HomeMy WebLinkAbout20273117 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-580A lnspection Requests: (714)667-2738 lnspectorSection: (714),647-5853
Permit #:20.273117
Pin#: ,X,
Project Address: 1420 N Broadway
Assessor's Parcel: 398-522-21 Lot: 5, POR 3, POR 7
Unit: 7
Block: 3
Bldg: Address Range:
Tract. HELME,S ADD Historic: Yes
Suite Range:
Zoning: SP3
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
Yifeng Yuan
71 Oval Rd
lrvine, CA 92604
(626) s22-7823
PPRS Plumbing lnc
2300 S Resevior St #109
Pomona, CA 91766
(866) 261-3329
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01116002 57770
Fee Type
125 Volt Receptacle
General Plan Update
I ssuance
Microfilm Records
Amount
1 .57
23.79
59.30
4.05
Qty
1.00
100
1.00
1.00
Fee
$1 57
$23 7e
$5e 30
$4 0s
](tLt-llr
tf i' i ce;
State Lic #: 1043830
Lic Type: C-36
Bus. Lic #: 377758
Workers' Compensation Insurance:CaTT|CT: STATE FARM FIRE AND CASUALTY COMPANY
Policy #. 92GpW46S
Expires: 0611812021
lBuilding Use:
. Job Type:
f.lature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
Buirdins Permit #: 1 0 2106237
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
N/V - lnterior Remodet Code:
R-1
VB
cEc 2019
Date:
Date:
Date:04t12t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Electrical for interior rernodel
Fee Total:
Paid to Date:
Balance Due:
:,?
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 1 6002 51 600
01 1 1 6002 51 603
01116002 57770
$23 7e
$60 87
$4 0s
$88.7 1
$0 00
$88.71
FFi F 1r
TETi
lnspector MID#'. 2021-165116
i,3
ELECTRICAL.INSPECTOR R ECOR D
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq I Groundinq I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
N/eter Release
I t i
Rough -0 1-1.\, ,APff
Service Nleter
FINAL lD -f -Lt r ' t' rlL
Notes, Remarks, Etc.
+
I hcrcby aflirm undcr Fnalty of perjury that I om cxcmpt ftom lhc Contrelon' Licensc llu for the following rcarcn (Scc.7Q1l.5
Busincss and Profcssion Codc): Any City or County which rcquircs a Jrcrmit to snslruct, altcr, imprcvc, dcmlish or rcpair uy
sEoclm, Fior to its issuancc, also rcquircs thc applicant for such Frmit to filc a signcd slalcnEnt that hc or shc Ls licensd pusanl
to lhc prcvisions of $e Contr.ctor's Liccnsed hw (Chupter 9, Commcncing with Sction 7000 of Division 3 of thc Busiress and
ProtbssionsCodc)orthathcorshciscxcmpttlscfrcmandthcbasisforthcallcgedcxcmption. Anyviolationofsstion?03l.5byany
applicail for a frcmit subjets thc applicant to a civil pcnalty of nol mrc tho five hundrcd dollus ($500).
_1. as owncr of the propcrty. or my cmployccs with wagcs as thcir solc cornpcnsation. will do the work and the structure is not
intendcd or ofl'cred for sale (Scc.7044, Busincss and Professions Codc: T'hc Contractor's Liccnsc Law does not apply lo an owncr of
thc pn)F,crty who builds or inrprovcs thcrcon. and who dcrcs such work hirnsclf or hersclf or through his or hcr own cmployccs,
providcd that such improvcrcnts arc not intcndcd or olTcrcd for sah. If. howcvcr. the building or improvenrcnt is rcld within onc ycar
of conrphtion. thc Owncr Buildcr will have thc burdcn of proving that hc or shc did not build or inprove the propcrty for thc purynse of
salc).
_1, as owncr of the propcrty, am cxclusively contracting with licenscd contractors lo construct thc project (Scc. 7(144', Busincss
and hntbssion Codc: Thc Contractor's Liccnsc Law docs not apply to an owner of propcrty who builds or improves lhcreon,
and who contracts lbr such projccts with a Contracto(s) licenscd pursuant to the Contractor's Liccnsc Law).
-l
am cxcmpt undcr Scction-. B. & P.C. for this rcason.
Owner:
W(IRKERS' COM PF'NS ATION
DECLARATION
I hcrcby affirm undcr pcnalty of pcrjury one of thc lbllowing declarations:
_l havc and will rnaintain a Ccrtificate of Conscnt to Self-lnsure for workcrs'compcnsation, as providcd for by Seclion 3700 of thc
[:bor Codc, for the perfornuncc of the work for which the grcrmit ls issucd.
-l
havc and will maintain workcrs' compcnsation insurance, as requircd by Section 3700 of thc labor Codc, for thc pcrformance of
the work for which this pcrmit i.s issucd. My workcrs' compensation insurancc carricr and policy number are:
o
Policy 1D
_l ccrtily that in thc pcrlbrnrancc of the work lor which this is issucd. I shall not cnrpkly any person in any manner
so as to hcc<lrnc subject
workers' c<llrtpcnsation
to the workcrs' compcnsation and agrcc that if I should bccome subjcct thc
provisions of Section 3700 of thc l,abor I shall. tbrthwith comply with those
WARNING: Failurc lo sccurc wrlrkers' comlrcnsation ls and shall subjcct an employer penalties and
civil fincs up to one hundrcd thousand dollars ($100.000),cost of comlrcnsation,as provided for thc
Scction l.atxlr and attorncy's fecs.
I hcrcby aflirm undcr pcnalty of pcrjury that I arn liccnscd under provision of Chapter 9 (comnrcncing with Scction
of thc Busincss and Codc, and rny liccnsc is in full force and cffcct.I
Licensc Nuurbcr:
Dare: eJ'at'l .\f xr- ll- Ul
CONSTRUCTION LENDING AGENCY
I hercby altirm undcr pcnalty of pcrjury lhat thcrc is a construction lcnding agcncy for the pcrftrrmance of thc
issued (Scc. 3097. Civ. C.).
which this pcrmit is
[.crrdcr's Narnc:
lrndcr's Address:
APPI ICANT DF'CI ARATION
I trcrcby allinn undcr pcnalty of pcrjury onc of the lbllowing declarations:
Dcnmlit ion Pcrmits-Asbcstos Notitlcat ion Rcgulations (Title 40, Part6)
_Rcquircd lrtter of Notilication
asbcstos rcmoval arc not applicablc this projcct.
that thc abovc infornulion is I agrcc to City and County
abovc mcntionctl propcrty for
Applicant or Agent
Pernrilec nunre
lo
and
hcrcby authorizc oI lo cntcr uJxln lhc
[f,n.r nO n7 On1tr
t2
IDate:_