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Assesso/sParcel: 414-2624A Lot POR 3 <br />Unit: <br />Block: l{A <br />Btdg: <br />Tracl: WLLIAMS <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: P <br />City of Santa Ana <br />Permil Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />l nspection Requests: (7 1 4\ 667 -27 38 l nspector Section: (7 1 41 647 -5853 <br />Mechanical Permit #: 4()13124lJ <br />Pin #: 64599,( <br />Owner: <br />Address: <br />Contraclor <br />Address: <br />Phone <br />Tenant Name: <br />Kaiser Fondalion Health Plan lnc <br />1707 Barcelona Clrc16 <br />Placentia, CA 92870 <br />17141572-5710 <br />Kaiser Foundation Health Pl <br />1707 Barcelona Circl€ <br />Placentia, CA 92870 <br />(909) 4274700 <br />01 1 16002 <br />01't16002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />51604 <br />516M <br />51604 <br />53603 <br />51600 <br />51604 <br />Amount <br />86.82 <br />103.82 <br />63.58 <br />0.65 <br />21.25 <br />52.98 <br />Qty <br />1.00 <br />2.OO <br />2.00 <br />421.62 <br />1.00 <br />1.00 <br />Fse <br />$86.82 <br />s207.64 <br />$ 1 27.16 <br />$274.O5 <br />$z',t.2s <br />$52.98 <br />Fee Typo <br />Boiler <br />Boiler <br />Appliance Not Listed <br />PIC - 65Yo <br />General Plan Update <br />lssuance <br />Phone <br />Slate Lic #: 370871 <br />Lic Type: B <br />Bus. Lic #: 2108 <br />Workers' Compensation lnsurance:Carrier: Oept of lndustrial Relations <br />Policy #: 1053 <br />Expires; 01101/2018 <br />PAID <br />SEP O 1 ZOI/ <br />$ <br />City of Santa Ana <br />Notes: appliances not listed = pumps/tee pd on M-59995 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Condltions <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: \}$ <br />Subject to Field: <br />West, Glen <br />Hernandez, Kathy <br />o7 t1712017 <br />ogt01120'17 <br />Account# <br />Misc. Receipt: 69803 <br />Misc. Receipt: 699996 <br />Misc. Receipt: <br />Total <br />Commercial <br />Alteration <br />Equlpt <br />B <br />III B, SPK <br />cMc 2016 <br />Date: <br />Date: <br />Date: <br />Buirdins Permil #: 10193522 <br />Ewry pemit issued shall become inwlid unless tho wo* on the sile <br />euthotized by such pemit is c.mmenced within 1 80 days slet its <br />issuance, ot it the wotk euthoizod on tho site by such peffi'tit is suspendod <br />ot abandoned for a pedod ol 1 80 days afrer the time the wo* is <br />comnl€n@d. <br />lnspector MID#: 2017-'137395 <br />N/A - No Balance Fee Total: <br />Paid to Date: <br />Balance Due: <br />$769.90 <br />$769.90 <br />t0.00 <br />Project Address: 3401 S Harbor Blvd <br />Occupancy: <br />Constr Type <br />Code: