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Project Address: 3401 S Harbor Blvd <br />Assessor's Parcel: 414-262-08 Lot: POR 3 <br />Unit Bldg: <br />Tract: WILLIAMS <br />Address Range Suite Range: <br />Zoning: PBlockr NA Historicr No <br />City of santa Ana 20 civic center Plaza (M-'19), santa Ana, cAg27o2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 1IJ196.264 <br />Pin #: 33278 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Existing Bldg. & Use: <br />Proposed Use: <br />Commercial <br />Miscellaneous <br />Repair Carport <br />Commercial <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />U <br />VB <br />cBG 2016 <br />x-0602320258J <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: <br />Planning Conditions: <br />$57,000.00 <br />Botch+!4{,t26 - 6/21/?ttl9 I0: LEoSALES0tfice: CTYH Trflns+; ? 1 ol 1Accti: Rcfi: 101?3264 <br />Rcpti:02299848 - 6/?1../2019 9ri,q An <br />Tnansort i on Totol i1?3.43 <br />Owner: <br />Address <br />Phone: <br />Tenant: <br />Kaiser Foundation Health <br />393 E Walnut St <br />Pasadena, CA 911880001 <br />Contractor: T K B Construction <br />Address: 8801 Brookdale Road <br />MILLVILLE, CA 96062 <br />Phone: (530) 515-1052 <br />State Lic #: 952434 <br />Lic Type: B <br />Bus. Lic #: 369092 <br />Workers' Compensation lnsurance: <br />Carrier: EXEMPT <br />Policy #: <br />Expires: <br />T K B ConEtruct ion <br />6enerol Plsn Updnte Fe,: <br />01116002- 5160fi000- <br />Eu ild ins <br />01u6002- 5160t000- <br />Elds Stds Revolv ins <br />011t6002- s1612000-llicrolih & Docurtent s <br />01116002- 57770000- <br />SNIP <br />09901001- 210000011- <br />Viso <br />CC+: r*irrrlrrr*r0234 <br />t21 .25 <br />i361.ttr <br />i3,otr <br />t2t .?2- <br />s15.96 <br />$123.43 <br />Authi:609191 <br />Addressl <br />Architect / <br />Desiqner: <br />Address: <br />Phone: <br />License #: <br />Phone: <br />License #: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd <br />PWA lnsp. Req'd: <br />Planning lnsp. Req'd <br />Fregoso, Vince <br />So, Anson <br />Amsden, Julie <br />o177600 2 <br />0777600 2 <br />0777600 2 <br />08907007 <br />0777600 2 <br />0777600 2 <br />0177600 2 <br />57607 <br />53 600 <br />57770 <br />24000 <br />57672 <br />57600 <br />57607 <br />Permit Fee <br />Plan Check Fee <br />lvlicrofilm Records <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Datet C41251201A Misc. Receipt: 70888 <br />Date: 06/18/2018 Misc. Receipt: <br />Date: 06/2112018 Misc. Receipl: <br />Subject to Field: <br />$308.52 <br />$427 .72 <br />$21.72 <br />$15.96 <br />$3.00 <br />$21 .2s <br />$52.98 <br />No <br />.No <br />No <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd <br />No <br />No Account#Total <br />Landscaping lnsp. Req'd: No Flood Zone Ce(. Req'd: No <br />Every pemit issued shall bocomo invalid unless the work on the site authoized by <br />such pemit is commenced within 180 days afler its issuance.or if the work authoizod <br />on the site by such parmit is suspended ot abandoned for a peiod of180 days after <br />lhe tifie lhe work is commenced . <br />lnspector MID#: 20'18-142299 <br />0'1 1 16002 51600 <br />0'1 1 '16002 51601 <br />01116002 51612 <br />01 116002 57770 <br />0890100't 24000 <br />$21 .25 <br />$361 .50 <br />$3.00 <br />$21.72 <br />$15.96 <br />$85'1 .'1 5 <br />$427 .72 <br />$423.43 <br />'1 st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: <br />Description of Work: Repair (e) carport du6 auto damage <br />Engineer: <br />Fee Total: <br />Paid to Date. <br />Balance Due: