HomeMy WebLinkAbout30243047 - Permit/-
Project Address: 1420 N Broadway
Assessor's Parcel: 398-522-21 Lot. 5, POR 3, POR 7
-Unit: I
Block: 3
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 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:30.2430,47
Pin #: 8{346
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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 91756
(866) 261-3329
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type
Water Closet
Garbage Disp
Sewer Alte/Repair
General Plan Update
!ssuance
Microfilm Records
Amount
15.32
11 .49
47.95
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$1s.32
$1 1 .49
$47 95
$23.79
$5e.30
$4 0s
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State Lic #: 1043830
Lic Type: C-36
Bus. Lic #: 377758
Workers' Compensation I nsurance:CaTTieT: STATE FARM FIRE AND CASUALTY COMPANY
Policy #. 92GpW46S
Expires: 0611812021
Building Use:
Job Type:
Nature of Work:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
N/V - lnterior Remodel code:
Date.
Date:
Date:
R-1
VB
cPc 2019
I Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buirdins Permit #: 102106237
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.
lnspector MID#: 2021-165116
Chavez, Dave_
*6r,
04t12t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Plumbing for interior remodel
Fee Total:
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$23.79
$134.06
$4.05
$161 .90
$0 00
$161 .90
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APPROVALS DATE ID/SIG COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
ArealStorm Drain
I nterceptor/ Cla rifier
TOP OUT tl
Waste & Vent Dk#E7
Water Piping
Gas Piping
Roof Drain I I
Tub/Shower Test bl t-r I (/'D6ayo./
Rouqh Water Heater t
POOL/SPA
P-trap/Drain Line
Main Drain/Poo! Pipinq
Fill Line/Back FIow
Poo! Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCap
Back FIow Device
Rough Plumbing
Fina! Gas Test
Meter Release
FINAL lb-S ./V\0,"^( tu
Notes, Remarks, Etc.
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I hreby aI[m unda poalry of pBjury that I m q@pt from thc Cortra.toB' Lhc Law for rhc followi!8 reo (Se.7031.5
Bsitrs md Profcsion Codc): Aoy Ciry or Couttry which rcquirc a pmit to corutruct, alts. imprcvc dmolish or rpeir uy
structuc F[[ to its isurec 8l8o rcquiB thc applicet for such pqnit to filc s signcd lt8tqMt thrt hc or lhc ir licmrcd pumam
to thc Fovisios of thc Coots*tor'3 Licoscd kw (Ch4tq 9. Comacing with S€1ior 7000 of Division 3 of thc Buirc ud
Prcfsiom Codc) or thrt hc tr slE b qmpt thqc&om ud thc basis hr thc allcgcd amption. Any violatioo of S6tbn 703 I .5 by uy
applimtforap6mitsubjclsthc rpplicmttoacivilpoa[yofnotmorcthsfivchundrcddollars($500).
-1,
u oma of thc popaty, or my mploye with wagc a thcir slc @mpqEdion. will rb thc wsh md thc *nnre b mt
intqdcd or offqcd for slc (Sc.7044, BBins od ProfBsioB Codc: Thc Contrartor's LiccE Lrw do6 mt rpply to m oms of
thc popqty who tuil& or irpros tlreq 8!d wtrc doc sh mrt hirelf or h*lf or thrcugh his or hc om mplole.
prcvidcd that such impovmrts rc mt intodcd or ofrrcd for sh, lf. how, thc hrilding or irrywt is oH wilhin onc )ry
ofomplabn, thc Orvu Buildc will harc thc hrdar of pnoving tha hc or shc dil Na hrild or h4iow thc pmpcry for 0E Frposc of
sb).
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as owner of the propcrty. am exclusively contracting with licersed contractors to construcl the project (Sec. 7044. Buiness
and ftoftssion Code: The Contractor's License Law does not apply to an owner of propcrty who builds or improves thereon.
and who contracts for such projects with a Contraclo(s) licased pursuant to the Contractor's Liccnse l-aw).
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arn exempt undcr Section-, B. & P.C. forthis reason.
I)otc'
WORKERS' COMPENSATION
DECI.ARATION
I hereby affrrm under pcnalty of perjury one of the following declarations:
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have and will maintain a Ccrtificate of Conscnt to Self-lnsure for workcrs' comperuation. ari provided for by Section 3700 of the
Labor Codq for the pcrforrnance of the work for which the permil is issued.
_l have and will maintain work€rs' compensation insurance, an required by Section 3700 of the l-abor Code. for the pcrformancc of
the work for which this permit is issued. Myworkas' compensation insurance carrier and policy number are:
I tPolicv Number: Exoires:
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cerri& that in the performance of thc work for which this is issued, I shall not anploy any person in any manner
so as to become subject to the workers' compensation laws if I should become subject to lhe
workers' compensation provisions of Section 3700 of the Labor comply with those provisions..
WARNING: Failure to sccure workers' compensation coverage shall subject an onployer penalties and
civil fines up one hundred thousand dollars ($100,000), in cost of as provided the
Section 3076 Code attorney's fees.
I hereby affrm under penalty of perjury that I am licensed 9 (commencing with Scction 3
of thc Business and Code, and my liccnse is in full force and cffect.
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CONSTRUCTION LENDING AGENCY
I hoeby affirm under penalty of pcrjury that there is a construction lcnding agcncy for the performance of the work for
issued (Sec. 3097, Civ. C.).
this pennit is
Lender's Name:
l.cnder's Address:
APPLICANT DECLARATION
I hcr€by affirm under panalty of perjury one of the following declarations:
Demolition Permits-Asbcstos Notification Federal Regulations (Title 40, Part6)
-Requircd
lrttcr o f Notification
certiff that the federal rqgulations asbcstos removal are not applicable to\
have read this and state that the above information is correct.City and County
ordinances and State l-aws relating to upon the
abovc mentioned property for
Applicant or Agent a.-
Pernritee name
and
project.
to cntc"r
PLUM BI NG.I NSPECTOR RECORD
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Carrier: I
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