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Proiect Address: 3401 S Harbor Blvd <br />Assessor'sParcel: 414-262-0A Lot: POR 3 <br />Unit: <br />Block: NA <br />Btdg: <br />Tractr WILLIAMS <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: P <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853 <br />Electrical <br />€.1 <br />Permit #: 2()16,6440 <br />Pin #: 60635 <br />City of Santa Ana <br />Permit Counter: (714], 647-5800 <br />Owner: <br />Address <br />Contractor <br />Address; <br />Tenant Name: <br />Kaiser Permanente <br />1707 Barcelona Circle <br />Placentia, CA 92870 <br />(7141572-s8',t1 <br />Kaiser Foundation Health Pl <br />'1707 Barcelona Circle <br />Placentia, CA 92870 <br />(909) 427-4700 <br />0'11'16002 5160: <br />01 116002 5160: <br />0'1116002 51603 <br />0'1 1'16002 5160: <br />01 116002 51603 <br />01 1'16002 5160: <br />01 116002 5160: <br />01 116002 5160: <br />01 116002 5160: <br />0'1 1't6002 5160: <br />0'1 1 16002 5160: <br />01'1 16002 5360' <br />01 1 16002 5160C <br />01 116002 5160: <br />Fse Type Amount <br />125 Volt Receptacle '1.45 <br />Light Swilches, Occ. Se 1.58 <br />Light Fixtures 1.05 <br />Air Conditioner 96.90 <br />Dedicated Circuit 24.79 <br />Low Voltage/Comm 33.88 <br />Add'l Devices/Low Volt 3.20 <br />Subpanel 53.28 <br />Subpanel 145.28 <br />Over 50-100 HP KW or 104.9s <br />Over 100-500 He KW o 150.79 <br />Ptc - 650k,_ 0.,6a <br />cenerar efi'1i,-{i[a'rE, 'i, zzil6 <br />lssuance A,.,'tl: 55.04 <br />H{ pt+: r. t;:iii, /.i?'[r.r-rntr-t,.1; iirr Iot. n I <br />Qty Fee3.00 $4.35 <br />9.00 $14.2229.00 $30.45 <br />3.00 $290.70 <br />1.00 $24.791.00 $33.8810.00 $32.001.00 $53.281.00 $145.281.00 $104.951.00 $150.79 <br />:{:f ,i;'itf' -f{EIi3i <br />Ref + :1.00116644655.04 <br />.9/21/?(|t$ :l 1 : ill Ail <br />t?,411 ..1.: <br />State Lic #: 370871 <br />Lic Type: B <br />Bus. Lac #: 21OA <br />Workers' Compensation lnsurance:Carrier: Oept of lndustrial Relations <br />Policy #: 1053 <br />Expires: 0110112019 <br />Ko i ser -:ourr(lot iorr Henlth P.l nn <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Smith, Mark <br />Zuniga, Allis <br />10197038 <br />6enero I Plqn Updote Fee <br />(r1116|:Iir?- 5160tr00(t- <br />Elertc i,:(l1 <br />(r11160r:17- i160300(r- <br />P/C E le':tr i<. <br />0111600?- iI601000- <br />hosten Cord <br />(:(:+ : *rr** ****rlr3(t31 <br />Occupancyl <br />Constr Type: <br />Code: <br />te <br />N/A <br />N/A <br />cEc 2016 <br />Auth+: U 1?8 <br />07 t23t2018 <br />08t21t2014 <br />Account# <br />01 116002 51600 <br />01 116002 51603 <br />0'1'116002 53601 <br />$22.O8 <br />$939.73 <br />$337.70 <br />Fee Total <br />Paid to Datel <br />Balance Due: <br />Every parmit issued shall become invalid unless tho wo* on the site <br />authoized by such permit is cofifienced within180 days after its <br />issuance, or il the wotk authoized on the sita by such permit is suspended <br />ot abandoned for a period ofl80 days aftet lhe time the wo* is <br />comfienced. <br />lnspector MID#: 2018-144710 <br />$1,536 86 <br />$237.35 <br />$1,299.51 <br />Phone: <br />Date: <br />Phone: <br />Commercial <br />Tenant lmprovement <br />TI <br />Notes:.J <br />Misc. Receipt: 71253 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total