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Bldg: <br />Tract: MAYBURY <br />Address Range: 1900-1910. <br />Hisloric. No <br />Suite Range: <br />Zoning: P <br />ry <br />Assessor'sParcel: 400-081-03 LoI POR 15 <br />Unit: <br />Block: NA <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714\ 667-2738 lnspector Section: (7'14) 647-5853 <br />Electrical Permit #: 2lJ162214 <br />Pin #: 15639 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Phone <br />Tenant Name: Kaiser Permamente <br />Kaiser Foundation Health Plan lnc. <br />393 E. Walnut St. <br />Pasadona, CA 91188 <br />Kaiser Foundation Health Pl <br />1707 Barcelona Circle <br />Placenlia, CA 92870 <br />(909) /r274700 <br />01 1 '16002 51603 <br />01 1 '16002 51603 <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 116002 53601 <br />01 1 16002 5'1600 <br />01116002 s1603 <br />Fee Type Amount <br />Air Conditioner 90.25 <br />Low Voltage/Comm 31.55 <br />Add'l Devices/Low Volt 2.98 <br />Control Panel 15.03 <br />Plc - 65./o 0.65 <br />General Plan Update 20.56 <br />lssuance 51.26 <br />Qty <br />600 <br />1 .00 <br />12 00 <br />200 <br />541 50 <br />1.00 <br />100 <br />Foe <br />$541 .50 <br />$31.55 <br />$35.76 <br />$30.06 <br />$351 .98 <br />$20.s6 <br />$51 26 <br />Phone <br />State Lic #: 370871 <br />Lic Type; B <br />Bus. Licf: 21Oa <br />Workers' Compensation lnsurance:Carrier: Dept of lndustrial Relations <br />Poiicy #: 1053 <br />Expires: 01/0112018 <br />t',r <br />off ice: CTYH Trsnsi: 21 <br />Ac..:ti i Refi: <br />RcptS:01781786 - 3/7 /?0L? ITrtrr -, l.ol t <br />ll2qf7 ID! oior oles 15of3 <br />l1 <br />95 <br />2t <br />201672 <br />:59 Alt <br />2 t (t71 .' <br />Ko iser Foundslion H€olth Plon <br />Planning Conditions: <br />Planning Approval By <br />By <br />Subject to Field:' <br />Building Permit #10191631 <br />Every permit issued shall becorfle invalid unless the wo* on lho sile <br />authoized by such pemit is commenced within 180 deys 1ftet its <br />issuence, or il tho wo* authonzed on the site by such pemil is suspended <br />ot abandoned fot a penod oflE0 days aftet the tifie the wotu is <br />commerrcBd <br />lnspector MID#: 2016-'133497 <br />0110612017 <br />03to712017 <br />Account# <br />011 't6002 51600 <br />011 't6002 51603 <br />$20.56 <br />$690.13 <br />Fee Tolal: <br />Paid lo Dale: <br />Balance Due: <br />i1 <br />Remove & replace (e) rooftop AJC units (reducing 9 <br />units to 2 units). <br />$1,062.67 <br />$351.98 <br />$710.69 <br />Commercial Occupancy: <br />Alteration Constr Type <br />Rooftop EquipmenuPhase 2Codei <br />Date <br />Date <br />Date <br />B <br />III B, SPK <br />cEc 2013 Notes <br />Plan Checked <br />Permit lssued <br />Davis. Scott <br />Amsden, Julie <br />Misc. Receipt: 68943 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Project Address: 1900 E Fourth St <br />Building Use: <br />Job Type: <br />Nature of Work