HomeMy WebLinkAbout30136829 - Permit (2)Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 N Plumbing Permit #: 3O{ 36E29
Pin #: 67111PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Project Address: 532 S Harbor Blvd
Assessor'sParcel: 108-681-05 Lot:
Unit:
Block:NA
Bldg:
Tract NA
Address Range:
Historic: No
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
KB Home Coastal lnc.
36310 lnland Valley Dr
Wildomar, CA 92595
(gsl) 691-5300
KB Home Coastal, lnc.
10990 Wilshire Blvd. Ste.70
Los Angeles, CA 90024
(310) 2314000
01 1 16002 51602
011't6002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 I 16002 51602
01 1 16002 51602
01 1 16002 51602
01116002 51602
01116002 51602
01116002 53602
01 1 16002 51600
01 1 16002 51602
Fee Type Amount
Water Closet 13.24
Shower/Bathtub 20.73
Sink 11.83
Clothes Washer 13.01
Dishwasher 11.16
Garbage Disp 9.92
New Sewer (First 100') 60.16
Gas System 1-4 41.46
Wtr Htr (Res up to 50 gi 20.73
Water Service (Each 10 41.46
Backflow < 2" 20.73
Hose Bibb 14.41
P/C - Repeat at 50% 304.33
GeneralPlan Update 20.56
lssuance 51 .26
Qty
5.00
4.00
6.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
2.00
0.50
1.00
1.00
Fee
$66.20
$82.92
$70.98
$13.01
$11.16
$9.92
$60.1 6
$41.46
$20.73
$41.46
$20.73
$28.82
$152.17
$20.56
$51.26
State Lic #: 630879
Lic Type: B
Bus. Lic#: 362804
Workers' Compensation I nsurance:Canier: Star lndemnity & Liabillty Company
Policy #: 1000001836
Expires: Ogl31l2017
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
New
New SFD Watt garage
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R.3, U
V B, SPK
cPc 2013 Notes: Plan l/fee pd on M-69149
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Hernandez, Kathy
Subject to Field:
Buildins Permit #: 10{ 89797
Every permit issued shall become invalid unless fhe work on the site
authoized by such permit is commenced within 180 days after its
rssuance, or if the work authoized on the site by such permit is suspended
or abandoned for a peiod of 1 80 days afrer the time the work is
commenccd.
PA!DMisc. Receipt: 69149
Misc. Receipt:
Misc. Receipt:
Total
FtB 1 5 ?011
02115t2017
Account#$_
City of Santa AnaFee Total:
Paid to Date:
Balance Due:
$691.54
$691.54
$0.00
lnspector MID#: 2016-129087
N/A - No Balance
Suite Range:
Zoning:
PLUMB!NG.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS owNltR BUt t,t)uR t)t;l,cARA'iloN
I herehy aflirm under penilly ofperiury thrt I nrn exempt from the Cr)ntrick)r\' l-iccnse [.aw frrr thc lirltrwirrg r!'nq)n lSc.7(l-11.5
Bu\ines$ aDd Pfi)fes\ion Code): Any City or County which requires a perni( lo construct. illter. inr[r]!c. rlcnDlish rrr rtprir any
\lnrcture.l)rlrtoits isruance.rlsorequiresllEnpplicrnth,rsuchFrolillofileisiSncd\lolerpnl lhilrr)r\hcirlicenscrl purruant
h the prolisioo( of lhe Conlractr)r's l-icensed [-aw (Chnpter 9. Crrmnrncing wi(h Secli(xr 7(XX) ')f l)ivi\ir'n .] of rhe l}r\itre\s flnd
rlplicdntli)rrpcnnit\uhiect{th€ applicrntnracirilpenaltyrrfnotnr:rethanfilehundrcrldolLirs($5{x}).
_1, ar owrcr of lhc J,mlEny. o. my cmphy.es with wages as thcir s)lc comp.nuhr, willdo th. wo* afil rh. stuiurc h iltr
iilcfibd ororlcrcdforsalc(SE.T044,Bu3ircssedProfcasionsCodc:TltGrntmor'sLiccnslnsducsnotapplyhmowrcrof
thc lmltHy whr huiHs or impmrcs thcmn. arxl wlh dc such s)rk himsclf or hcrsclf or through his or hcr own cmphyces,
pmvided thd such imJrmwrcnts rc ret in(cfiled or olreEd for slc. lf. h)wercr. th. hoikling ol intr'mv.mnt ir rlld wlhin orc Fe
of mrrpLti)n. th. Owrcr Buil'lcr pill haE th. tilrdm of tmving thd he r shc dil nx huiu o. impn)E thc pn)lEdy for th. fu.F r of
sle).
-1.
as owmr of tha paolEny. om arclurivcly contracting with licankd contrack)m to congru(l tha prri(t (Se. 7(H.1. Business
and PnrftssirnCrx.lc:ThcContrrck)a'sLiccnscLawdocsnotaplly(ornowncrofl(rpaatywlxrhuillsorirnpruvesthcrcon.
and who NilEctsfilrsuchFmrjcctiwithaConlmckr(s)licen*dpu6u{ntkrtheConrsck)i'sl,icenskw).
I m.xcmDt undcr Setion-, B. & P.C. for this rcason.
WORI(FRS' COMI'UNSATION
DECLARA'I'ION
I herehy affirm under pcnalty of perjury onc of thc folbwing declaratir)ns:
l-ahrr Crxle. frr the perfornmnce ilfthe work for which lhe pcrillit is issled.
Ihiverndwillmrinlninworkers comnensi(i(ininsur0nce,rs requiredbySection.lT(nlofrlrl.ilhrr(ixlc.lirrtheflerlornlimceof
tlE work f()r which this pennit is i\sued. My workers conrpensrtion insurance carrier antl policy truDlhcr rrel
Policy Numbei_ Expircsr _
_l cc(ify thd in tlrc lErformdmc of thc work fo, which this Jrrmit is i$rued. I shall not employ any Jrrson in any manner
s 6s lo bcom shj.ct to thc workfir' mmFnstion laws of Califomia. nnd aSEe (hd if I stnuld h.com suhFct h the
work..r'omlEnstionpnrvhi)nsofsstion3Tmofthct tnrCfrle, lsh6ll.fonhwilhmmplywithtlh*nNvirh)ns.-
WARNING: Failurc h scure wr)rkcrs'compensithn coverage is unhwhil. and shnll suhiect an emphryer kr diminnl FEn.ltics and
civil finesuptoorchundrcdthousnddollors(Sl(X).(XX)).inaddiliontothccostofcomlEnsation,damrgescsp(rvidedforthc
Scction :io76 of th. tjtrrr C(xj.. irtercg and athmy's fees.
Drtc:- ,.pptro.^, {Q:!1?
DECLARA'I'ION
I hcrcby affirm undcr FEnalty of pcrjury that I am liccnscd under prrrvision ofChapter 9 (comnrncing with Scction 7u)()) of Divisi(rn 3
of the Business snd hofessions Code, orxi my license is in full fr)rce and effect.
CONS'I'RUC'I'ION LENDIN(; AGL,NCY
I herehy afllrm under lrnillty of leriury thrt thcre is a construction lending agency for the ped{trilrrnc. of rhe *rrrk for which rhis fErrnit is
issued (Sec. .1{)97. Civ. C.).
Lendcr'. Nrnre:
Lendcr's Adrlrcss:
Afl 'LICAN'I' DL,CLARAI'ION
I hcrrby allrrnunder JEnaIy of pcrjury one of the folk)wi08 declaralions:
Dcm)liirn Permirs-A(hestos Notification Fcderal RcBulxtions (Title 4{). Pan6)
_Rcqu ired kttcr of N(trih*ati(,n
_l cdify thd th. f.dcralrcguldions Egarding asbcsnrs rcmvalare not applicahlc m thk pmjet.
_l cenify thd I havc rcad this application anl sralc thrt Ihc ahrvc inforrmtion is corcct. I ugrE kr cotrlply wilh lll Ciry tnd County
ordinanccs and SIata kws this City and County to cntcr ulntrthc
Dsac:-
above runtioncd prolEny
Appllcant or A8ctrt
Pemrltee nome
hcrcby aulnrizp rcrr.scntativcs of
UNDER GROUND I
Waste & Vent 'l lttt
Water-Under floor I
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptori Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
t)I
Bouqh Plumbinq Vt ,
Final Gas Test ri
Meter Release I W NIlU
F!NAL E-M./ltJ
INotes, Remarks, Etc.
^,
7-t 7-/7 ,
7/7)
Liccnsc Class:-Liccnsc Numh.r: _
DstG:- coot t*ofr-u' L-17_,
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