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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 *:fotgzosa <br />Pin #: 60490 <br />Assessor's Parcel 414-262-OA Lotr POR 3 <br />U nit Bldg: <br />Tract: WILLIAMS <br />Address Range Suite Range: <br />Zoning: PBlockr NA Historic: No <br />Building Use: Commercial Occupancy: N/A 1st FL Area Patio: <br />Job Type: Tenant lmprovement Constr Type: N/A 2nd FL Area T.l.Area. IZOO <br />Nature of Work: TURoof mtd equipt Code: CBC 2016 Other Areas: yards Req,d <br />Existing Bldg. & Use: Commercial Flood Zone: X-0602320258J Garage Area Valuation: $80,000.00 <br />Proposed Use: # of Stories: Totat O <br />Description of Work: Tl-Partition walls, t-bar ceiling to replace (e) MRI machine, ground mounted equipt behind (e) GMU wall, replace (e) roof mounted <br />equipt /21./?t1!.\ IDr N( <br />r'ons+3 ?9 I <br />E,6aa ! t ir14'rila_Planning Conditiona: <br />Engineer <br />Address <br />31 <br />l.otq I <br />&/21/2119, 11.112 <br />$.2'4llOwner: <br />Address <br />Phone <br />Tenant <br />KAISER FOUNDATION HEALTH <br />393 E WALNUT ST <br />Pasadena, CA 911880001 <br />Contractor. Kaiser Foundation Health Pl <br />Address: 1707 Barcelona Circle <br />Placentia, CA 92870 <br />Phone: (9091427-4700 <br />State Lic #: 370871 <br />Lic Type: B <br />Bus. Lic #: 2108 <br />Workers' Compensation lnsurance: <br />Carrier: Dept of lndustrial Relations <br />Policy #r 1053 <br />Expires: 0110112019 <br />.rrrrrdrrt ir,fi He(Ith t l(n <br />Phone: <br />License # <br />Phone: <br />License # <br />llPddte Fec <br />; r:rtx:r lrtr - <br />Architect / <br />Desiqner: <br />Address: <br />'.I nr:t 1r:rlx:r- <br />lir'rv'll,/ine <br />161?r10u-I Do,:unen ts <br />-,,177fir:rir:r- <br />01176002 51601 Permit Fee $460 25 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />NPDES lnsp. Req'd: <br />PWA lnsp Req'd: <br />Planning lnsp. Req'd: <br />Landscaping lnsp. Req'd <br />Soto, Ricardo <br />So, Anson <br />Zuniga, Allissa <br />Dale:0711812018 <br />Date: 07/30/2018 <br />Date: 08/21l2018 <br />Subject to Field: <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />No <br />No <br />No <br />No <br />Account# <br />71253 53500 <br />57770 <br />24000 <br />5 7612 <br />57600 <br />57601 <br />017760 02 <br />077760 0 2 <br />08907007 <br />017760 0 2 <br />017760 0 2 <br />017160 0 2 <br />$642 16 <br />$90.24 <br />$22.40 <br />$4.00 <br />$22 08 <br />$55 04 <br />Plan Check Fee <br />Microfilm Records <br />SlVllP - Category 2 <br />Bldg. Stds. Revolving <br />General Plan Update <br />lssuance <br />Fire lnsp. Req'd: No <br />Police lnsp. Req'd: No <br />Flood Zone Cert. Req'd: No 51600 <br />51 60'l <br />51612 <br />57770 <br />24000 <br />lnspector MID#. 2018-144710 <br />01116002 <br />01116002 <br />01'116002 <br />01 1 't6002 <br />08901001 <br />$22.08 <br />$515.29 <br />$4.00 <br />$90.24 <br />$22.40 <br />Fee Total <br />Paid to Date: <br />Balance Due <br />Proiect Address: 3401 S Harbor Blvd <br />ri , <br />Genr:rnL F <br />Lll1 1601"1?- <br />Bu , Id ird <br />irl l l 6r:[:rL- <br />Bl d.': 1lt d. <br />u1l ldtr:r:r" <br />11i,:rdl iiI <br />nl i l6rrrr?- <br />SN IF <br />$1,296.17 <br />$642.16 <br />$654.01 <br />Total <br />Every pemit issued shall become invalid unless tho wo* on the site authotized by <br />such pemit is commenced within 180 days aftet ils issuance,ot if the wo* authoized <br />on lhe sile by such permit is suspended or abandoned fot a period ofl80 days afiet <br />the time the wotk iscommenced.