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q' <br />Project Address: 1900 E Fourth St <br />Assessor's Parcel 400-081-03 Lot POR '15 <br />Bldgl <br />Tract. MAYBURY <br />Unit Address Range: 1900-1910' <br />Historic; No <br />Suite Range: <br />Zoning: P <br />city of santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA\27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: lOl9{63{ <br />Pin #: 278.21 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg & Use <br />Proposed Use: <br />Commercial <br />Alteration <br />Rooftop EquipmenUPhase 2 <br />Commercial <br />Medical Offices <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories <br />B <br />III B, SPK <br />cBc 2013 <br />x-060232027 7 J <br />1st FL Area Patio <br />Description of Work: Remove & replace (e) rooftop A,/C units (reducing 9 units to 2 units). <br />Planning Conditions: <br />2nd FL Area: T.l.Area: <br />8ol , t/?/2OL? ID: srlor olesli <br />Other Aregsl r!e: -'Iyit yAda,Etq'dX I of S <br />A, , : l; Ref+r lott: .j1 <br />Garage Altrt i: r' 178 l i3gr'atu ilrfl0l7SIEFS.00- Trr .rt -ir;t,,,f .r5 <br />Total: <br />Ko iser Foundotion Heolth plon <br />6er ' r .uLe Fee S20.56 <br />Lrll16002-51600000-Buil/ r t618. 26 <br />Engrneer SPREStHctura lEngineerin! .r <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Kaiser Foundation Health Plan lnc <br />393 E. Walnut St. <br />Pasadena, CA 91188 <br />Kaiser Permamente <br />Contractor: Kaiser Foundation Health Pl <br />Address: 1707 Barcelona Circle <br />Placentia, CA 92870 <br />Phone: (909) 4274700 <br />State Lic #: 37087'l <br />Lic Type: B <br />Bus. Lic #: 2108 <br />Workers' Compensalion lnsurance: <br />Carrier: Oept ot lndustrial Relations <br />Policy #: '1053 <br />Expires: 01/01t2018 <br />Jeremy c lt{etlq{rl,: .,it_,1, <br />25461 Rarftho Parkway Southr., r,r. <br />Lake Fore{ CA'U1530 '. . , ,1., <br />(949) 916-rItlo4614 l.l.,'';:-..r. ',.,..i:t; <br />Address <br />8. 00 <br />t21 . t:ro <br />t126 . r10 <br />r1171.95 <br />Phone: <br />License # <br />Phone: <br />License # <br />Auth <br />t <br />rl2Architect / <br />Desiqner: <br />Address: <br />Planning Approval By Ni. Ann <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd No <br />Dale 1211Sl2O1A Nlisc. Receipt: 68943 <br />CsE-CenturyStructuralEngineoate: 0112012017 Misc.Receipt <br />Amsden, Julie Oate. O3tO7t2O17 Misc. Receipt <br />Subject to Field: <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd Total <br />0777600 2 <br />01776002 <br />01776002 <br />08907007 <br />01776002 <br />0777600 2 <br />07776002 <br />57607 <br />53500 <br />57770 <br />2400 0 <br />576 72 <br />51600 <br />57607 <br />$597.00 <br />$413 82 <br />$21 .00 <br />$126.00 <br />$18.00 <br />$20.s6 <br />$51.26 <br />Permit Fee <br />Plan Check Fee <br />lvlicrofilm Records <br />SMIP - Category 2 <br />Bldg Stds. Revolving <br />General Plan Update <br />lssuance <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Noyes Account# <br />Landscaping lnsp Req'dr No Flood Zone Cert. Req'd: No <br />Every permil issued shall become invalid unless lhe Lvork o/, the s,lo authoizod by <br />such petmil is commenced withlh 180 days aftet ils issuance.ot if the wo* aulhotized <br />on the sile by such perml is suspendad o, abandoned fot a peiod of180 days aftet <br />lhe tme lhe wot* ts commenced <br />lnspector MID#: 2016-133497 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />08901001 <br />51600 <br />51601 <br />5161 2 <br />57770 <br />24000 <br />$20.56 <br />$648.26 <br />$18 00 <br />$21.00 <br />$126 00 <br />Fee Totall <br />Paid to Date: <br />Balance Due <br />$1 ,247 .64 <br />$413 82 <br />$833.82 <br />Block NA