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Project Address: 3401 S Harbor Blvd <br />Assessor's Parcel 414-262-08 LoI POR 3 Hisloric No <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Building Permit #: lOl96085 <br />;{ <br />Pin #: 77158 <br />Patio: <br />T.l Area: <br />Yards Req'd: <br />Valuation:$16,924.00 <br />0 <br />Planning Conditions <br />Owner: <br />Address <br />Phone <br />Tenant <br />Kaiser Foundation Health Plan lnc <br />'1707 Barcelona circle <br />Placentia, CA 92870 <br />Conlractor Kaiser Foundation Health Pl <br />Address: 1707 Barcelona Circle <br />Placentia, CA 92870 <br />Phone: (909) 4274700 <br />State Lic #: 37Oa71 <br />Lic Type. B <br />Bus. Lic #: 2108 <br />Workers' Compensation lnsurance: <br />Carrier Dept ot lndustrial Relations <br />Policy #: 1053 <br />Expires: 0110112019 <br />Engineer <br />Phone <br />License # <br />Architect / <br />Desiqner: <br />Address: <br />Planning Approval Byl <br />Plan Checked By: <br />Permit lssued Byr \ <br />NPDES lnsp. Req'd: No Subject to Field: <br />PWA lnsp. Req'd: No Fire lnsp. Req'd: No <br />Planning lnsp. Req'd: No Police lnsp. Req'd: No Account# <br />Landscaping lnsp. Req'd: No Flood Zone Cert Req'd: No 0111600251600 <br />Every pefinit issuod shell becofio nvalkt unless the wo* on the sile aolhonzed by 01 1 16002 51601 <br />such permit ts commencect wtthn 180 ctays aftet its issuance ot il the wotk authorized 9111999? 1191? <br />on lhe site by such pemi is suspendod or abendoned tot a peiod of 180 days after 0890100'1 24000 <br />lhe limo the wo* ts commenced <br />r <br />Ni, Ann <br />Maza\i, Zac <br />Hernandez, Kathy <br />0777 6002 <br />07776002 <br />0 890 700 7 <br />017760 02 <br />07776002 <br />0177600 2 <br />Dale: 0411012018 Misc. Receipt <br />Dale: 05/2412018 Misc. Receipt <br />Date: 05/31/2018 Misc. Receipt <br />70816 <br />Total <br />57607 <br />s3600 <br />2 4000 <br />57672 <br />57600 <br />57607 <br />$154.26 <br />$641 .58 <br />$4.74 <br />$1.00 <br />$21.25 <br />$52.98 <br />$21.25 <br />$207 .24 <br />$1.00 <br />$4.74 s875 81 <br />$641 58 <br />$234.23 <br />lnspeclor MID#: 2018-142598 <br />Bldg: Address Rangel <br />Tract: WILLIAMS <br />Unil Surte Range: <br />Zoning PBlock NA <br />Building Use Other Occupancy: B 1st FL Area: <br />Job Type: Alteration Constr Type: ll B, SPK 2nd FL Area: <br />Nature of Work: Equipt replacmsnt, interior Coder CBC 2016 Other Areas: <br />Existing Bldg & Use: c6mmsrciauModical Offices Flood Zone: X-0602320258J <br />Garage Areal <br />Proposed Use: # of Stofles: Total <br />Description of work: Romove old electrical Rad/Fluoro equip and install new electrical Rad/Fluoro equipt <br />Botch+ 3 4.t065 <br />0lf ice: (;TyH <br />Acct+: <br />5/3 t /2018 <br />Trnns:: ?ft <br />RE t': : <br />tt/,l.5t ( t a <br />Address <br />fnonsoct ion [oto I <br />Xo i Ee. Found(tt i on Heo I t <br />Phone <br />Lrcense #. <br />6enerol Plon Updq[e F <br />01116002- 516000r:10- <br />8u r ld ins(1116002- !1601(r0tr- <br />Elos Stds Revo lv ins <br />01116002- 11612(r(r(r- <br />SNIP <br />089U1(t0l- 24Ur-tU0((t- <br />hoster Cord <br />CC+: r**rfirrrlr ritr31 <br />Permit Fee <br />Plan Check Fee <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Fee Total <br />Paid to Date: <br />Balance Due: