HomeMy WebLinkAbout102106403 - PermitProject Address: 1420 N Broadway
Assessor's Parcel:398-522-21 Lot: 5, POR 3, POR 7 Block: 3
Unit: g Bldg: Address Range:
Tract: HELME'S ADD Historic: Yes
Suite Range:
Zoning: SP3
t l
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 #:1O2{06403
Pin #: 71179L,
Building Use: Multi-Family (5 or more units) Occupancy: R-l 1st FL Area: Patio:
Job Type: Alteration Constr Type. V B 2nd FL Area: T.l.Area.
Nature of Work: N/V - lnterior Remodel Code: cBc 2019 other Areas. yards Req'd:
Existing Bldg. & Use: Apartments Flood Zone: X-0602320163J Garage Area: Valuation:
Proposed Use: # of Stories:
Totat:
Description of Work: lnterior remodel to unit #7 inlcuding bathroom and kitchen. OK TO ISSUE SUBJECT TO FIELD PER T. LE
Planning Conditions:
$15,000.00
Owner:
Address:
Phone:
Tenant:
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 #:
2
Planning Approval By:
Plan Checked By.
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscapang !nsp. Req'd: No
Orozco, lvan
Chavez, Dave ,
:.e'
Fire !nsp. Req'd:
Police lnsp. Req'd.
No
No Account#
Date: 0312512021
Date:
Date: 0411212021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
T. Le
07776002
07775002
07776002
07776002
07775002
0 77760 0 2
077760 0 2
077760 0 2
Permit Fee
Subject to Field
Microfilm Records
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date:
Balance Due:
Total
57607
s3600
57770
57607
5760 7
57672
57600
57607
$172.64
$1 72 65
$4 05
$1 04 26
$261 e6
$1 .00
$23.79
$se.30
$79e 6s
$0 00
$799.65
Flood Zone Cert. Req'd: No 01 1 16002 51600
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issuance,or if the work authorized
on the site by such permit is suspe nded or abandoned for a period of 360 days after
the time the work is commenced
!nspector MID#: 2021-1651 18
01116002 51601
01116002 51612
01 1 16002 53600
01 1 16002 57770
$23.7e
$s98 1 6
$1.00
$1 72 65
$4.0s
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrchy atl'irm undcr pcnally of JErjury that I am cxcmpt from lhc Curlracklrs' Liccnsc kv lor lhc lirll(rwing rcd$rn (Scc,70ll,5
Busincss anl Protbssion Culc): Any City or County vhich rcquircs a JEmit k) construcl. alter. improve. dcmolish or rcpair any
slructurc, pror b its issuancc, also rcquircs the applicant lbr such lErmit to lilc a signed statcrcnt that hc or she is'licIr*d pgrsuant
to thc pn visions of lhc CoDtrackrr's Liccnscd liw (Chaptcr 9. Commncing with Sslion 7fi)0 of Division 3 of rl. Busi{;s'anrl
Prrfcssions Crdc) or that hc or shc is crcmpt thqcfrom and the basis ti)r thc allcgcd cxcmption. Atry violNtion of Scctiotr ?03 1.5 by any
{pplicalt for a [rrmit subjsls thc applicatrt to a civil pcnalty of not morc than tivc hudrcd dollds ($5U)).
_1, as owncr ol'tlrc proF,*rty, or my cmpk)yees with wagcs as thcir solc cotnpcnsalion, will do thc work and thc structurc is nol
intcndctl or ()thrcd for salc (Sc-*.7044, Busincss and Professirlns Culc: Thc Contractor's [.iccnsc [-aw docs nol apply to an owner of
thc proJrcrty who buikls or irnpr)vcs thcrcrrn. and who dtrcs such work himsclf or hcrscll'or through his or hcr own cmployccs,
prlvrtlcrl that such impnrvcnrcnts arc mrt intcndctl or ()tl'crcd lirr sah. Il, howcvcr. thc buikling or impr)vcrncnt is sokl within onc yc:u
ol'complction, thc Owncr Buiklcr will lurvc tlrc burdcn ol'proving that hc or shc did not huikJ or improvc thc propcrly for the puryx)sc of
salc).
_1, as()wncrol'the pft)pcrty, amexclusivclycontracting with liccnscd conlractors to conslruct thc prcjcct (Sec. 7044, Busincss
and Pnrtbssion Corlc: Thc Contractor's Liccnsc l-aw docs not apply to an owncr of propcrty who buikls or improvcs thercon.
alrd who contracts tirr such projccts with a Contractor(s) liccnscd pursuant to lhc Conlractor's Liccnsc Law).
-IamcxcmptundcrScctirln-'B.&P.C.lilrthisrcastltt.It.,r^.
WORKERS' CO[\I PENSATION
DECLAITATION
I hcrcby all'irrn undcr Jrcnalty of pcrjury onc of thc tirlkrwing dcclarations:
_I havc aril will maintain a Ccrtilicatc of Conscnt to Scll'-fulsurc for workcrs' comJrcnsation, as pnrvidcd firr hy Scction J700 of thc
Lahlr Codc. lirr the lrcrtirrmancc of thc wrlrk for which thc Jrcrmit Ls issucd.
_l havc and will maintain workcrs' comFrcnsation insurancc, as required by Scction -17fi) of thc Lahor Codc, lbr thc ;rcrftlrmance of
thc wrlrk filr which this permit is issued. My workcrs' comlrcnsation insurance carrier arxl pllicy numbcr arc:
.a
5
Policy a
_l ccrtily that in thc'Jrcrlirrmancc of thc work tirr which this is issucd, I shall not cmploy any lrcrson in any matrncr
so as to bccrlmc subjcct ttl thc workers'compcnsation laws of and agrcc that if I slxrultl bccomc thc
workcrs' comJrcnsation provisions ol'Scctiun -17fi) ol'lhc Lahlr I shall, firrthwith comply with thosc
WARNING: Failure lo sccurc workcrs' comJrcnsatiorr is and shall suhjcct an cntploycr Jrcnalties and
civrl litrcs orrc huntlrcrl thousand dollars ($l(ru,fim),cosl ol'conrpcnsal iott,as providcd lirr thc
Scction thc l;rhor Crxlc. intcrcst altorncy's t'ccs.
3
I hcrchy al'lirnr undcl
ol' llrc Busitrcss and
ol'pcrjury that I am licenscd 9 with Scction Division 3
{!
,
Codc, antl my licensc is in full lilrcc arttl cll'cct.
I-iccnsc J
(.0NS'I'RI,'(]TI()N I,I]N DI NG,\(; FINCI'
I hcrcby utlirm undcr [EMlty of pcrjury thst thsc is a conslructhn bndinS agcmy for the lErformncc of thc vork for shich this Isnit is
issucd (SN. .1097, Civ. C.).
l*ndcr's Namc:
[,cndcr's Addrcss:
APPLICANT DECLARATION
I hcrcby all-rm undcr pcnalty of pc{ury onc of thc lillkrwing declarations:
Dcmolil ion Pcrnrit s-Asbcstos Not ificat iorr Rcgulatkrns (Titlc 40, Part6)
Rcourcd l.cttcr+
)
-,
/",,,,, thar thc
h,.1,ffi""
ol Nolilicirliott
ll'dcral rcgulations ashcstos rcmovalarc not applicablc to
rcad lhis thc inlilrntatiott is corrcct. I to contply with all City antl County
City County lo cntcr ugrn lhc
atxrvc nrc-ntioncd propcrty ftlr
Applicant or Agenl
I /--)
Pentritee nanle
atil authorrze
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/Ve nt/l n su latio n 7
Roof Sheathing
Shear Wall
Framing
lnsu lation/Energy rl
Drywdla a.rLl o(
Extfint.)ZL
BroknfCoat I
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL lD-{-zt D-<' 4u
Certificate of Occupancy
Etc.
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