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Assessor'sParcel: 414-262-08 Lotr POR 3 <br />Unit: <br />Elock: NA <br />Bldg: <br />Tract: WILLIAMS <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning; P <br />City of Santa Ana <br />Permil Counter: (714) &7-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Mechanical Permit #: 4lJ131247 <br />Pin #: 962{l <br />Phone: <br />Tanant Name: <br />Kal8er Fondstlon Hsalth Plan lnc <br />1707 Earcelona Circle <br />Placentia, CA 92870 <br />17't4l572-5710 <br />Kalaer Permanents <br />Kal3er Foundation Health Pl <br />1707 Barcolona Circle <br />Placentia, CA 92870 <br />(909) 4274700 <br />01116002 <br />011 '16002 <br />01116002 <br />01 1 16002 <br />011'16002 <br />011'16002 <br />01116002 <br />51604 <br />51604 <br />5'1604 <br />51604 <br />53603 <br />51600 <br />51604 <br />Amount <br />86.82 <br />63.12 <br />54.67 <br />30.80 <br />0.65 <br />21.25 <br />52.98 <br />Qry <br />7.00 <br />2.00 <br />7.00 <br />7.00 <br />'1,332.27 <br />1 .00 <br />1.00 <br />Feo <br />$607.74 <br />$126.24 <br />$382.69 <br />$215.60 <br />$865.98 <br />$21.2s <br />$52.98 <br />Fee Type <br />Compressor <br />Air Handling <br />Fan Coil <br />Condensate Pump <br />PIC - 650/o <br />General Plan Update <br />lssuance <br />Phone <br />Slate Lic #: 370871 <br />Lic Type: B <br />Bus. Lic #: 2108 <br />Workers' Compensation lnsurance:Carrier: Dept of lndustrlal Relations <br />Policy #: 1053 <br />Expires: 01lO1l2O'18 <br />PAID <br />SIP O 1 ZUII <br />ity of Santa Ana <br />Building Use: <br />Job Type; <br />Nature of Work: <br />Planning conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Commercial <br />Alteration <br />Roof mtd equipment <br />A.3, B <br />ll B, SPK Story lncrease <br />cMc 2016 Notes: fees pd on M-59995 <br />v,t <br />Date: <br />Date: <br />Date: <br />West, Glen <br />Hernandez, Kathy <br />oato712017 <br />0910112017 <br />Account# <br />Misc. R€ceipt: 69879 <br />Misc. Receipt: 69995 <br />Misc. Receipt: <br />Total <br />Buildins Permit #: 10193710 <br />Every permit issuod shall become invalid unloss the wo* on the siae <br />authorized by such pemit is commencgd within 1 80 days alter ils <br />issuance, or il the wod< aulho.ized on the site by such pemit is suspended <br />ot ebandotpd tor a Niod ol 1 80 days <br />'fter <br />tlt€ tirne tho work is <br />cgmror@d. <br />lnspector MID#: 2O17:\37B1O <br />N/A - No Balance Fee Total: <br />Paid to Date: <br />Balance Due <br />$2.272.4A <br />$2,272.48 <br />$0.00 <br />Project Address: 3401 S Harbor Blvd <br />Owner: <br />Address: <br />Contraclor: <br />Address: <br />Occupancy: <br />Constr Type: <br />Code: