HomeMy WebLinkAbout40130068 - Permit\8city of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Mechanical Permit #: 4O{3OO68
Pin #: 373o2
Project Address: 550 S Harbor Blvd
Assessor'sParcel: 108-681-05 Lot:
Unit:
Block:NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning:
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
KB Home Coastal lnc.
36310 lnland Valley Dr
Wildomar, CA 92595
(951) 691-5300
KB Home Coastal, lnc.
10990 Wilshire Blvd. Ste. 70
Los Angeles, CA 90024
(310) 2314000
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01't16002
01 1 16002
01 1 1 6002
01 't 16002
51 604
51 604
51 604
5't604
51 604
51604
51604
53603
51600
51604
Fee Type Amount
Furnace 61.07
Compressor 84.00
Air Handling 41.46
Clothes Dryer - Residen 37.57
Bathroom Fan 28.42
Laundry Fan Envir. Air 32.45
Range Fan 30.09
P/C - Repeat at 50% 279.10
General Plan Update 20.56
lssuance 51 .26
Qty
1.00
1.00
1.00
1.00
5.00
1.00
1.00
0.50
1.00
1.00
Fee
$61.07
$84.00
$41.46
$37.57
$1 42.1 0
$32.45
$30.09
$139.s5
$20.s6
$51.26
State Lic #: 630879
Lic Type: B
Bus. Lic #: 362804
Workers' Compensation I nsurance:Carrier: Star lndemnity & Liability Company
Policy #: 1000001836
Expires: 0913112017
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
cMc 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 #: 10189806
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
lssuance, or if the work authoized on the site by such permit is suspended
or abandoned for a period of 1 80 days after the time the wo* is
commenced.
02115t2017
Account#
Misc. Receipt: 69'149
Misc. Receipt:
Misc. Receipt:
Total
PAID
FEB 1 5 2017
Fee Total:
Paid to Date:
Balance Due:
$640.11
$640.11
$0.00
lnspector MID#: 2016-129105
N/A - No Balance ty of Santa Ana
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hocby affrm und6 pcf,alty of p€rjury that I m crcmpt fipm the ContracloB' Liccrc Larv for thc following rcen (Ss.7031.5
Buines and Profasion Codc): Any Cily or Counly which requirc a pcrmit lo corutrucl. alt6. improvq dmolish or rcpair mf
structuq prior to ils isumce. also requirB lhc applicsl for such pemit lo file a signcd statemmt that he or she is licmsed pmwi
to lhc prcvisiore of thc Contractor's Licensed Law (Chaptq 9. Comencing with Sstion 7000 of Division 3 of thc Busine and
Profc$ionsCodc)orthathcorsheiscxcmptthdcfromudlhcbasisforthcallegcdcronption. AnyviolationofScctionT0ll.5byuy
applicmt for a pcmit subjsts the applicilt to a civil penally of not morc thu five hun&cd dolles ($500).
-1.
c owna of lhc prcpsdy. or my cmploye with wage u their slc compruation. rvill do thc rvork md the structwe is nol
intoded or offscd for slc (58.7044. Busins and Profsions Codq The Conh actor's Licose Law do6 not apply to an om6 of
lhe Eopsty who tuilds or imprcve th6@n. ild sho do€ such w* himsclf or hmelf or through his or ho orn employee.
providcd that such improvqMts e rct intadcd or offqcd for sle. If, howws. thc hrilding or impovmor is wld rvhhin onc )s
ofcompkilou thc Ouna Buiktq will havc thc hrdo ofporing thal he or shc did mt tDild or imprcvc thc propqty for thc purpos of
$lc).
-1,
r omc of thc popcny. m cxcluivcly contracting with liceB€d conlracloG to construct the prejst (Sc. 7M4. Btsine
md kofusion Codc: Thc Contractor's Liccnsc Law doo not apply to m owno ofpropcrty who builds or irnprov6 thersn.
and who contracls for such prcj(ts with a Contmcto(s) lic$ed pu6@t to the Contractor's Liceroe Larv).
-l
tun exempt under Section _ _ , B. & P.C. for this rereon.
Owner:
WORKT]RS' CONIPENSAI'ION
T,ECLARATION
I hereby allirnr undr poalty ofpojury one ofthe follorving dalaations:
-l
hat'c ad rrill maintain a Cerlificate of Consent to Self-lnsure for *'orkm compensation. s prorided for by S*tion 11700 of thc
tibor Codc. for lhe pqfonnance ofthc rvork for $'hich thc pfinit is issued.
I have and will mainlain rvorkos' compensation insumnce, 6 required by Set ion -i700 o f the t,abor Code. ftrr the poftrnnancc oi
the work for which this pmnit is issued. My workds' composation insurance carier and policy number are:
-t
cotiry that il thc poformancc of thc work for which this pemit is issucd, I shall not onploy any pmon in any manncrs uto beomc subjcl to thc wortc'compcnslion laB of Califomia. and age that if I should bccomc subjtrt to thcwort6' @mpcnslion prcvisioro of Scction 3700 of lhc Lsbor Codq I shall. fonhwith comply wilh tho* prcvisioro..
WARNINGT Failure to scuc workm' @mpmsation covmgc is unlawful. and shall subjat o anployc to oiminsl fEuhica ed
civil fina up to one hundrcd thownd dollm ($100.000), in sddition to thc cost ofcompcnsation, damagcs as providcd for thc
Sction 3076 of thc Lsbor Code intqst and attomry's f6.
4r,) -72,
LICENSFN CONTILI.CTOR
DECI.ABAIIO!
I heby affm udc panalty of pcdury thd I m liccnscd uda prcvisioD of Chaptq 9 (@mmocing with Sqtion 7000) of Divisio! 3
of thc Bwitw ed hofeiom Codc, and my liccc is in full forcc atrd eff6t.
Licmc Numba:
CONSTRUCTION LENDTNC AGENCY
I hmby affim undo pct alty of psjury that thqc is a construction lcnding agocy for thc pcrfor:mcc of thc woft for q,hich this pqmit b
issucd (Sc. 3097, Civ. C.).
I crrdcr's \;rrnc
Lendq's Addrs:
APPLICANT DECLARATION
I ho*y afnn uoda pcnalty ofpojury otre ofthe following delantions:
DeEolitio! PmiB-Asb6tos Notification Fcdqal RcgulatioN (Titlc 40, Pa!t6)
-Requircd
Lctts of Notificarion
-l
catify that ihc fcdsal rcgulatioN rcguding ubctos rmoval ue not applicablc to this prcjEt.
-l
cGtiry that I havc rad this application ed ststc thst thc abovc infomation is cor$t. I rgrc to comply \ ilh all ('ity flnd ('ounty
ordinancB and Statc Larvs rclating to building construction. ed hseby aulhorize repraotaliv6 ofthis
abovc mmtioncd prclErty for
Cily ud County lo ols upon thc
purposG.
Applicmt or Agilt ()
I )xtc
Pmitcnmc(
Appliances
Metal Fire Place
Evaporative Cooler
Furnace a
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
I I I i
Rough Mech.tlt2.W Wlt)lvl,{
Final Test I I
Meter Release rl il
FINAL /r//tvl
Notes, Remarks, Etc.,l
./n/ -/.t-;/r'/
I ll,l tll+
'Z- Z'l /
Policy Numbcr: l:rpircs:
contrctor,W