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Project Address: 3401 S Harbor Blvd <br />Lot POR 3 <br />Unit Bldg: <br />Tractr WILLIAMS <br />Address Range Surte Range: <br />Zoning: PBlock NA Hrslonc No <br />i^ City of Santa Ana 20 ctvtc center Plaza (M-19) santa Ana, cAg27o2 Building Permit #: 1lJ199414 <br />Pin #: 17733 <br />Planning Conditions: lntorior work only. <br />Engtneer: Walter P it6d|9,: il'i; :t..,t:;..:: 'ti 1 ".i :Owner: Kaiser Permanente Contractor. Kaiser Foundation Health Pl Daniel WITIaUD: j:i:i'i. :,-:ii,'li: <br />Address: 1707 Barcelona Cir. <br />Placentia, CA 92870 <br />Phone l7l4l 572_5813 <br />Tenant: KaiserPermanente <br />Address 1707 Barcelona Circle <br />Placentia, CA 92870 <br />(909) 4274700 <br />370871 <br />B <br />2104 <br />Workers' Compensation lnsurance <br />Carrler Oept of lndustrifll Relations <br />Policy #1053 <br />Addressr T0TwilstikcHva;$Allizl0o <br />Los Angeier;'6*-6{i647 TL; i' <br />''r <br />i <br />Phone: <br />License # <br />Architect / <br />Desiqner. <br />Address: <br />(310) 254-1900 <br />s4939 " - <br />zeor t'rariid-tiiiijtuigq JQq,.: i:i:,lrvine, c{lJSl!;; _ ii,-. _i . .;._Phone. (949) g8qsqt$,:rii:- lti; i ti:i:l.. <br />Planning Approval By <br />Plan Checked By <br />Permit lssued By <br />NPDES lnsp Re <br />PWA lnsp Req'd No <br />Planning lnsp Req'd No <br />Landscaping lnsp Req'dr No <br />o zco, lvan <br />Structural Engine <br />Fire lnsp. Req'd. No <br />Police lnsp Req'd: No <br />Flood Zone Cert Req'd: No <br />i. Teri <br />Date: 03/12/2019 <br />Oate 07r'18/2019 <br />Oale 0712212019 <br />Subject to Freld: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />12302 <br />Total <br />o n u naz' rlicll e: g5f.9: " " <br />07176@a-.5i600 Plan Check Fee <br />o 1 7 7 6 dhl 161110 ftiii6ffi &ecords <br />0 I e o 7 o qt. 2 1-Qq0'_9MlE_-_C_alegory 2 . <br />onrcodi'izaii aros. Sids"'R6vorvind'' <br />07776002 51500 General Plan Update <br />07776002 5160, lssuance <br />, $140rs <br />$1799f.. <br />'$89.93 <br />.. $lora? <br />o $6.00 <br />$22.95 <br />$57.20Account# <br />Every peml Bsuod shall become invahc! unless lhe wo* on the site aulhonzecl by <br />such porm is comfienced w hin360days ake,ls issuance.ol Ithe work authonzod <br />on the s ebysuchpem E suspendod or abandohed lor a pe od of360 days efter <br />lhe Ume the wod< ts commenced <br />lnspector MtD# 2019-149969 <br />01 1 16002 51600 <br />01 1 16002 51601 <br />01 1 16002 51612 <br />01 1 '16002 53600 <br />01116002 57770 <br />08901001 24000 <br />$22.95 <br />$206 45 <br />$6 00 <br />$4 73 <br />$89.93 <br />$36 40 <br />Fee Total: <br />Paid lo Date <br />Balance Due: <br />$532 01 <br />$165 55 <br />$366.46 <br />Assessor's Parcel 411-262-08 <br />Daniel <br />Job Type: Tenant lmprovement Constr Type ll B, SPK 2nd FL Area: T.l Area. 473 <br />Nature of Work: C/O Medical Equipment Code: cBc 2016 Other Areas: yards Req,d: <br />Existing Bldg & Use Medical Offics Building Flood Zone X-0602320258J Garage Area: Valuation: $130,000.00 <br />Proposed Use # of Stofles Total: 0 <br />Oescription of Work: Change out existing radiology equipment, casowork, modify dressing rooms and rostrooms, & csiling work. <br />Phone: <br />Stale Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Exprres O'llO1l2O2O License#: C3O622 l'!l i'J::J' ; :