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Project Address: 3401 S Harbor Blvd <br />Assesso/sParcel: 411-26248 Lot POR 3 <br />Unit: <br />Block: NA <br />Btdg: <br />Tract wlLLIAiTS <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: P <br />w <br />City of Santa Ana <br />Permit Counter: O14) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 4Ol3159E <br />Pin #: 50620 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contraclor <br />Address: <br />Kalser Fondatlon Health Plan lnc <br />1707 Barcelona Clrcle <br />Placentla, CA 92870 <br />17141572-57'.tO <br />Kalser Permanonls <br />Alr Flow Mechanical <br />5120 E La Palma 1203 <br />Anaholm, CA 92807 <br />(714) 4634596 <br />Foe Type <br />011'16002 51604 Add'l Vent Sys <br />011'16002 516(X Venl Fan/Comm <br />01116002 51600 General Plan Update <br />01116002 51604 lssuance <br />Amount <br />4't.99 <br />4't.99 <br />21 .25 <br />52.98 <br />Fee <br />$41.99 <br />$41.99 <br />$21.2s <br />$52.98 <br />Qty <br />'1 .00 <br />1 .00 <br />1 .00 <br />1 .00 <br />Phone <br />State Lic #: 341410 <br />Lic Typer C-20 <br />Bus. Lic #: 311422 <br />Workers' Compensation lnsurance:Carrier: Zurich American lnsurance Company <br />Policy #r WC9809637 <br />Expires: 0410112018 <br />Botchi: {09S7 <br />0fl ice: CTYH <br />Accti: <br />Rcpti:0?r.r8(rg <br />Tronstlct ion <br />ltll: <br />Air FIov llecl <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 />Building Permit #: <br />A-3, B <br />ll B, SPK Story lncrease <br />cMc 2016 <br />Generol PIon Updqte F <br />01116002- s1600000- <br />nechon i col <br />01r16002- 51604000- <br />lloster Cord <br />cci ! *I*rfiIrlfir75tlg <br />Comme.cial <br />Alteration <br />Mech Tl <br />Occupancy: <br />Constr Type <br />Code: <br />Dale: <br />Date: <br />Date:nandez, Kalhy <br />Every pennit issued shall become invelid unless thg work o/, fl,o sitg <br />authoized by such pemit is cgmmerped within 1 80 days aftot its <br />issuanca. o. if the wo* authoizad on the site by such pemit is suspended <br />ot ebandoned lor a pedd ol 1 80 days afrer lho time the wotu is <br />c!,m,r/€r,@d. <br />lnspector MID#: 20'17-139964 <br />11115t2017 <br />Account# <br />01116002 51600 <br />01116002 51604 <br />$21.25 <br />$136.96 <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />$ 158.2'l <br />$0.00 <br />s158.21 <br />Noles; <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total