HomeMy WebLinkAbout102106237 - PermitProject Address: 1420 N Broadway
Assessor's Parcel: 398-522-21 Lot: 5, POR 3, POR 7 Block: 3
Unit: 7 Bldg: Address Range:
Tract: HELME'S ADD Historic: Yes
Suite Range:
Zoning: SP3
city of santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 1o.210,fi,237
Pin#: 22W
Building Use: tlultlfamlly (5 o. more unitr) occupancy: R-l 1st FL AreE Patio:
JobType: Alt r.tion Constr Type: vB 2nd FLArea: T.l.Area:
Nature of Work NrV - lntorior Remodel Code: CBC 2019 Other Areas: yards Reqd:
Existing Bldg. & use ap.rknents Flood Zone: x.l)8o2320163J GaEge Area: v.tuation: tlO,qrO.OO
Propos€d Use: # of Stories:
Total:
O..cription of lryork: Into.ior ro.nod.l to unlt #, inlcuding bathroom .nd kitch.n. OK TO ISSUE SUBJECT TO FIELO PER T. LE
Planning Conditions:
Owner:
Address:
Phone:
Tenant:
t
Yifeng Yuan
71 Oval Rd
lrvine, CA 92604
(626) 922-7823
Contractor: PPRS Plumbing lnc
Address: 2300 S Resevior St #109
Pomona, CA 91766
Phone: (866) 261-3329
State Lic #: 1043830
Lic Type: C-36
Bus. Lic #: 377758
Workers' Compensation !nsurance:
CaTTieT: STATE FARM FIRE AND CASUAL.I
Policy #: 92GPW465
Expires: 0611812021
Engineer.
Address:
Phone:
License #:
Architect /
Desiqner:
Address.
Phone:
License #:
a.
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd. No
Landscaping lnsp. Req'd: No
Orozco, lvan Date: 0312512021 Misc. Receipt:
Date: Misc. Receipt:
Chavez, Dave Date. 04t12t2021 Misc. Receipt:
nTCz Subject to Fietd: T. Le
Fire lnsp. Req'd:
Police lnsp. Req'd Account#
No
No Total
07776002
07776002
07776002
07776002
07776002
07775002
07776002
07776002
Permit Fee
Subject to Field
Microfilm Records
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
s7607
53600
57770
57607
57607
57672
57600
57607
$172.64
$172.65
$4.0s
$104.26
$261 .96
$1.00
$23.7e
$5e.30Flood Zone Cert. Req'd: No 01 .l 16002 51600
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days after ifs issua nce,or if the work authorized
on the site by such permitis suspe nded or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 2021-1651 16
01116002 51601
01 1 16002 s1612
01116002 s3600
01 1 16002 57770
$23 79
$598 16
$1 00
$172.6s
$4 0s
$799.65
$0.00
$799.65
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor I
S u bf loor/Ve nUl ns u Iation a l7 u SA-'t+{/
Roof Sheathinq I
Shear Wall
Framinq
Insulation lEnergy -,,
Drywall Dkryk 7
btffi*4,Ext/I tb a L
Bro\nfCoat /
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL tf)-5-Ll l--f 1-
Certificate of Occupancy
Nofes, flemarks, Etc.,.71 ^ll ,1 tJ\-
ht 1 'l/_..-- t)lQ( a-)/ DlW6"/\\\l' I
OWNER BUILDER DELCARATION
I hcrchy lllirm undcr Jrcnally of lErjury lhal I am cxcmpt liom lhc Conlraclors' Lbcnsc law lirr thc lirlhwinS rca$n iscc.pll.5
Ilusmcss ad Prolbssion Gxlc): Any City or County which rcquircs a lrrmit t(, construcl. allcr. improve, &molish or rc;uL any
slructurc, ltri(rr b ils issuancc, also rcquircs thc applicant lbr such [Ermit kr lilc a signcd statcmnt that hc or shc is liccnsd pursuant
to thc p()visions of thc Conlracbr's Liccnsd Law (Chaptcr 9, Comrcncing wilh SNtion ?000 of Division .l of thc Busircss and
Prufcss(fis Codc) or thal hc (r shc is cxcnrpt thcrcln)m and thc basis li)r thc allcgcd crcmplion. Any violati(]n of SR-tion 703 1.5 hy any
applicanl ti)r a JErmit subjccts thc applicant to a civil pcnalty of not morc thm fivc hundrcd dollars (5500).
_1, as owncr of'lhc propcrty, or my cmployees with wagcs as thcir solc compcnsation, will do thc work arxJ thc struc'turc is not
rntcm.lcd rlrotl'crcd lirr sale (Scc.7044, Business and Profcssions Cqle: Thc Contraclor's Licensc L:rwdocs not applyto anowncrof
the pnlprty who builds or inrpnrvcs thcrcon, and who docs such work himsclf or hcrsclf or thnrugh his or hcr own cmpkryccs,
provitlcd that such improvcrncnts arc mrt intcndcd or ol'tcrcd lirr sale. It. howcvcr, thc building or improvcrncnt is sokl within onc ycar
of conrplction. thc Owner Buillcr will havc thc burtlcn <ll'proving that hc rlr shc did rrrt huihl or improvc thc propcrty lbr thc purJxrscol'
salc).
_1, as owncr ot'thc propcrty. am exclusivcly contracting with liccnsed contractoni lo construct thc projcct (Scc. 7W, Business
arxl Pnrtbsskrn Codc: Thc Contractor's Liccnse Law docs not apply to an owner of propcrty who builds or improves thercon,
and who contracts tor such pr<rjccts with a Glntractor(s) liccnscd pursuant to thc Contractor's Liccnsc Law).
_l am cxcmpt undcr Section_, B. & P.C. for this rcason.
f l.-. ^.
WORKERS' CONI PENSATION
DECLARATION
I hcrcby affirm untlcr Jrcnalty of pcrjury onc of thc tirllowing dcclarations:
_l havc and will maintain a Ccrtilicate ol'Conscnt to Scll'-lnsurc filr workcrs' comJrcnsatiotl, as pr<lvidcd tirr by Scction .1700 of the
l.atxlr CrxJc, for lhc Jrcrlormancc of thc wrlrk firr which thc Jrcrmit is issucd.
_l havc and will maintain workers' cumpcnsation insurancc, as rcquircd hy Sectiorr .1700 of thc Labor Code, tbr the pcrtrlrmancc of
thc wrlrk liu'which this permit is issued. My workers' compensation insurancc carricr and plicy numbcr arc:-
Poticy b t)
_l ccrtily that irr thc Jrcrtirrmancc of thc wrlrk lirr which this issucd, I shall not cnrpkry any lrcrson in any
so as to bcconrc sulr.icct to thc- workcrs'conrpcnsation laws and agrcc that if I should hccomc subjcct to tlrc
workcrs' conrJrcnsation pnrvisions of Scction 3700 ol'thc Lahlr I shall. tirrthwith comply with thosc provisions.
WARNING: Failurc to s:ecure workcrs' comJrcnsati()n coveragc shall subjcct an empkrycr to criminal and
irt c()sl compcnsation, damagcs as firr thc
I hcr,-by allirm undcr Jrcnalty ol'Jrcrjury that I am liccrrrctl undcr pnlvision of Chaplcr 9 (comnrcncing with Scction 7UX)3
ol' thc IJusincss and Codc, and my liccnsc is in lirll lirrcc anrl cll'cct.
I-iccnsc a
D x
CONSTRUCTION LENDING AGENCY
I herchy allirm undcr pcnalty ol'pe{ury that there is a construction lcnding agcncy tirr thc pcrftrrnrance of thc
issucd (Scc. 3097, Civ. C.).
lrndcr's Namc:
which this pcrnrit is
[-cndcr's Atldrcss:
APPLICANT DECLARATION
I lrcrchy allrrn undcr pcnalty ol';rcrjury orrc of the lirlklwing dcclaratiorrs:
Dcmolrtkrrr Permits-Asbestos Notil'ication Fcdcral Rcgulations (Titlc 40, Part6)
_Rcquircd lrttcr of Notilication
L*:T,::l'cdcral rcgulations asbcslos rcmoval arc nol applicablc to this pr<ljcct.
rcad this iurd statc tlrat lhc ahrvc inlirrntation is con'ccl. I kl comply
his City
with all City and County
rlrdinanccs and Statc [-aws relating to County to cnter uJxrn thc
atxrvc mcntioncd pnrJrcrty lilr
Applicant or Agcnt
Penrrilee nanre
and autlxrrizc ol'I
,
Elarr n9--n7 -2n I q
a
a
Ibt
\
civil lincs up to ()nc
Scction 1076
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