HomeMy WebLinkAbout20160740 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 N Electricat
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:2lJ16,lJ74lJ
Pin #: 62167
Proiect Address: 540 S Harbor Blvda
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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
(gsl) 691-5300
KB Home Coastal, Inc.
10990 Wilshire Blvd. Ste. 70
Los Angeles, CA 90024
(310) 2314000
01116002 51603
01 1 16002 5't603
01 1 1 6002 51 603
01116002 51603
01116002 51603
01 1 16002 51603
01 I 16002 51603
01 1 16002 53601
01 1 16002 51600
01 1 16002 51603
Fee Type
New Res
New Garage
Air Conditioner
Dedicated Circuit
Low Voltage/Res
Serv Meter
Photo Cell
P/C - Repeat at 50%
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
Qty
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: OBl31l2O17
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
New
New SFD Watt garage
Hernandez, Kathy
I 01 89801
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3, U
V B, SPK
cEc 2013 Notes: Plan 1/fee pd on M-69149
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
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 authorized on the site by such permit is suspended
or abandoned for a period of 1 80 days after the time the work is
commenced.
PAID
Misc. Receipt: 69149
Misc. Receipt:
Misc. Receipt:
Total
FtB 15 2A1t
0211512017
Account#City oT anta AnaS
Fee Total:
Paid to Date:
Balance Due:
$855.81
$855.81
$0.00
lnspector MID#: 2016-129095
N/A - No Balance
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS owNER BUil,t)ltR l)r!l.cARAtl()N
I hereby oflirnt under pe[illty ofperiury thtt I rnr exeDrpt fn)m the Contrilcktrs l-icc[\e l-xw frrr the frrlhru'ing rcasotr (Scr.7{).11.5
Businesr anl Prrrfessirrn Crxlc): Any City or C()unly which requircs t ltrrrril lo cr)n\trucl. alcr. itrlfr(rle. dcnr)li\h (tr ttl,irir rny
strucrure.Iri)rtoits is\urrce.nl\orcquirestlfipplfrntlirr\uchFfnit!rflcr\igie(l\ltlcnrnl lhrllror\lEi\lic(D\c(l lur\uant
h rhe nrovisi)nr of the Contrnctor's l,icensed Lnw {Chafler 9. (iililnrencin8 wilh Seclir]tr 7()(x) of l)ivi\ir)n .1 ol lhe llrr\itre\q and
applicilnr for a pcnnit ruhjccts the npllicnnt to a civil penalty of nrt trrrc thrn [ive hun(lred ilrllrrs {$5{Il)
_1. as owner of the |)rol*rty. r,r nry emnli)yee\ with wcge\ n\ tlRir so[' c(xnFn\d i)n. will (h, llE c1trk rRl I lF strrkltlt i\ n( {
theFn)peny wlx)h{iklsorinprovesth€F)n.andsh)(liErsuchutrkhirn\elfrtrlErselfrrrthroughhisorlf,'rillvnenrll(iye('\.
mle).
_1. ns r)wner oI rhe property. iln exalusively contrrcting wilh licen{&l c0nlrrcl0rs lr) cotr\lnlcl llE pfl)iect (Sec. ?0 14. ltttsinr'is
and who contraclsfirr\uchDr)jccr\wilhr(1)ntrrcl()(\)liccn\erl|rur\urnllrlhe(i)nlrilclrir'sl.(cn\.'l-r\r'1.
I ilIrc\ernDt un{lcr Sccli(,tr ll & l, (. ti,r lhi\ rcr\,,tr
Date:- OHner:--
lvoru(rRs' coluPl NsA l'toN
DECLARA'I'ION
I h€reby nffirm under Frn{lty of Frjury ore oflh€ fr)lk)wing dslrrationsl
_l havearxlwill nhintilinaCcnit^liltcofConsntt)Self-ln\urctirrworkers'crrrnpensrtion.nr pfi)vidcdforbySection.l?(xlilfthc
Llthr Gxle, f{rr I ha perfornmf,ce of the work for which lhe perfitil is issued.
_l have .nd will nlnintrin workers' compensation insurxnce. rs requirerl hy Scction .1711) oflhe t,xhor Co(le, irr the perlirrnlxnce of
the work for which this pcrmit is issucd. My workers' contpensntion insurnnca cxrrier iftl policy nuDlher ilre:
_l cenify thrl in thc perf(,rnuncc of tlt rir)rk for which thi\ |t rDlit i\ i\suc(|. | (hall o({ enlpl()y itry p.'r(rtr in rny rnirnncr
so as I' heconr suhiert to (hc wrrrker\'coillFnsiti()n hss of('xlifi)rtria. rfi(l tlrec lhrl if I \lx)ukl tx'corne \uhiccl l0 llB
*orkers'crrnrpensalionprovi\irxr\(,fSecti('n:]7l)()t)flheLrhtr(ixle.lqhrll.t!ilhwilhct)rDl)ly$ilhlh(tt'l)r(rti\i(rtr\.
IVARNIN(;: Failure lr rcure workers'cotr{En$ti()n cr)verilge i\ unlilwlil, an(l (hrll $hiect rn .rnphyer to (rirtrhnl |rnrllic\ and
Section -107fr rrf the l,rhtr C(xle. intere{ nnd alt)rrey s fees.
Datc: nppt,ant: -&' ' T7'
' - | lLdNSr p c0N'l RAC I(lR
DECI-ARAIlON
of the Business rnd Professirns Code. nnd rny license is in litll f(rrce rn(l efltct
Licenst:Nurilbcr:
Datei__ _ CoDtractot:(_,,t 7,
CONS'I'RUC'I'ION L}'NDING AGf, NCY
I hercby affirm under FEnolry of perjury rhrt th€rc is a conrtruoion bntling agency for tlt Jrrfrrnmrce of tlrc srxk lbr shicl thi\ lErni( k
issued (Sec. 1097. Civ. C.).
Lender'\ Nirnc:
kndcr's Addr.\\:
APPLICAN'I' DECl,ARA'IION
I hercb)'illfiflnun(ter |rrrlty rrf 6rluryone of the followins (leclilralir)[\:
Denx)lition Pernrits-A\heslr)\ Nrnificxtiotr t;ederfll Re8ulnti(,ils ('l ille 4{). I'rrl6)
Required [-elter of NrI illcnli()n
-l
cenify lhrl the federill refulxlilnr reSardinE n\tE\k)s renxr!rlrre nrl applicrhle trr lhis l)rt)iect.
_l ccnify rhat I hflvc reird this tpplic{tion rill \lillc thrt the uhrve infirrnrl hn i\ correct. I ngre lo (onrnly *ilh nll ('ity ilnd (iuflly
odinances nnd Sttre hwc rclilting t() huikling conilructir)n. ilfr| herehy rutlxrrize refresentilives of this Chy nnd Cr{rnly to enler uF)n llE
ahrve rmntioncd pnrFny fitr in\r(Jirr purFt\e\.FL'" t 1/' ,ste:Applkana or AEell Sl8mturc:
I'emlte mm (prlntl:
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor I )
€6ndrtrq / Crr-oundins /(UFER Ah,trl*WWIlH
I ranslormers J'I
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soflit Rough
Ceilinqs (T-Bar Rouqh)
Itleter Release
I I
Rouqh {4Uhfl'-l tvtlt2
Service Meter tiLlL lw wwr*,/
FINAL ir:zi- it tunrt|y 37
Notes, Remarks, Etc.(
Policy Numbcr: llxpircsl
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