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Project Address: 1900 E Fourth St <br />AssessoisParcelr 400481-03 Lotr POR 15 <br />Unit: <br />Block: NA <br />Bldg: <br />Tracl: MAYBURY <br />Address Range: 1900-1910. <br />Historic; No <br />Suite Range: <br />Zoning: P <br />q <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Mec ha n ical Permit #: 4O130696 <br />Pin #: 49054 <br />Owner: <br />Address: <br />Contraclor <br />Address: <br />01116002 <br />011'16002 <br />01115002 <br />01't16002 <br />011't6002 <br />01116002 <br />01116002 <br />01't16002 <br />51604 <br />51604 <br />51604 <br />51604 <br />51604 <br />53603 <br />5'1600 <br />51604 <br />Amount <br />84.00 <br />41.46 <br />61.07 <br />40.62 <br />61.07 <br />0.65 <br />20.56 <br />5 t.26 <br />ety <br />4.00 <br />22.OO <br />2.00 <br />31.00 <br />12.OO <br />3,362.97 <br />1.00 <br />1.00 <br />Phone <br />Tenant Name: Kaiser Permamente <br />Kaiser Foundation Health Plan lnc. <br />393 E. Walnut St. <br />Pasadena, CA 91188 <br />Kaiser Foundation Health Pl <br />1707 Barc6lona Circle <br />Placentia, CA 92870 <br />(909) 4274700 <br />Fee Type <br />Heal Pump <br />VAV Box <br />Air Handling <br />Alter Venl Sys <br />Fire Damper <br />Plc - 65Vo <br />General Plan Update <br />lssuance <br />Fee <br />$336.00 <br />$912.12 <br />$122.14 <br />$1,259.22 <br />$732.84 <br />$2,'r 8s.93 <br />$20.56 <br />$51.26 <br />ID: ororoles151of I <br />0696 <br />AH <br />r.86 <br />s5,620.07 <br />$1.028.21 <br />$4,591.86 <br />Phone <br />State Lic #: 370871 <br />Lic Type: B <br />Bus. Lic #: 2108 <br />Workers' Compensation lnsurance:Carrier: Dept of lndustrial Relations <br />Policy #: 1053 <br />Expires: 01/01/2018 <br />Eotr:t,i '. ';.::t) - 3/71?017 <br />0lf ice.' CTYH TrqnEi: 23A<ct+: Reli <br />Rcptl:01781796 - 3/7 /201 <br />Tron.-,r,' o.r I',t qI <br />Koiser Foundot ion HeolLh Plon <br />lr|, <br />r,.. <br />rm.56 <br />t3,413. 58 <br />lL t 157 .72 <br />RemovF & replace (e) rooftop AJC units (reducing I <br />units ld 2 unitsl.. . <br />7 <br />{013 <br />10:03!{r59 <br />Building Use: <br />Job Type: <br />Nature ot Work <br />Planning Conditions: <br />Planning Approval By <br />Commercial Occupancy: <br />Altoratlon Constr Type <br />Rooftop EqulpmenUPhase 2Code: <br />Date <br />Date <br />Dale <br />Misc. Receipt: 68943 <br />Misc. Receipt; <br />Misc. Receipt: <br />Total <br />B <br />III B, SPK <br />cMc 2013 Notes; <br />Plan Checked By West, Glen <br />Permit lssued Amsden, Julie <br />Subject to Field: <br />Building Permil #; 10191 631 <br />Ewry pemit issued sha becgmo invalid unlass the wo* on the site <br />duthoized by such pemil is commenced within 1 80 days afrer its <br />issuance, ot il tll€ wotk authotized on the sito by such pe.mit is suspended <br />ot abandor6d fot a pend ol 1 80 days efter the time the wo* is <br />commen@d. <br />lnspector MID#: 2016-133497 <br />01116002 51600 <br />01116002 51604 <br />01 1 16002 53603 <br />$20.56 <br />$3,413.58 <br />$1,157.72 <br />Fee Tolal: <br />Paid to Oate: <br />Balance Due: <br />0110612017 <br />o31o7 t2017 <br />Account#