlan '. ..Y dn to o ro b.6m lbr.cl
ra.aki t AFlcttr:
ll.ir h.rr69 lnl. cdrncd.olEtcfipr'o.r, you!ho!lr, b.coD.rlbt cirorh.worr./. conc.]Ll6. p.@r.lo.ra ol lha Lbor co<r.. yoo hu.t lonhrth @opry rnn llJch ,ovr]d|t o. lha
,.rDt .nd !. d..nr.d rtlorn
th. wdtdr comr.,firbn L.r. ol
on.
-
ADpr€.d (slg)
*," 5 ' 1 1: Y1 ^0,'.-, ,
da
EtPr|r.
-
tritLo t l9g.l
tl R6id€nlisi D lndulfiiel D Comrn€rclel TOTAL
FIXTURES
eadr plumt*E fixtuG/lrap
Oental Unil or Medical Gases
SEWER
lst 100' + Conn.
Ea. Add'l Conn.
Ea. Add l 100' or Fraclion
Prival€ Se$€ge Disg System
GAS PIPING
GAS S€RVICE 1 to 4 Outlots
Ea. Add'l Ortel
@at or F€pl@ Gas PipirE
MISCELLANEOUS
10.00
5.00
10.00
r5.00
5.m
5.00
30.00
l4flol
nr p.. .h.r a$.a t r rarari .ra b.co.. nrl frd vo.d 'i lll m.t f,rtc!- !' hl
,.rlnt. mr coo.rric- rinr. ro.ly. noo fia da. ol tr.. F rl o r irr.ur!rt.d D, !r.
,.mn ! qrc..xad or .orxb.r.a r ,ry trD dE rrr rgt .t cqtrn.rrd ra. . Friod oi lD(,.y! A ,rr a..frr rhj b od.ri.a i.e b.lar rrdi rst c.. !. rEdrrra.d
ld.-iloffir
r cl.rrt lrta r i.!. rd ln..lrclt,.noi .trd ,l. rhd nl..!o. *tlofitlo. a co.rG r .lr!b
.o..r, hlh .rr oly o.dr[!rc- .nd rnl. Lr r.rah9 to bo .160rrrtu'[d r.9..nLlD. oi ln[ cny ro dnr upo^ tll .bo*rE\l
u,,lt2-27_(mhimume-
5.00
10.00
3.00
10.00
r0.00
5.00
5.@
1.00
Pool Traps
\rvater Servrce Ea. 1m'
D€ct( Dra. Sysem - Fer Orah
O\€r 2"
R€pai/Alt. Drainaga or \lenl
Backflow Oevice 2" or Less
Vacuum &eakers 1-5
Ov6r 5
Subtotal
Penalty Fee (wheo applicable)
Vdalloi Fee
PLen Ched( 65% c, $btotal
Phn Ch€ck (Adiunm6r{)
lssuanco Fee
TOTAL PERMIT FEE
DATE
(so.m)
Dale
(minirrum 2O.m)
A€ceipt t'lo.Pc*
P€FrMrl rssuEo BY (s]lg )
BUILOING rv1rl.v€hrFrEo 8Y (slc
Js.E4 tzo
vALro^Trot (oFfrcE usE oNLY)
|ACCOUNT TT r-ara
OBr.rbur'o. 1r..9..ro.CoCy ? t.l.Copy 3 F'n.^c.C@y a Appr'c..iCoPy
cs-6r I
\lbste lnlerceptor
n,fu
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I s|r'l<e?1
<lf1^n G."'knNaA Arvn
8 o:l
oi'. S ,"oX
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PLUMB!NG INSPECTION RECORDS
Grcund Worl (Sorl)
Ground Work (Ware4
Waler Soryica (Ground)
Gas Servrce and Underground
Lawn Spnnklors
wasto ln16rcoptor
P@l Traps
S€*er
Rool oreins
Walo. Solher
Renlalor Modical Gases
nouqh PlumbrnO
Final Plumblng
T6mporary Gas SeMce
O.la lnrpaclo. Approval(8len.hrr.)
arJ
-/vt
),Itl'-(w)
Y_7
Notes z
1?-
4tiLtcxtoN AND
IUIECHANICAL PERMIT
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ITYPEWRITE OB PRINT IN INK)
CITY OF SANTA ANA
20 CIVIC CENTER PLAZA
834-4186 f/rA
APPLICANT FILL IN AR BELOW
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F
545-)gELnanu-tL
9a,w. .,-
LZL\ 9 MV_
12rd,.d
t'" s.A
Ownc. Euillnn Oeclaral'o,r
ho.. lhm rhn tundl.d do{.6 (95OOl
D so.ur rOree l. 8 orrx. ol rh. ,ac..ty, or ,iy @r
9..r..tb., wl & Itr. Et, d tt rtrrcl!6 i. rcl nt .r,.d
D S*tion rOqg l. .! o*m. ol th. pr@.ny, sm .rclu3wry cmr..nn! wln lrc..-d @
t&lor! lo co.r&uct tryoFcr.
O.l.- ovsrslc r-
l?asSr*rov
AilonEsszq*z lr1,ovM
,,, ln..l"ff/-tolo
?apq-'-{ srAIFrTrP
,*^.2;l:7* .,* 84
I ldt
qz8 qzz
Contrrto.Ut. Only
** 4=l!'t\i'rac,o,,s,s r r.
qz[,*l,ha
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Work6.3 Comp6n3ation Oocl6ralion
ro rho \ b.r., 3 Comp..
.4 -|-1942
lc..!ty rh.r n lh. parldm.rc6 ol rh6 wdt lo
l,, rrr.r rd'nC rhs C.ir'lE r.olE
oro o.os.roi! o, th. L.bo. Codr,!l b. d.fid r6tdt
Notico To Applicanr
tlr
,.,en h ..y m.nn$e.!ro becomo $bFct lo
cril.- A!er.a^r ts{ t-
NO EACH TOTAL
FIXTURES
EACH FURNACE INCL OUCTSANOVENTS
EACH AASORPTION SYSTEM
IL|
,)l
, ,l
EACH COMPNESSOB, BOILER- OB HEAT PUMP
EACH AIR HANOLING UNIT
MISCELLANEOUS
800
ltm
r5.00
22.fi
37 50
600
I1.00
l5.m
22.fi
37.50
4.60
450
10.@ t
200o
10.00
10m
TOIAL PLFIMIT FEE . :
| | ro oo l/O-T'ooof
10.@
6.00
4.50
ach Vent Fan Connscr€dloa Duct ,ry14ro
6.m
10.00
6.@
5.00
6.00
6.00
4.50
5
PERMIT NO
loa
BTE?
00F
OATE t-
Erdrrddr
Th't p.m'r thtll6rp.o by I'm'tato. ..d b€.om6 n!ll..d vod ,l lhe wolk rurhonz.d by lh'! D{h'l L
nol comm.nc.d wtrhrn 180 days lrom ih€ ddrs ol lh,s D€, hr r or I wo.k :orhoded bv th,! p€'m't l
Appllcani ! D.chrano.
t!rp..r&d d tbanddEd ,l .hy nru .ll.. Itr
F.fr 3h., !. Ohra,rrd ,r!r 6.toE lfh wd
iort 13 cofr@rc.d lo. ! D.rEd ol 18O drv! An w
Distribulion: I lnspGctor Copy 2. Fil€Copy 3 Finance Copy 4 Applicantcopy
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rs.oo I
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d
Fan Col lnstallalon
Dry Chsmical Sysbm
Each Ev6por6tive C0016r
lnc'denrrlG6s Piprng
Fr16 Damp6l lnstall6tion
E6ch Applianc€ or Equ'pmenr Rsgubr€dby
rh's Codo but nol spsc,tcally I'sl€d abovo
Hood wlth Duclend Frn
t
I
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^se.i,s."
wYl -di,---,-J
-siTR !tlgVALIDATION IOFFICE T]SE ONIYI
laccouNT,lr-ar5r 3500:b 31ttse
Date Inapocto. App.oval
lSign.tu.c)
hr2 v4r'u. d B
tu U*.<ilv ,fluryt-
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MECHANICAL INSPECTION RECORDS ]
Remarks
Forced Ar Furnaco
Floor Furnace
Suspend6d He6ters
Arr Handlers
H€at Pumo
Plenum and Ducts
Compressor
Borler
OrJtdoor Dual Packag€ Unit
Decoratrve F{ePlace
RangE Hood - Ouct and Fan
Fan and Duct
Appliance Vent Through Foot
Evaporatrve Cooler
Bepair, Allcralron, Ducls
Fan Coil lnslallatron
Gas Piping
Bough lnsp€ction ,//- /- 7a
F|nal lnspectron