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trProject Address: 934 S Harbor Blvd <br />Assesso/s Parcel: 108-253-l I Lot: NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract 4569 <br />AddressRange: 900-950' <br />Historic: No <br />Suite Range: <br />Zoning: SP2 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA12TOZ Plumbing <br />Permit Counter: C/14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: C/14) 647-5853 <br />Permit #: 30{ 38/l4l <br />Pin #: 2A94J <br />Owner: <br />Address; <br />Phone: <br />Tenant Namo: <br />Contraclor <br />Address: <br />Regency R6alty LLC <br />1080 N. Batavla St. Sto. K <br />Orange, CA 92867 <br />(714) 289-1900 <br />Domino's Pizza <br />Joseph Lofti Kakish <br />15705 ArrorY Hwy Ste I <br />Baldwin Park, CA 91706 <br />(626) 939-9292 <br />0'1116002 <br />01116002 <br />01116002 <br />01'116002 <br />01116002 <br />011'16002 <br />01116002 <br />01116002 <br />0't116002 <br />01116002 <br />01116002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />53602 <br />51600 <br />51602 <br />Fee Type Amount Qty <br />Waler Closel 13.69 1.00 <br />Sink 12.23 5.00 <br />Floor Drain 15.53 2.00 <br />Floor Sink 15.53 2.00 <br />Gas System 1-t 42.85 1.00 <br />Gas Outlet. each Add'l 6.80 3.00 <br />Tankless Water Heater 63.12 1.00 <br />Grease/Waste lntercept 36.15 1.00 <br />Ptc -65% 0.65 300.13 <br />General Plan Updale 21.25 1.00 <br />lssuance 5228 1.00 <br />i <br />Fee <br />$13.69 <br />$61.15 <br />$31.06 <br />$31.06 <br />$42.85 <br />$20.40 <br />$63.12 <br />$36.15 <br />$195.08 <br />$21.25 <br />$52.98 <br />P hone <br />state Lic #: 820496 <br />Lic Type: B, C-10 <br />Bus. Lic #: 367172 <br />worters' Compensalion lnsurancaCanier: Stato Fund <br />Policy #: 9034385 <br />Expires: <br />t. <br />ti <br />7, <br />ph Loft i Kak ish <br />Euilding Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Plan Checked By <br />Permit lssued By: <br />Subjecl to Field: <br />Commerclal OccuPancY: <br />Tenant lmprovemont Constr TYPe <br />Tl/Root Equlp/walk-ln CooteCode: <br />Date <br />Date <br />Date <br />B <br />VB <br />cPc 20i 5 A Gravity Grcase <br />Auth. filed <br />Noles: <br />lon Uedote Fee <br />5 I 60 00r1r:r - <br />ldterEcirtor is req'd per PW memo. <br />, Tei <br />Buirdins Permit #: 10194024 <br />Evory perfiit issued shall bocgme invalkl unbss tl?€ wo* on the site <br />authoized by such pemit is commencad within 1 80 d€ys after ils <br />issuanco, ot il te wg* authoized on the site by such perfiit is suspended <br />ot obandoned lor a pofu)d o1180 days afret be tme tho wo* is <br />cafimen@d. <br />lnspector <br />ogt11t2017 <br />10t0/.12017 <br />Account# <br />01 1 16002 51600 <br />01 1 16002 51602 <br />01 1 16002 53602 <br />Fee Tolal: <br />Paid to Oale: <br />Balance Oue: <br />Misc. Receipl: 69997 <br />Misc. R6ceipl: <br />MBc. Receipt: <br />Total <br />$21.25 <br />$352.46 <br />57.29 <br />$568.79 <br />$187.79 <br />i381.00 <br />Planning Approval By: f <br />! <br />MID#: 2017-138390