HomeMy WebLinkAbout10199414 - Permit (2)Project Address: 3401 S Harbor Blvd
Lot POR 3
Unit Bldg:
Tractr WILLIAMS
Address Range Surte Range:
Zoning: PBlock NA Hrslonc No
i^ City of Santa Ana 20 ctvtc center Plaza (M-19) santa Ana, cAg27o2 Building Permit #: 1lJ199414
Pin #: 17733
Planning Conditions: lntorior work only.
Engtneer: Walter P it6d|9,: il'i; :t..,t:;..:: 'ti 1 ".i :
Owner: Kaiser Permanente Contractor. Kaiser Foundation Health Pl Daniel WITIaUD: j:i:i'i. :,-:ii,'li:
Address: 1707 Barcelona Cir.
Placentia, CA 92870
Phone l7l4l 572_5813
Tenant: KaiserPermanente
Address 1707 Barcelona Circle
Placentia, CA 92870
(909) 4274700
370871
B
2104
Workers' Compensation lnsurance
Carrler Oept of lndustrifll Relations
Policy #1053
Addressr T0TwilstikcHva;$Allizl0o
Los Angeier;'6*-6{i647 TL; i'
''r
i
Phone:
License #
Architect /
Desiqner.
Address:
(310) 254-1900
s4939 " -
zeor t'rariid-tiiiijtuigq JQq,.: i:i:,
lrvine, c{lJSl!;; _ ii,-. _i . .;._Phone. (949) g8qsqt$,:rii:- lti; i ti:i:l..
Planning Approval By
Plan Checked By
Permit lssued By
NPDES lnsp Re
PWA lnsp Req'd No
Planning lnsp Req'd No
Landscaping lnsp Req'dr No
o zco, lvan
Structural Engine
Fire lnsp. Req'd. No
Police lnsp Req'd: No
Flood Zone Cert Req'd: No
i. Teri
Date: 03/12/2019
Oate 07r'18/2019
Oale 0712212019
Subject to Freld:
Misc. Receipt
Misc. Receipt
Misc. Receipt
12302
Total
o n u naz' rlicll e: g5f.9: " "
07176@a-.5i600 Plan Check Fee
o 1 7 7 6 dhl 161110 ftiii6ffi &ecords
0 I e o 7 o qt. 2 1-Qq0'_9MlE_-_C_alegory 2 .
onrcodi'izaii aros. Sids"'R6vorvind''
07776002 51500 General Plan Update
07776002 5160, lssuance
, $140rs
$1799f..
'$89.93
.. $lora?
o $6.00
$22.95
$57.20Account#
Every peml Bsuod shall become invahc! unless lhe wo* on the site aulhonzecl by
such porm is comfienced w hin360days ake,ls issuance.ol Ithe work authonzod
on the s ebysuchpem E suspendod or abandohed lor a pe od of360 days efter
lhe Ume the wod< ts commenced
lnspector MtD# 2019-149969
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 '16002 53600
01116002 57770
08901001 24000
$22.95
$206 45
$6 00
$4 73
$89.93
$36 40
Fee Total:
Paid lo Date
Balance Due:
$532 01
$165 55
$366.46
Assessor's Parcel 411-262-08
Daniel
Job Type: Tenant lmprovement Constr Type ll B, SPK 2nd FL Area: T.l Area. 473
Nature of Work: C/O Medical Equipment Code: cBc 2016 Other Areas: yards Req,d:
Existing Bldg & Use Medical Offics Building Flood Zone X-0602320258J Garage Area: Valuation: $130,000.00
Proposed Use # of Stofles Total: 0
Oescription of Work: Change out existing radiology equipment, casowork, modify dressing rooms and rostrooms, & csiling work.
Phone:
Stale Lic #:
Lic Type:
Bus. Lic #:
Exprres O'llO1l2O2O License#: C3O622 l'!l i'J::J' ; :
BUILDING. INSPECTOR RECORD
SITE-WOBK DATE IDiSIG.COMMENTS
Set Backs
Forms/Steeli Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathinq
Shear Wall /.17!7(/7 lLll&:dFramingY_711"1
lns u latron/ En erg y x
Drywall t-zt-lo
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certil
n I
''xJkyllFINAL
Certificate of Occupancy
Notes, Remarks, Etc.
OWNER BUtI.DEX DEI-('At^lION
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