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Project Address: 3401 S Harbor Blvd <br />Assessor'sParcel 414-262-08 Lot: POR 3 <br />Unit: <br />Block: NA <br />Suile Range; <br />Zoning; P <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853 <br />Electrical Permit #: 20{ 636EG <br />Pin #: t5539 <br />NI <br />Owner; <br />Address <br />Phone <br />Tenant Name: <br />01 116002 51603 <br />01 1 16002 51603 <br />01 116002 51603 <br />01 'l 16002 53601 <br />01 1 16002 51600 <br />01116002 51603 <br />Kaiser Foundation Health Plan lnc <br />1707 Barcelona Circle <br />Placentia, CA 92870 <br />17141 572-5710 <br />Kaiser Foundation Health Pl <br />1707 Barcelona Circle <br />Placentia, cA 92870 <br />(909) 4274700 <br />Fee Type Amount <br />FWU 23.87 <br />0-1 HP, KWor KVA 3.43 <br />Ove|l-10 HP, KW or K\ 22.42 <br />Plc - 65Yo 0.65 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />5.00 <br />1.00 <br />2.00 <br />168.27 <br />1.00 <br />1.00 <br />Fee <br />$119.35 <br />$3.43 <br />$44.84 <br />$109.38 <br />$21.25 <br />$52.98 <br />Phone <br />Stale Lic #: 370871 <br />Lic Type: B <br />Bus. Lic #: 2108 <br />Workers' Compensatlon lnsurance:Carrier: Dept of lndustrial Relations <br />Policy #: '1053 <br />Expires: O1l01l2O1A <br />PAID <br />SEP O 1 ZUl/ <br />$ <br />City of Santa Ana <br />Building Use: <br />Job Type: <br />Nature oI Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Commercial <br />Alteration <br />Equipt <br />\$h <br />Occupancy: <br />Conslr Type <br />Code: <br />B <br />III B, SPK <br />cEc 2016 Noles: fee pd on M-69996 <br />Oavis, Scott <br />Hernandez, Kathy <br />o411612017 <br />091o112017 <br />Account# <br />Misc. Receipt: 69803 <br />Misc. Receipt: 69996 <br />Misc. Receipt: <br />Total <br />Date: <br />Date: <br />Date: <br />Buirdins Permit #: 10193522 <br />Every pennit issued shall bocome invalid unless lhe wod< on the site <br />authonzed by such pamil is comfienced within180 days atlet ils <br />issuance, ot if the wod< authoized on the site by such permit is suspendod <br />ot abandoned lot a penod ot 180 days eftet the time the wo is <br />commenced. <br />lnspector MID#: 2017-137395 <br />N/A - No Balance Fee Total: <br />Paid to Date: <br />Balance Due: <br />$351.23 <br />$351.23 <br />00.00 <br />Bldg: Address Range: <br />Tract: WILLIAMS Historic: No <br />Contractor: <br />Address: