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Project Address: 3401 S Harbor Blvd <br />Assessor's Parcel 414-262-O8 Lot: POR 3 <br />Bldg: <br />Tract: WILLIAMS <br />Address Range Suite Range: <br />Zoning: PBlock NA <br />city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building <br />Permit Counler: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853 <br />Permit #: 10193522 <br />Pin #: 2E7s<! <br />Building Use: Commercial Occupancy: B 1st FL Area: <br />Job Type: Alteration Constr Type: lll B, SPK 2nd FL Area: <br />Nature of Work: Equipt Code: cBc 2016 other Areas: <br />Existing Bldg. & Use: Commercial/Offices Flood Zone: X-0602320258J Garage Area <br />Proposed Use: # of Stories: <br />Total: <br />Description of Work: Remove and replace (e) pumps and boilers within (e) enclosuro/feo pd on M69996 <br />Planning Conditions: <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: $120,000.00 <br />0 <br />P hone <br />Tenant: <br />frl-r't- +6b3 <br />Kaiser Foudation Health Plan lnc <br />'1707 Barcelona Circle <br />Placentia, CA 92870 <br />17141572-5710 <br />Conlractor: Kaiser Foundation Health Pl <br />Address: 1707 Barcelona Circle <br />Placentia, CA 92870 <br />Phone: (909) 4274700 <br />State Lic #: 37087'l <br />Lic Type: B <br />Bus. Lic #: 2108 <br />Workers' Compensation lnsurance: <br />Carrier Dept of lndustrial Relations <br />Policy #: 1053 <br />Expires: 01/0'l/2018 <br />Address <br />PAID <br />SIP 10 Z01i <br />Phone: <br />Llcense #: <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License # <br />$ <br />CitY c{anta Ana <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account# <br />$ <br />No <br />Guevara, Jerry <br />Chehade. Nabil <br />Hernandez, Kathy <br />Oale 0711312017 <br />Oate . Of 12612017 <br />Dale: 09/01/2017 <br />Subject lo Fleld: <br />Misc. Receipt <br />Misc. Receipl <br />Misc. Receipt <br />0 77760 0 2 <br />017760 0 2 <br />017760 0 2 <br />08907007 <br />0 77760 0 2 <br />o777600 2 <br />0777600 2 <br />Permit Fee <br />Plan Check Fee <br />[ricrofllm Records <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />69803 <br />69996 <br />57607 <br />53600 <br />57770 <br />24000 <br />57672 <br />57600 <br />5 7607 <br />$1t4.26 <br />$641 .58 <br />$14.48 <br />$33.60 <br />$5.00 <br />$21 .25 <br />$52.98Total <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every pefinil issued sha bocone invalid unless the wort on the sit€ authoized by <br />such pemit is commenced wilhin 180 days aftet its issuance,or il lhe wo* authorized <br />oh the site by such permit is susponded ot abandoned for a peiod o1180 days aftar <br />the tine th6 work is commenced . <br />lnspector MID#: 2017-137395 <br />Fee Tolal: <br />Paid to Date: <br />Balance Due: <br />$923.15 <br />$923 15 <br />$0.00 <br />Unil <br />Historic. No <br />Owner: <br />Address: <br />Engineer <br />N/A - No Balance <br />N/A - No Balance <br />N/A - No Balance <br />N/A - No Balance