HomeMy WebLinkAbout10196085 - PermitProject Address: 3401 S Harbor Blvd
Assessor's Parcel 414-262-08 LoI POR 3 Hisloric No
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Building Permit #: lOl96085
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Pin #: 77158
Patio:
T.l Area:
Yards Req'd:
Valuation:$16,924.00
0
Planning Conditions
Owner:
Address
Phone
Tenant
Kaiser Foundation Health Plan lnc
'1707 Barcelona circle
Placentia, CA 92870
Conlractor Kaiser Foundation Health Pl
Address: 1707 Barcelona Circle
Placentia, CA 92870
Phone: (909) 4274700
State Lic #: 37Oa71
Lic Type. B
Bus. Lic #: 2108
Workers' Compensation lnsurance:
Carrier Dept ot lndustrial Relations
Policy #: 1053
Expires: 0110112019
Engineer
Phone
License #
Architect /
Desiqner:
Address:
Planning Approval Byl
Plan Checked By:
Permit lssued Byr \
NPDES lnsp. Req'd: No Subject to Field:
PWA lnsp. Req'd: No Fire lnsp. Req'd: No
Planning lnsp. Req'd: No Police lnsp. Req'd: No Account#
Landscaping lnsp. Req'd: No Flood Zone Cert Req'd: No 0111600251600
Every pefinit issuod shell becofio nvalkt unless the wo* on the sile aolhonzed by 01 1 16002 51601
such permit ts commencect wtthn 180 ctays aftet its issuance ot il the wotk authorized 9111999? 1191?
on lhe site by such pemi is suspendod or abendoned tot a peiod of 180 days after 0890100'1 24000
lhe limo the wo* ts commenced
r
Ni, Ann
Maza\i, Zac
Hernandez, Kathy
0777 6002
07776002
0 890 700 7
017760 02
07776002
0177600 2
Dale: 0411012018 Misc. Receipt
Dale: 05/2412018 Misc. Receipt
Date: 05/31/2018 Misc. Receipt
70816
Total
57607
s3600
2 4000
57672
57600
57607
$154.26
$641 .58
$4.74
$1.00
$21.25
$52.98
$21.25
$207 .24
$1.00
$4.74 s875 81
$641 58
$234.23
lnspeclor MID#: 2018-142598
Bldg: Address Rangel
Tract: WILLIAMS
Unil Surte Range:
Zoning PBlock NA
Building Use Other Occupancy: B 1st FL Area:
Job Type: Alteration Constr Type: ll B, SPK 2nd FL Area:
Nature of Work: Equipt replacmsnt, interior Coder CBC 2016 Other Areas:
Existing Bldg & Use: c6mmsrciauModical Offices Flood Zone: X-0602320258J
Garage Areal
Proposed Use: # of Stofles: Total
Description of work: Romove old electrical Rad/Fluoro equip and install new electrical Rad/Fluoro equipt
Botch+ 3 4.t065
0lf ice: (;TyH
Acct+:
5/3 t /2018
Trnns:: ?ft
RE t': :
tt/,l.5t ( t a
Address
fnonsoct ion [oto I
Xo i Ee. Found(tt i on Heo I t
Phone
Lrcense #.
6enerol Plon Updq[e F
01116002- 516000r:10-
8u r ld ins(1116002- !1601(r0tr-
Elos Stds Revo lv ins
01116002- 11612(r(r(r-
SNIP
089U1(t0l- 24Ur-tU0((t-
hoster Cord
CC+: r**rfirrrlr ritr31
Permit Fee
Plan Check Fee
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total
Paid to Date:
Balance Due:
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Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathino
Shear Wall
Framing 7-jt-ly 7u
lnsulationi Energy
Drywall
Ext./lnt. Lath
lvlasonry
Pool Fence
T-Bar
Handicap Beq
Deputy Final Report
Enqineer Final Report
Flood Zone Certil
FINAL r-w"ly Ln
Certificate ol Occu anc
Notes, Remarks, Etc.
I
BUILDING. INSPECTOB RECORD
DATE
Sublloor/VenVlnsulation
lA
Brown Coat
A\