HomeMy WebLinkAbout20160736 - PermitCify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 tR
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Electrical Permit #: 2O{6O736
Pin #: 27518
Proiect Addresst 532 S Harbor Blvd
Assessor'sParcel: 108-581-05 Lot:
Unit:
Block:NA
Bldg:
Tract: NA
Address Range:
Historic: No
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
KB Home Coastal lnc.
36310lnland Valley Dr
Wildomar, CA 92595
(951) 691-s300
KB Home Coastal, Inc.
10990 Wilshire Blvd. Ste. 70
Los Angeles, CA 90024
(310) 2314000
01 1 1 6002 51 603
01 1 16002 51603
01 1 1 6002 51 603
01 1 16002 51603
01 1 16002 5't 603
01 1 1 6002 51 603
01116002 51603
01116002 53601
01 1 16002 51600
0't116002 51603
Fee Type
New Res
New Garage
Air Conditioner
Dedicated Circuit
Low Voltage/Res
Serv Meler
Photo Cell
P/C - Repeat al 50o/o
General Plan Update
lssuance
Amount
0.13
0.13
90.25
23.09
34.20
49.63
11.27
384.92
20.56
51.26
Qry
1,934.00
480.00
1.00
4.00
1.00
1.00
1.00
0.50
1.00
1.00
Fee
$251.42
$62.40
$90.25
$92.36
$34.20
$49.63
$11.27
$192.46
$20.56
$51.26
State Lic #: 630879
Lic Type: B
Bus. Lic #: 362804
Workers' Compensation I nsurance:Carrier: Star lndemnity & Liability Company
Policy #: 1000001836
Expires: 0813'112017
PA!D
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
New
New SFD w/att garage
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R.3, U
V B, SPK
cEc 2013
Misc. Receipt: 69149
Misc. Receipt:
Misc. Receipt:
Total
FEB 1 5 2017
City of Santa Ana
Notes: Plan 1/fee pd on M-69149
Fee Total:
Paid to Date:
Balance Due:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Hernandez, Kathy
Subject to Field:
Buirdins Permit #: 10189797
02t15t2017
Account#
$855.81
$855.81
$0.00
Every permit issued shall become invalid unless lhe work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a peiod of1 80 days after the time the work is
commenced.
lnspector MID#: 2016-129087
N/A - No Balance
Suite Range:
Zoning:
ELECTHICAL.INSPEGTOR RECORD
Rev. 013-0'7"::fl 1 li;
APPROVALS DATE ID/SIG.COMMENTS owNER ltutt,t)liR l)lL('ARA'l loN
Business rn(l Proli\sh)n (ixle)i Any City {tr County which requircs a ;rrtrit l(r con{nrcl. rlter. inll)rove. rlerrx,li\h 0r ft'ltir nny
!) the provisi(nr\ of the Crrntrrctrr's L.icense(l l-aw (Chtpter 9. Conrn)cncin8 rvilh Seclion 7()(X) r)f l)ilisir)n .l i'[ tht' IJU\inc\\ rnd
applicanr frrr a penrir suhiecr\ rlE ilfplicnnt to i civil penrlty of D(x m)re lhna lil'e hun(lre(l (lollilh {$5{x}).
_1. as owner of the pn)Jtfl y. or nry emnft)yeer wi h wiger il\ lheir srle conwnsat irrn. $ill (lo the $orl itol I lr slnf,lure is tr( {
theFroJtny wh)hoiklsoritnnr)le\tlEBin.rfrlNh)drEssuchurrrkhinrrelforhrr{clfrirthftnrghhisorlrrownenrpft,ycr'{.
ofcompbtk)n, rlE Owner BuiUer will hrve the hurtlen of proving tkl he or she tlil n([ huikl rtr itnprNc thc pn'Fny trtr tlt N(r)sr ltf
$le).
rnd who c(nnracl\ irr such Ifi,itlcl\ wilh r Contrac!l(s) lirflrsfil pur\uxnl !) lhc (lrDtrtclrtr s l-icol\c Lils').
-l
arn exernpt un(ler Section-. R & I' (' li)r lhi\ rcil\r)il.
Delei__()$ilrr
$'oRKt-RS' COt\il'I.NSA l l( )N
DIiCI,AIIAI I()N
l hereby nffirnr under penalty of priury rrne of tlre frrlirwing tlcclararionr:
_l hilve ilxl will nuintrin x Ce(iliun(. of Crnsert lr Sclf-lnsure fitr cltrkcrs conr|ftr\xlion. rs pn,vided for bt Seclirtn .l7lx) rtf lhc
trtxrr Crxle. frrr the performrnce of th€ wrtrk for which (he perillil i\ is\ull.
thc work li)r wltich rhi\ pcrnrit i\ i\{re(l. Nly workerr' c()nrpdrsrtion itr\urilncc crrricr rntl policy ntrnher rrcr
l'rrlicy I rpirrs:
_l cenify thilr iil the pcrlirrilrnnce ofthe lvork for which this ferrnit i\ i\\rrcd. I shrll nrl ernphry rny persril iil :rtry iltrnter
rr as to heconr suhjecl kr the workerr' c(xnlen\nti,n lxws 'rfCfllifornir. rtrd ilgree thnl if I \hnrhl hec(inle \rrhicct to tlF
workers'compencitionpn)vi\ir)[sofSecti')n.17{xlofthelrlr)r('(trle.l\hirll.li'rths'ilhcrtrilllys'ithlho\elnivi\iixr\
WARNING: Failure il rcurc workers'conll*n$rhrn mverrSe is unlawful. ond shnll \ubiect itr efqrlr]er rr cirrinal pnrhier and
civil fines up to rlnc hundrad thousnnd dollnrs ($llxl.lxx)). in arhlition to ltr $rsl of c(rnlrensrtion. dinrr8et is proli(lc(l firr lhc
Sectirn l()76 of th. Lltr)r (ixla. interest nnd ntrormy s fee\.
Darc:- npgrant \(d-'rd( l7----
LI(tNSED CON'I'RAC'I'OR
t,ECLARA'I'ION
I hcreby affirm undcr pcnxlty of perjury that I am licensed undcr pftrvision of Chnpter 9 (cohtrtncing with seclirrn 7(X)()) rtf l)h'i\ir)n l
of the Business and Pnrfessions Code. nnd my licen* is in full force flnd effe.t-
License Cluss:-License Nunrher:
-
-.r.*i- cun ono", Wl>.u'G
W
I hcrcby affirm undcr Fmhy of Frjury (hat th.re is a con{rudi)n knding ugcncy for thc ;rrfomnrce of tlE work lirr which lhis lErmh k
issued (Sc. l(D7. Civ. C.).
[-ender's NanE:
[-ender's Address:
APPLICANI' DECI,ARA'I'ION
I lErehy alllfln under penalty of pcriury ilne of the firlk)wi18 declnral ir)trsi
Demrlitir)n Pernlits-Asbestos Nolificrlir,I Fe(lerrl Regillalions ( l itle 40. Pnrl(r)
-Required
l,etler of N({illcnlirxr
-l
cef,ify that lhe I'ederrl regultlir)n\ reE0r(ling nshesh\ renxrvxlttrc ntl rlplicthl!'to lhi\ Ir,iect.
ordinances and Stxtc Laws relntinl trt huikling constdclir)n. fl[d herehy rurh,rize rcnrc\enlilive\ of lhis Cily rnd (irtty lo dn('r ilxrn lhe
ahove mntir)ncd pro[Eny frrr irrspetrirn puryrscs.
Appttcan. or At.trl s rr*run, - kfu -12
nrmitF mm (pdnt,: _ .
l)illr:
Site-Work
Underqround
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
U:derSlab / Floor I I
Gonornd / e6[ndina[/ UFEB \ lt4 Yl/l\tvt
Transformers\r v t- t I
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rough
Ceilinqs (T-Bar Rough)
lVleter Release , l.I
Rouqh dt
Service lVleter l(,tr.+^tvTv #1
FINAL '$/t\l ,t4
Notes, Remarks, Etc.7
tlHlff