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Proiect Address: 1900 E Fourth St <br />Assessor's Parcel: 400-081-03 Lot: POR 15 Block: NA <br />Bldg: <br />Tracti MAYBURY <br />Unat Address Range: 1900-1910' <br />Historic: No <br />Suite Range: <br />Zoning: P <br />city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building <br />Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853 <br />Permit #: lOl9804{ <br />Pin #: 9502{ <br />'.J <br />Building Use: Commorcial Occupancy: B 1st FL Area Patio: <br />Job Type: Tenant lmprovoment Constr Type: lll B, SPK -2nd FL Area. T.l.Area 3OOO <br />Nature of Work: Tl-1st floor/Roof mtd equip Code: CBC 2016 Other Areas: yards Req,d <br />Existing Bldg. & Use: Commercial Flood Zone: X46O2320277 J Garage Area Valuation: $375,000.00 <br />Proposed Use: Medical Offices # of Storiesi Totat O <br />Description of Work: lnterior demo of walls/c6ilings/utilities; new walls/ceilings to create n6w restroom, procassing statlons, exam rooms, medication <br />prep area, offices, workstation, blood draw stations. (l) new roof mtd unit, (1) card reader, <br />Planning Conditions: <br />Owner: <br />Address: <br />Kaiser Foundation Health Plan lnc <br />393 E. Walnut St. <br />Pasadena, CA 91188 <br />Kaiser Permanente <br />Contractor: Kaiser Foundation Health Pl <br />Address: 1707 Barcelona Circle <br />Placentia, CA 92870 <br />Phone: (909) 4274700 <br />Stale Lic #: 370871 <br />Lic Type: B <br />Bus. Lic #. 21OB <br />Workers' Compensation lnsurance: <br />Carrier. Oept of lndustrial Relations <br />Policy #: 1053 <br />Expires: 0110112020 <br />Engineer <br />Address <br />Lionakis <br />Matthew Raymond Melcher <br />4000 MacArthur Blvd, Suite 101 <br />Newport Beach, CA 92660 <br />4629 <br />Lionakis <br />Scott Mackey <br />4000 MacArthur Blvd, Suite 1O1 <br />Newport Beach, CA 92660 <br />(949) 955-1919 <br />c31142 <br />Phone: <br />License #: <br />Architect / <br />Designer: <br />Address: <br />Phone: <br />License # <br />Planning Approval Bf Gomez, Pedro Date: 10/16/2018 Misc. Receipt: 71667 <br />Plan Checked By: CsE-Cenlury StrfTr,lral Engineoate: 0212612019 Misc. Receipt: <br />Permit lssued By: Zuniga, Allissa I lU.,-- Date: 03/13/2019 Misc. Receipt: <br />NPDES lnsp. Req'd: No I I <br />Subject lo Field: <br />Fire lnsp. Req'd: <br />Police lnsp. Req'd il: Accounr# <br />07776002 <br />077750 02 <br />07776002 <br />08907007 <br />07776002 <br />07776002 <br />0 777600 2 <br />Permit Fee <br />Plan Check Fee <br />Microfllm Records <br />SMIP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />$1,070.50 <br />$1,494.32 <br />$139.12 <br />$10s.00 <br />$15.00 <br />$22.O8 <br />$55.04 <br />$2,901.06 <br />$1,249.52 <br />$1,651.54 <br />Total <br />57607 <br />s3600 <br />57770 <br />2400 0 <br />576 72 <br />57600 <br />57601 <br />PWA lnsp Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No <br />Every pennit issued shall bocome invelid unless lho woi< on the site aulhorized by <br />such permit ia conmenced wilhin 180 days aftor ils issuance,ot it the wo* authoized <br />on the site by such peml is suspended or abandoned fot a pedod of180 days afte. <br />the tifie the wod< is commenced . <br />lnspector MID#: 2018-146944 <br />01116002 51600 <br />01'1 16002 51601 <br />01'116002 51612 <br />01'116002 57770 <br />08901001 24000 <br />c\l\u(xi (44-c <br />$22.08 <br />$1,125.54 <br />$ 15.00 <br />$139.12 <br />$105.00 <br />g Lqq.rb <br />Phone: <br />Tenant <br />Fee Total <br />Paid to Date: <br />Balance Due: