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Project Address: 2904 W Pendleton Ave <br />Assessor'sParcel: 408-01'l-19 Lot: POR 2, POR 4 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: 2900-2922 <br />Historic: No <br />Suite Range: <br />Zoning: Ml <br />q <br />20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Mechanical <br />l nspection Requests: (7 1 41 667 -27 38 lnspector Section: 01 4) 647-5853 <br />Permit #: 40{3{455 <br />Pin #: 91659 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />Owner: <br />Address <br />Contraclor: <br />Address: <br />Phone <br />Tenant Name: <br />Gildred Oevelopment Co <br />2304 S Falrview <br />Santa Ana, CA 9270,14940 <br />(714) 966-2026 <br />Har-Bro lnc <br />2750 Signal Parkway <br />Signal Hill, CA 90755 <br />(552) 528-8000 <br />01116002 <br />01116002 <br />01'116002 <br />01116002 <br />01't'16002 <br />51604 <br />51604 <br />51604 <br />51600 <br />5't604 <br />Amount <br />42.85 <br />109.01 <br />29.38 <br />21.25 <br />52.98 <br />Foe <br />$42.85 <br />$'r09.01 <br />$29.38 <br />$21.2s <br />$52.98 <br />Oty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Phone <br />Slate Lic #: 258441 <br />Lic Type: B <br />Bus. Lic #: 3741 <br />Workers' Compensation lnsurance:Carrier: Amerlcan Zurich lnsurance Company <br />Policy #: WC3487147 <br />Expires: O4lO1l2O1A <br />Eotchi:{1890 - ll22/20l$ I0: CCUELLAR <br />office: CTYH TFons+! 47 l4 of 14 <br />Accti! Reli: {0131459 <br />Rcpt,ir02l43942 ' l/22/2O18 10!41 An <br />Troaroct ifi Totol i5 r 196.55 <br />llor -Bro Inc <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 />lnduBtrial <br />Tenant lmprovement <br />Firo Damago <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />VB <br />cMc 2016 <br />t21 . 2_5 <br />a231,22 <br />t5,196.55 <br />Notes <br />6eneral Plon Uedote Fee <br />01116002- s1600000- <br />necho,l icol <br />01116002- s1604000- <br />ICL Check 886{53 <br />andez, Kathy <br />Buildins Permit #: 10194285 <br />Every pemit issued shall become invalid unless the wot'l< on the site <br />authorized by such pgmit is commencod within 1 80 days efter its <br />issuanca, ot if the wo authoized on the sile by such pamit is suspended <br />or abandoned fgr a peid ol 1 80 days afrer the tirne the wotu is <br />commenced. <br />lnspector MID#: 2017-13BBB9 <br />\N"'" <br />Date: <br />Date: <br />Date:01122j2018 <br />Account# <br />01116002 51600 <br />0't 't 16002 51604 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipl: <br />Total <br />$21.25 <br />$234.22 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$255.47 <br />$0.00 <br />9255.47 <br />Fee Type <br />Air Handling <br />O/D Pkg H/C <br />Bathroom Fan <br />General Plan Update <br />lssuance