HomeMy WebLinkAbout20165899 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O165899
Pin #: 1324A
City of Santa Ana
Permit Counler: (714) 647-5800 S")
Project Address: 3401 S Harbor Blvd
Assessor'sParcel 414-262-0A Lotr POR 3
Unit:
Block: NA
Bldg.
Tract: WILLIAMS
Address Range:
Historic: No
Suite Range:
Zoning: P
Owner:
Address:
Phone
Stale Lic #: 370871
Lic Type: B
Bus. Lic #: 2108
Workers' Compensation lnsurance:Carrier: Dcpt ot lndustrlal Relatlon3
Policy f: 1053
Expires: 0l/01/2019
01116002 51603
01116002 s1603
01116002 s1603
01116002 51603
01116002 53601
01'116002 51600
01116002 51603
Fee
$47 74
$71.61
$46.59
$44.48
$106 91
$21.25
$52.98
Fee Type Amount
Dedicated Circuit 23.87
Spec. R/W Per 100' 23.87
Control Panel 15.53
Over 10-50 HP, KW or I 44.48
P/C - 65% 0.65
General Plan Update 2'1.25
lssuance 52.98
Qry
2.OO
3.00
3.00
1 .00
164.48
100
100
Phone
Tenant Name: Kaiser Foundation Health Plan
Kaisar Foundation Health Pl
1707 Barcelona Circle
Placentia, CA 92870
(909) /r274700
Contractor
Address.
Other
Alteration
Equipt
B
II B, SPK
cEc 2016 Notes
Planning Condations:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field.
Buldins Permit #: 10196085
Evory pefinl issued shall bocofie invahd unlass lhe wotk on the site
authonzed by such peinit ts commenced within 180 days aftet ts
issuance- ot if the wo* authorized on tho site by such pemil is suspsnded
or abendoned lgt a peiod ol 1 E0 days alter the tine the wo* is
comfion@d
lnspector MID#: 2018-142598
\tr
o5t22t2018
05/31t2018
Account#
01116002 s1600
01116002 51603
01116002 53601
$21 25
$263.40
$48 62
Fee Total:
Paid to Date:
Balance Due:
Misc. Receipt: 70995
Misc. Receipt:
Misc. Receipt:
Total
$391 56
$58.29
$333.27
KaiBer Foundation Health Plan lnc
1707 Barcelona circle
Placentia, CA 92870
Botchi344065 - 5/31/2018olf ice: CIYH Tnans+: 2UAcct+: Ref+ 3
Rcpt+;02284875 - 5/31/2t)lt
Tronsoct ion Totol
201651
10!5J
t567.5r
Authi: I
K( iger Foundot,on Heollh I
Building Use:
Job Type:
Nalure of Work:
Smith. Mark
Hernandez, Kathy
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
lnstall Rad/Fluoro equipt.
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
LI ht Standards
S FountainsasPool
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondin giGrounding/UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit )-l -Jt-ttr y.t/4ti
Ceilin gs (Hard & Solfit Rouoh A
Ceilings (T-Bar Rouoh)7-1t-lk LWlL
Ivleter Release
Rough
Service Meter
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