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Project Address: 3401 S Harbor Blvd <br />Assessor'sParcelr 414-2624a Lot POR 3 <br />Unit. <br />Block: NA <br />Bldg: <br />Tract WILLIAMS <br />Address Range: <br />Hisloric: No <br />Suite Range: <br />Zoning: P <br />A Cily .f Santa Ana 20 crvrc center ptaza (M-19) santa Ana. cAgzloz Plumbinq <br />s9, Permrt Counter (714) 647-5800 lnspectron Requests (7'l4l667-273E lnspector Sectron (714) 647 SaSa a51 <br />Permit #: 3O141217 <br />Pin#: llOO{ <br />Owner: <br />Address <br />Phone <br />Tenant Name: <br />Conlractor <br />Address: <br />Kai8er Permanente <br />1707 Barcelona Clr. <br />Placentia, CA 92870 <br />(714) 572-5813 <br />Kalaer Permansnta <br />JMC Mechanical <br />190 Sierra Ct #Bl <br />Palmdale, CA 93550 <br />1667l 214-7262 <br />011 16002 <br />o't 1 't6002 <br />011 16002 <br />01 116002 <br />01 1 16002 <br />51602 <br />51602 <br />51602 <br />51600 <br />51602 <br />Amount <br />13.20 <br />7 .22 <br />426/. <br />22.95 <br />57 .20 <br />Foe <br />$26.40 <br />$7 .22 <br />$42 64 <br />$22.95 <br />$57.20 <br />Foe Type <br />Sink <br />Cap Fixtures <br />Min Fee Adj <br />General Plan Updale <br />lssuance <br />Qty <br />2.OO <br />100 <br />100 <br />100 <br />100 <br />Phone <br />State Lic #. 103'1992 <br />Lrc Type C-35, C-20 <br />Bus Lrc # 372718 <br />workers' Compensalion lnsurance <br />Carfler Everest Premier lnsurance Company <br />Policy # 7600019560181 <br />Exprres 1012512019 <br />Sotch+:51{34 - 8/13/2019 I0: LR0SALES0ffice: CTYH Tron6+: 2 I of 1Accti! Refi: 301{1217 <br />Rcatt:02717084 - g/13/20t9 8132 Ad <br />Tronsoct ion Totol tl56. il <br />Jl1,: llechon icol <br />Generol Plon llcdote Fee <br />01116002- 51600000- <br />Plrr.bin! <br />01116002- 51602000- <br />V iso <br />t22.95 <br />t133. {6 <br />t156.41. Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By <br />Pe,mat lssued By: <br />Subjecl lo Field <br />Building Permit #: <br />Commercial <br />Miscellaneous <br />Plumbing <br />Occupancy. <br />Constr Type <br />Code: <br />B <br />II B, SPK <br />cPc 2016 <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt; <br />Masc. Receipt: <br />Total <br />Notes chans46ei ts6{cthlt?}isd8d$ne uAnlhliftl* t t <br />$156.41 <br />$0.00 <br />t156.41 <br />Chavez, Oave.?(.'08r13/20't9 <br />Account# <br />01 1 16002 51600 <br />01 1 16002 51602 <br />$22.95 <br />$133 46Every pemi issued shell become nvahd unless tho work on the stto <br />authonzod by such penn E cgmmenced wtthn 3@ days afte.ls <br />issuatrce ot ilhe woak authonrcd on the srto by such N,fitt 6 suspendgd <br />or abandorpd lor a ponod ol 3@ <tays aftet tho tme lho wod< ts <br />cornnenct<l <br />lnspector MID#: 2019-153571 <br />Fee Iotal: <br />Paid to Date: <br />Balance Oue: