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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAgzToz Plumbing <br />Permit Counter: O14) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: C/14) 647-5853 <br />Permit #: 30{ 3685{ <br />Pin #: 78955 . <br />Assessor'sParcel 108-681-05 Lot <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range; <br />Zoning <br />Contractor: <br />Address: <br />Phone <br />Tenant Name: <br />KB Home Coastal lnc. <br />363'10 lnland Valley Dr <br />Wildomar, CA 92595 <br />(9sl ) 691-5300 <br />KB Homo Coa8tal, lnc. <br />10990 Wlshlre Blvd. Ste. 70 <br />Los Angeles, CA 9002,1 <br />(3r0) 23r4000 <br />Foe <br />$66.20 <br />$82.92 <br />$70.98 <br />$13.01 <br />$11.16 <br />$9.92 <br />$60.16 <br />$41.46 <br />$20.73 <br />$41 .'to <br />$20.73 <br />$28.82 <br />$152.17 <br />$20.56 <br />$s1.26 <br />FoeTypo Amount <br />Water Closet 13.24 <br />Showor/Bathtub 20.73 <br />Sink 1'l .83 <br />Clothes Washer 13.01 <br />Dishwasher 11.16 <br />Garbage Oisp 9.92 <br />New S6wer (First 100') 80.16 <br />Gas System 11 41.46 <br />wtr Hlr (Res up to 50 g. 20.73 <br />Water Service (Each 10 4'1.46 <br />Backfow < 2" 20.73 <br />Hose Bibb 14.41 <br />P/C - Repeat at 50% 304.33 <br />Goneral Plan Update 20.56 <br />lssuance 51.26 <br />P hone <br />State Lic #: 630879 <br />Lic Type: B <br />Bus. Lic #: 362804 <br />Workers' Compensation lnsurance: <br />Carrier: Star lndemnlty & Liability Company <br />Policy #r 1000001836 <br />Expires: 0413112017 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Single Famlly Owelling <br />New <br />New SFD w/att garago <br />Hernandez, Kathy <br />10189819 <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />V B, SPK <br />cPc 2013 <br />Notes: Plan ltfee pd on M€93O4 <br />Plannlng Conditions; <br />Planning Approval By <br />Plan Checked By: <br />Permil lssuad By: <br />Subiect to Field: <br />Building Permit #: <br />Ewry pemit iss@d shall boc,,no invalid mless the woft on the site <br />authotizod by suc:h permit is cpmmoncad within 1 80 days aftet its <br />issuanca. ot il the wo* aulhotized on tho sito by such pemil i3 suspeded <br />ot abandoned tor a Nnod ol 1 80 days sner ho tino the wo* is <br />cgmflpncid. <br />PAID <br />HAR 1 / rutt <br />Date <br />Date <br />Date o311712017 <br />Account# <br />lvlisc. Receipt: 69304 <br />lvlisc. Receipt: <br />lvlisc. Receiptl <br />Total <br />$ <br />CitY of San ta Ana <br />$691.54 <br />s691.54 <br />$0.00 <br />lnspector MID#: 2016-'129'13'l <br />N/A - No Ealance Fee Total: <br />Paid lo Oate: <br />Balance Due; <br />Project Address: 578 S Harbor Blvd <br />Owner: <br />Address:01116002 51602 <br />o'1116002 5'1602 <br />01116002 5'1602 <br />01116002 51602 <br />01116002 51602 <br />01116002 51602 <br />011'16002 51602 <br />01116002 51602 <br />01116002 51602 <br />01116002 51602 <br />01116002 51602 <br />01116002 51602 <br />01 1 16002 53602 <br />01116002 51600 <br />01 't 16002 51602 <br />Qty <br />5.00 <br />4.00 <br />6.00 <br />'1.00 <br />1.00 <br />1.00 <br />1.00 <br />L00 <br />1.00 <br />1.00 <br />1.00 <br />2.00 <br />0.50 <br />1.00 <br />1.00