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Project Address: 528 E Washinoton Ave <br />Assessor'sParcel: 398-191.02 Lot: NA <br />Bldg: Address Range: 620-630 <br />Tract: SANTA ANA EAST Hisloric: No <br />Unit: <br />Block: 55 <br />Suite Range: <br />Zoning: SD84 <br />city of santa Ana 20 Cavic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />rr-\ <br />Permit #: 30{37602 <br />Pin #: 42439 <br />Owner. <br />Address <br />Phone <br />Tenanl Name: <br />GG&GPropLlc <br />1038 N CUSTER ST <br />santa Ana, cA 927013915 <br />KZ Miller Constructlon <br />3180 Unlvorslty Avenue Ste <br />San Oiogo, CA 92104 <br />(619) 584-2858 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />0'l 1 <br />011 <br />011 <br />011 <br />011 <br />011 <br />0'l'l <br />011 <br />011 <br />011 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />'16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />53602 <br />51600 <br />Qty <br />3.00 <br />6.00 <br />10.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Feo <br />$41.07 <br />$73.38 <br />$155.30 <br />$62.18 <br />$21.42 <br />$21.42 <br />$42.85 <br />FeeType Amount <br />Water Closel 13.69 <br />Sink 12.23 <br />Floor Drain 15.53 <br />New Sewer (First'100') A2.18 <br />Add'lSewerConnoclion 21.42 <br />Each Add'l 100'Sewer 21.42 <br />Gas System 14 42.85 <br />1 1 16002 51602 <br />Tankless <br />Water Se <br />Water l'leaier 63 12 1 0O $63. <br />rvice (Each 10 42 85 2 OO Sa5 <br />12 <br />70 <br />Primary/sFcondaryffo63142351?,/l 3/2trFrcQ :46 rt214.25 <br />srorm DrJnolEad} ioo Tols.bs ttffi,19s. !!9.65 <br />Backflow tf"n r re" t:unr?Ir,4& io,, 1 00 $21 42 <br />Hos6 Bibb '14.89 9.00 $134.01 <br />GreaseM&hhirrEpl, t106rlE: l,:t <br />p/C - 65%rlllrilrtr? ,lI,nr.r6tk <br />c"ner"r {{,fffi 16i?fifF <br />lssuance 1(t r.:hc, li gZ98)1 <br />Phone <br />Stale Lic #: 1011565 <br />Lic Type: B <br />Bus. Lic #: 367851 <br />Workers' Compensation lnsurance:Carrier: Everest Natlonal lnsurance Co. <br />Policy #: 7600018043 <br />Expires: 09/0112018 <br />.1.00 <br />'d56 ?5 <br />970.42 - . $630.77 <br />Loo _r r ,'rdi1:11 <br />1.oo tt i,l$p,Sl <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />CSG Consuttants <br />Link, Patricia <br />Date: <br />Date; <br />Date: <br />o6t2212017 <br />12/13t2017 <br />Account# <br />Misc. Receipt: 68984 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />B, S-r <br />V B, SPK <br />cPc 2013 <br />01116002 51600 <br />011 16002 51602 <br />$2',1.25 <br />$1,054.90 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Notes: 2-story offlco buildlng, attached (3) bay bus servlce <br />and wash bay <br />$1,706.92 <br />$630.77 <br />$ t,076.'t 5 <br />Every pemit issued shall become invalid unless the work on the site <br />aut otized by such poinit is @fimenced ,rithin 1 & days dfter its <br />issuance, or il the wo* aulhoized on tte site by such pennit is susponded <br />ot abadoned fot a peiod of 180 days aflet the lime the wo* is <br />cofimenccd. <br />lnspector MID#: 20'16-133593 <br />Contraclor: <br />Address: <br />Commerclal Occupancy: <br />New Constr Type: <br />Nevv Commsrclal Bulldlng Code: