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Project Address: 3601 S Harbor Blvd <br />Assessor's Parcel. 414-261-07 Lot: POR 3 <br />Unit Bldg: <br />Tract: WILLIAMS <br />Address Range. 3601-3631 <br />Historic: No <br />Suile Range: <br />Zoning: SD58Block: NA <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 #: lOl9182{ <br />Pin #: 52866 <br />\.J <br />Building Use: <br />Job Type: <br />Nature oI Work: <br />Existing Bldg. & Use <br />Proposed Use: <br />Commercial <br />Tenant lmprovement <br />TI <br />Commercial <br />Occupancy: <br />Constr Type <br />Code: <br />Flood Zone: <br /># of Stories: <br />B <br />V B, SPK <br />cBc 2016 <br />x-0602320258J <br />2 <br />Patio: <br />T.l.Area: <br />Yards Req'd: <br />Valuation: <br />2160 <br />$'r 00,000.00 <br />Description of Work: lnterior Tl includes finishes and demo pony wall <br />Owner: <br />Address. <br />Phone: <br />Tenant <br />Kaiser Permanente <br />1707 Barcelona Cir. <br />Placentia, CA 92870 <br />(7141572-581',| <br />Contraclor: Kaiser Foundation Health Pl <br />Address: 1707 Barcelona Circle <br />Placentia, CA 92870 <br />Phone: (909) 427-4700 <br />State Lic #: 37087'l <br />Lic Type: B <br />Bus. Lic #: 2108 <br />Workers' Compensation lnsurance: <br />Carrier: Dept of lndustrial Relations <br />Policy #: 1053 <br />Expires: 01/0'l /2018 <br />Engineer <br />Address <br />Phone: <br />License # <br />Archatect / <br />Desiqner: <br />Address: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: No <br />PWA lnsp. Req'd: No <br />Planning lnsp. Req'd: No <br />Landscaping lnsp. Req'd: No <br />Dale: 0110512017 Misc. Receipt <br />Dale: O4l2Ol2O17 Misc. Receipt <br />Date: OS/09/2O1Z Misc Receipl <br />Subjecl to Field: <br />No <br />No Account# <br />07776002 <br />0 7776002 <br />0 77 7 6002 <br />0 7776002 <br />01776002 <br />07776002 <br />s7607 <br />53600 <br />57770 <br />5 7672 <br />5 7600 <br />5 7607 <br />$496.80 <br />$712.80 <br />$45.50 <br />$4 00 <br />$20.56 <br />$51.26 <br />Arabe. Jill <br />Maza(li, Zac <br />Zuniga, Allissa <br />69028 <br />Total <br />Permit Fee <br />Plan Check Fee <br />Microfilm Records <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuanceFire lnsp. Req'd: <br />Police lnsp. Req'd <br />Flood Zone Cert. Req'd: No 01t16002St600 <br />Every pefinl issued shall bocome nvalid unlesslhe wo* on lhe site authonzed by <br />such pemit is conmenced wlthin 180 days aftet its issuance,or if the wot* authonzed <br />on tho site by such permit is susponded or abandoned fot a peiod of 180 days after <br />the tifie the wot* is commoncod . <br />lnspector MID#: 2017-'13381 1 <br />011 16002 51601 <br />01 1 16002 51612 <br />01116002 57770 <br />$20 56 <br />$548.06 <br />$4.00 <br />$45.s0 $1,330.92 <br />s712.80 <br />$618.12 <br />1st FL Area: <br />2nd FL Area: <br />Other Areas: <br />Garage Area: <br />Total: 0 <br />Planning Conditions: <br />Phone: <br />License # <br />R,- <br />Fee Total: <br />Paid to Date: <br />Balance Due: