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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Mechanical d,,Permit #: 4Oi <br />Pin #:44454 <br />Proiect Address: 3401 S Harbor Blvd <br />Assessor'sParcel: 414-262-08 Lot: POR 3 <br />Unit: <br />Block: NA <br />Bldg: <br />TTact WLLIAMS <br />Address Range; <br />Historic: No <br />Suite Range: <br />Zoning: P <br />Owner: <br />Address: <br />Contractor <br />Address: <br />P hone <br />Tenant Name: <br />Kaiser Permanente <br />1707 Barcelona Circle <br />Placentia, CA 92870 <br />(714]- 572-5811 <br />Kaiser Foundation Health Pl <br />1707 Barcelona Circle <br />Placentia, cA 92870 <br />(909) 4274700 <br />01116002 51604 <br />01116002 51604 <br />01116002 51604 <br />01'116002 53603 <br />01'116002 5160C <br />01116002 51604 <br />Amount <br />90.19 <br />44.51 <br />65.57 <br />0.65 <br />22.O8 <br />55.04 <br />Fee Type <br />Compressor <br />VAV Box <br />VAV Box <br />PIQ - 65Yo <br />General Plan Update <br />lssuance <br />Qty <br />3.00 <br />1.00 <br />1.00 <br />381.30 <br />1 .00 <br />1.00 <br />Fee <br />$270.57 <br />$44.5't <br />$65.s7 <br />$247.85 <br />$22.08 <br />$55.04 <br />Phone <br />State Lic #; 370871 <br />Lic Type: B <br />Bus. Lic #: 2108 <br />Workers' Compensalion lnsurance:Carrier: Dept of lndustrial Relations <br />Policy #: 1053 <br />Expires: 0110112019 <br />BOtChi:{5512 - S/2,.i2QI8 IO! HGARCIAoffice: CTYH Trons+: 29 3 of 3Accti! Ref+! 10132335 <br />Rcpt+:0?3s9733 - S/2t/2018 11:52 AH <br />Tronsoct ion Totol 12t411.29 <br />Ktr ispn Foundotion He(Ith Plnn <br />Geflerol Ploo Updote Fee <br />01t 16S02- 516110000- <br />ltechon icql <br />0r116002- s160{000- <br />]loster Cord <br />CC+ !r**r*rli**r*3031 <br />r:r <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permil #: <br />Commercial <br />Tenant lmprovement <br />TURool Mtd Equipt <br />CSG Consultants <br />Zunaga, Allissa <br />10197038 <br />Occupancy: <br />Constr Type <br />Code: <br />N/A <br />N/A <br />cMc 20't6 <br />g4ls.69 <br />011 16002 51600 <br />92 r 411 <br />Auth+ ! 01284.q <br />$705.62 <br />$247 .85 <br />$457 .77 <br />Notes: <br />Date: <br />Date: <br />0712412014 <br />48t21t2018 <br />Account# <br />Misc. Receipt: 71253 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every permit issued shall become invalid unless the wo* on the site <br />authoized by such peftnit is commenced within180 days after its <br />issuance, ot it the wo* authoized on the site by such pemit is suspended <br />ot abandoned fot a period oi,180 days aftet the time the wo* is <br />commenced. <br />lnspector MID#: 2018-144710 <br />01 '1 16002 51604 <br />$22.08 <br />$435.69 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Building Use: <br />Job Type: <br />Nature of Work: