HomeMy WebLinkAbout30243048 - PermitProiect Address: 1420 N Broadwav
Assessor's Parcel: 398-522-21 Lot: 5, POR 3, POR 7
Unit: 8
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
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 30243048
Pin #: {6385
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) 261-332s
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 Amount
Water Closet 15.32
Garbage Disp 11 .49
New Sewer (First 100') 69.59
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1 .00
100
100
1 .00
1 .00
1 .00
Fee
$15.32
$11 49
$69.5e
$23.7e
$se 30
$4.05
BoEcft*
State Lic #. 1043830
Lic Type: C-36
Bus. Lic #: 377758
Workers' Compensation lnsurance:CaTTieT: STATE FARM FIRE AND CASUALTY COMPANY
Policy #: 92GpW465
Expires: 0611812021
t
. Building Use:
'Job Type:
Multi-Family (5 or more unl Occupancy:
Alteration Constr Type
Nru - tnterior Remodel Code:
R-1
VB
cPc 2019Nature of Work:
Planning Conditions:
Planning Approval By: Date:
Plan Checked By: Date:
Permit lssued By: Chavez, Dave V?,Date. 0411212021
Subject to Field: 4, Account#
Buirdins Permit #: 1021 06403
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 fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Inspector MID#'. 2021-165118
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Plumbing'
Fee Total:
Paid to Date
Balance Due:
$23.79
$1s5.70
$4 05
$183.54
$0.00
$183 .54
pl r I
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND -K,o-r
Waste & Vent t'Ll(I-AHPT '/
Water-Under floor
Gas-Underfloor
Building Sewer
ArealStorm Drain
I nterceptor/ Cla rifier
TOP OUT -t
Waste & Vent LI b-trvYl /
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test 0 l?u PlWK
Rouqh Water Heater I
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back FIow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCap
Back Flow Device
Rough Plumbing
Fina! Gas Test
Meter Release
FINAL to -5 -'l,l Wrnl4U
Notes, Remarks, Etc.
:}
OWNER BUIIDER DET.CARAIION
I hw@ affm unda padty of pcrjury thd I @ qmpt &om thc Cotrtnclon' Licffi Law for thc following wn (Sc.7031.5
Buins ard hofeion Crdc): Aoy City or County which rcquiro a pomit to @Etruct, aI6, imgrovc. da6tbh or 4aq uy
structuq prior to its isumcc, also rcquirc thc qplimt for such pdrnit to filc I signcd stst@t thal hc or slrc b liccrEcd pwut
to thc povisiom of thc Contretor's Licasod L:w (Chryta 9. Comming with Sc,tioa 7000 of Divisioa 3 of thc BEiB &d
Prrofasioro Codc) or lhst hc or slE b q@pt thorfroo md thc bssi! for thc allcgcd qmFioa. Any violation of Sction 7031.5 by ey
applimt for a pcmit subjctr thc applimt to I civil pmlty of not mrc thcn fivc hundrcd dollu ($500).
_1, I om6 of thc prcpqty. or Ey mplo,6 with wagc s thcir mlc ompsuaion" will do the wo* od thc stutw is rct
idqdrd or ofiaod for slc (Sc.7044, BBitB ed ProfBrioE Codc: Thc Cotrac{or's Lic@ Lrw do6 ml eply lo o ow of
thc Fopqty who bil& or improE ttsort ard who do6 suh wrl hiruclf or hwlf or thrcugh his or hr om mploycc,
providcd thar reh improvqmrts rc rct imqxlcd or o&cd br sb, If. how, th. buildiDg or irryovarcrt is rld within orc )s
of mmplabn thc Orvna Buikir will harc thc hlda of poviog fra he or shc did mt hdld or itqrow thc pmpaty for thc prrpo* of
slc).
-1.
u ow ofthc prcpcty, m cxcluiwly coilracting with licosod @tnrdoB to @oltuct thc projcr (Se. 7fi4, hsine
atd Profissbo Codc Thc Coilrctor's Liccc kw do6 mt apply to s ownq of prcpGty who builds or imprcv6 thaoq
ud who coltr8ts for such FojErs with r Coffiaclq(s) licqEcd pNuel to thc Contrsdor's Lirc lxw).
-l
am exempt under Section-, B. & P.C. for this reason.
WORKERS' COMPENSATION
DF'CII\RATION
I hcreby affrm under penalty of pojury one of the following declarations:
-l
have and will maintain a Ccrtificate of Conscnt to Self-lruure for workers'compcnsatior\ as provided for by Section 3700 ofthe
Labor Code for the pcrformance of the work for which the pcrmit is issued.
-l
have and will maintain workers' compcnsation insurance, as required by Section 3700 ofthe Labor Code, for the pcrformance of
the work for which this pcrmit is issucd My workers' comp@sdion insurance carrier and policy nurnbcr re:
q
O D
-l
certi$ that in the pcrformance of the work for which this permit issued, I shall not ernploy any pcrson in any manner
and agrec that
forthrvith
if I should become subject to the
comply with thosc provisions..shall,
WARNING: Failure to secure workers' compansation covcrage and shall subject an onployer penalties and
civil fines one hundred thousand dollars ($100,000), in
and attorney's fers.
co$as provided for the
Sc"ction Code,
c
I hereby affrnn under pcnalty that I an licensed under of Chapter 9 (commcncing with Secrion 7000)3
of the Business and and my license is in fult force and effect.
License
,,
*
CONSTRUCTION LENDING AGENCY
I hoeby affrm under penalty of pcrjury that there is a construclion lending agency for the pcrfonnance of the work for
issued (Sec. 3097, Civ. C.).
this pennit is
I-cnder's Namc:
Lender's Address:
APPLICAI\T DEC I,ARATION
I hqdry affirm under penalty of pcrjury onc of the following declarations:
Demolition Pcrmits-Asbcstos Notification Fedcral Regulations (Title 40, Part6)
A --Trircd
rrtter
HHKJ:
of Notification
federal rcgulations asbestos rernoval are not applicable to project.
read this the above information is all City and County
ordinances and State Laws and County to enter upon the
abovc mentioned propcrty for
Applicant or Agent
Permitee s
to
and
and authorize of this
PLUMBI NG.INSPECTOR RECORD
(
f
Expires:
L,abor