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CITY OF SANTA ANA <br />PLAN CHECK - CHECKLIST <br />JOB ADDIN:SS 2964 2 Re -e <br />TRACKING #:l O J 91412- gb) 559 81 DATE:5-29-14 <br />FOR PLANCHECK STATIS CAM- (714) 647-5800 <br />PI FASE INITIAI- EACH ITEM RFI n18l <br />I agree to pay a plancheck fee established for this project with the understanding that this <br />payment is not a guarantee that a permit will be issued and that this fee is not refundable <br />once a plancheck has commenced. <br />I understand that I may request an "Accelerated Plancheck" at an additional cost to me. <br />This plancheck will be performed by an in-house plan checker with the intention of reducing <br />plancheck time for the Building & Safety Division. <br />I understand that the project valuation (from which plancheck and permit fees are <br />calculated) will be reviewed during the plancheck process and that said valuation shall be <br />adjusted up or down in accordance with established fee computation regulations. <br />2_ 4.I understand that I shall submit separate plans, applications and plane.heck fees for the <br />following when plan check is required: <br />a. Electrical Plans - 2 complete sets .c. Mechanical Plans - 2 complete sets <br />b. Plumbing Plans - 3 complete sets d. Grading Plans - 3 complete sets <br />1-JL 5.I understand that I shall visit the Public Works Department to verify whether a field <br />inspection of the property is required. I understand that prior to the issuance of the Building <br />permit I am required to obtain Public Works Agency approval if my project valuation exceeds <br />$30 .1 1 1 lumbing fixtures, or added bedrooms, or exceeds 500 sq.ft.,uuu or nas aaaea D <br />)PLICANT O64GFAGRFFn TO RY AF <br />Applicant's Signature <br />1152Print Name d ,Addrpqq Ao).F 00* 540- 44 C ty\[8 (1t'%* <br />Telephone Number f 13 - 0331 -015)Fax <br />FOR OFFICE USE ONLY: "Checklist of items discussed" APPROVALS & FEES REQUIRED: Y/N <br />1.-€Planning Department <br />2*-Public Works Agency <br />3 Fire Departmemt <br />4!8 Police Department <br />51*School District <br />6| Health Department <br />76& Title 24 (Energy ) <br />8*-Title 24 (Disabled Access) <br />9.21€oof Mounted Equip. <br />104&List of Subcontr. <br />11.-e'Bldg. Pmt. Info. <br />12_k'Summary of Appr. Reg. <br />13.2FY Information <br />14.ktonstr. Act. Reg. <br />15!2-Res. Dev. Fees <br />160MIP <br />17Microfilming <br />18..96onst. Debris Recyc. <br />190*CWP Surcharge <br />2060'COAJOwner-Builder Ver. <br />PERMIT TECHNICIAN 14-1.kA a-* a - <br />Form 58: 3-26-04