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cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAq27O2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 30{4098{ <br />Pin #: 5s2q{i <br />Project Address: 1900 E Fourth St <br />Assessor'sParcel. 400.081-03 Lot POR 15 <br />Unit: <br />Elock: NA <br />Bldg: <br />Tract MAYBURY <br />Address Range: 1900-1910. <br />Historic: No <br />Suite Range: <br />Zoning: P <br />Phone: <br />Tenant Name: Kaisor Permanente <br />Kaiser Foundation Health Plan lnc. <br />393 E. Walnut St. <br />Pasadena, cA 91188 <br />JMC Mechanical <br />190 Sierra Ct lBl <br />Palmdale, CA 93550 <br />(6671211-7262 <br />011 16002 5160i <br />01116002 s160i <br />01116002 sl60i <br />01116002 s160C <br />01116002 51602 <br />Amount <br />14.22 <br />12.70 <br />6.95 <br />22.O8 <br />55.04 <br />Fso <br />$14.22 <br />$63.50 <br />$20.85 <br />$22.08 <br />$55.04 <br />Fe€ Typo <br />Water Closel <br />Sink <br />Cap Fixtures <br />General Plan Update <br />lssuance <br />Qty <br />100 <br />5.00 <br />3.00 <br />1 .00 <br />'1 .00 <br />Phone <br />State Lic #: 1031992 <br />Lic Type: C-36, C-20 <br />Bus. Lic f: 372748 <br />Workers' Compensation lnsurance: <br />Carrier: Evarr3t Premler lnlurance Company <br />Polacy #: 76d1O19660181 <br />Expires: '1012512019 <br />Building Use: <br />Job Type: <br />Nature of Workl <br />Occupancy: <br />Conslr Type: <br />Code: <br />B <br />lll B, SPK <br />cPc 2016 <br />Notes <br />Planning Conditions <br />{S sernandez, xattry <br />Date <br />Date <br />Date 05/30,2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Tolal <br />$175.69 <br />$0.00 <br />i175.69 <br />MID#: 20't8-146944 <br />01 1 16002 51600 <br />01 I 16002 51602 <br />s22 08 <br />$153.61 <br />Fee Totat <br />Paid lo Dalel <br />Balance Due: <br />Owner: <br />Address: <br />Contractor: <br />Address: <br />Commercial <br />Tenanl lmprovement <br />Tl-1st floor <br />Planning Approval By; <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Buildins Permit #: 10198041 <br />Every pemtl issued shall become invahd unloss tlre wo.r( o, lh€ srlo <br />autlanzed by such poinit is comnenccd withih 360 days otter its <br />6suance, ot il the wod< authorized on the site by such pemil is suspended <br />or abandoned lor a penod c1360 days after the tirne the wod< i5 <br />cofimancod <br />lnspector