HomeMy WebLinkAbout10193522 - PermitProject Address: 3401 S Harbor Blvd
Assessor's Parcel 414-262-O8 Lot: POR 3
Bldg:
Tract: WILLIAMS
Address Range Suite Range:
Zoning: PBlock NA
city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counler: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 10193522
Pin #: 2E7s<!
Building Use: Commercial Occupancy: B 1st FL Area:
Job Type: Alteration Constr Type: lll B, SPK 2nd FL Area:
Nature of Work: Equipt Code: cBc 2016 other Areas:
Existing Bldg. & Use: Commercial/Offices Flood Zone: X-0602320258J Garage Area
Proposed Use: # of Stories:
Total:
Description of Work: Remove and replace (e) pumps and boilers within (e) enclosuro/feo pd on M69996
Planning Conditions:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $120,000.00
0
P hone
Tenant:
frl-r't- +6b3
Kaiser Foudation Health Plan lnc
'1707 Barcelona Circle
Placentia, CA 92870
17141572-5710
Conlractor: Kaiser Foundation Health Pl
Address: 1707 Barcelona Circle
Placentia, CA 92870
Phone: (909) 4274700
State Lic #: 37087'l
Lic Type: B
Bus. Lic #: 2108
Workers' Compensation lnsurance:
Carrier Dept of lndustrial Relations
Policy #: 1053
Expires: 01/0'l/2018
Address
PAID
SIP 10 Z01i
Phone:
Llcense #:
Architect /
Desiqner:
Address:
Phone:
License #
$
CitY c{anta Ana
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
$
No
Guevara, Jerry
Chehade. Nabil
Hernandez, Kathy
Oale 0711312017
Oate . Of 12612017
Dale: 09/01/2017
Subject lo Fleld:
Misc. Receipt
Misc. Receipl
Misc. Receipt
0 77760 0 2
017760 0 2
017760 0 2
08907007
0 77760 0 2
o777600 2
0777600 2
Permit Fee
Plan Check Fee
[ricrofllm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
lssuance
69803
69996
57607
53600
57770
24000
57672
57600
5 7607
$1t4.26
$641 .58
$14.48
$33.60
$5.00
$21 .25
$52.98Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pefinil issued sha bocone invalid unless the wort on the sit€ authoized by
such pemit is commenced wilhin 180 days aftet its issuance,or il lhe wo* authorized
oh the site by such permit is susponded ot abandoned for a peiod o1180 days aftar
the tine th6 work is commenced .
lnspector MID#: 2017-137395
Fee Tolal:
Paid to Date:
Balance Due:
$923.15
$923 15
$0.00
Unil
Historic. No
Owner:
Address:
Engineer
N/A - No Balance
N/A - No Balance
N/A - No Balance
N/A - No Balance
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS oWNER BUILDER DII-(-ARATION
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PmrlrF rrm. (pnnr):
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathing
Shear Wall
Framing
ln su lation/Energ y
Drywall
Ext./lnt. Lath
Brown Coat
lr,4asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
FINAL 2-+-K x.tl-L)l
Certificate of Occupancy
Notes, Remarks, Etc
+
I
I
I
I
Flood Zone Certif.
I
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