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20169611 - Permit (2)
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20169611 - Permit (2)
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Last modified
12/8/2022 3:11:17 PM
Creation date
12/8/2022 3:11:16 PM
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Permit
Permit Number
20169611
Full Address
3401 S Harbor Blvd
Permit ID
257793
Master ID Number
2019-149969
Project Name
Kaiser TI Radiology Department
Street Number
003401
Street Direction
S
Street Name
Harbor
Street Suffix
Blvd
Building Use Code
Medical Office
Job Types
Tenant Improvement
Permit Type
Electrical
Applied Date
9/5/2019
Issued Date
9/5/2019
Finalized Date
10/29/2019
Flood Zone
X-0602320258J
Description of Work
Electrical to change out medical equipment
Nature of Work
C/O Medical Equipment
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Permit Counter: (714) 647-5800 lnspectron Requests (714) 667 2738 lnspector Sectron: (714) 647-5853 <br />Project Address: 3401 S Harbor Blvd <br />Assessor'sParcel 414-262-0A tot POR 3 <br />Urril <br />Block NA <br />Bldg Address Range: <br />Tract WILLIAMS Historic: No <br />Suite Range: <br />Zoning: P <br />City nf Santa Ana 20 Civic Center Plaza (M-19) Santa Ana CA927o2 Electrical Permit #: 2Ol696l I <br />Pin #: 62055 <br />Owner: <br />Address <br />Phonc <br />Tenant Name <br />Contractor <br />Address <br />Kaiser Permanente <br />1707 Barcelona Cir. <br />Placentia, CA 92870 <br />(714) 572-5E13 <br />Kaiger Permanente <br />Harris L Wgods Electric Cor <br />9214 Norwalk Blvd. <br />Santa Fe Springs, CA 90570 <br />(562) 587-9051 <br />0't 1 16002 <br />0't116002 <br />01 1 16002 <br />0't116002 <br />01116002 <br />01 1 16002 <br />01 1 16002 <br />51603 <br />5't603 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Fee <br />$1.51 <br />$8.20 <br />$6.54 <br />$25.76 <br />$35 21 <br />$22.95 <br />$57 20 <br />Fee Type Amount <br />125 Volt Receptacle 1 51 <br />Lrght Swrtches, Occ Se 1.64 <br />Light Fixtures 1 09 <br />Spec. R,/W Per 100' 2576 <br />Data Communicatrons 35 21 <br />General Plan Update 22 95 <br />lssuance 57 20 <br />Qty <br />'1.00 <br />5.00 <br />600 <br />r00 <br />100 <br />'t.00 <br />1.00 <br />Phone <br />State Lrc #j 481959 <br />Lrc Type. C-10 <br />Bus Lrc # 177717 <br />Workers' Conlpensation lnsuranceCarrier State Fund <br />Polrcy #. 7601075 <br />Expires. 10/0112019 <br />Planning Conditions <br />Plannlrg Approval tsy <br />Plan Checked By <br />Permit lssued By <br />Subjecl lo Freld <br />Arlrsden Julae <br />Burtdrng Pernrrt f 101994,,.|4 <br />Inspector MID#: 2019-'149969 <br />09/05/2019 <br />Account# <br />0't 1 16002 51600 <br />01 1 16002 51603 <br />Fee Total <br />Pard to Oale <br />Balance Due: <br />Botchi:51846 - j/5/2119 I0: Il'tHF,0l <br />office: CTYH Trons+: 9 I (,f lAccti3 Ref +: 21.t169,511 <br />Rcol+r02712271 - 9/1/2119 9tf] An <br />TronBoct ion Totol ll57 . S / <br />Hcr'ris L lJoods Electric (:ontno <br />Generql Plon Updote Fee <br />01116002- 516110000- <br />Electr icol <br />rrl I16002- 51603000- <br />tloster Cord <br />er """r" "f <br />[i' Jii'i6J iti iiJJi?9i "q,i i#t h t ; + I I <br />$157 37 <br />$0 00 <br />$157.37 <br />Buildnlg Use: <br />Job Type. <br />Nature ot Work <br />Commercial <br />Tenanl lmproYement <br />C/O Medical Equipment <br />Occupancy: <br />Constr Type <br />Code <br />B <br />B, SPr( <br />cEc 2016 Noles <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$22.95 <br />$134 42Every pe nl tssued shall bocome tnlald uuless lhe wo* on lhe stte <br />authonzod by such peuntt is cofirnonced wtthnt 360 days afte, lls <br />lssuance, ot tl the wotk autho zod oi the sle by such petnl ts suspendecl <br />or abandoned lot a penod 01360 days afier the ttt)e lhe tt/otk ts <br />comrnenced <br />lq
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