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Project Address: '1809 E Dyer Rd <br />AssessolsParcel: 430-032-19 Lot POR 106 <br />un ; 301 <br />Block: 9 <br />Bldg: Address Range: 1809-1813 <br />Tract IRVINE SUB Historic: No <br />Suite Range: <br />Zoning: M1 <br />City of Santa Ana <br />Permit Counleri (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Plumbing Permit #: 30{4O5O3 <br />Pin #: 766366r) <br />Owner: <br />Address <br />Phone: <br />Tenant Name: PBLA <br />Freeway Business Plaza <br />P O Box 427 <br />Walnut, CA 91789 <br />Raul Lopez <br />'1573 Napa Court <br />San Jaclnto, CA 92583 <br />(951) 219-7852 <br />01 1 16002 51602 <br />01 1 16002 5160i <br />01 1 16002 5160i <br />01 I 16002 51602 <br />01 1 16002 5160C <br />01 1 16002 5160i <br />Foe Type <br />Water Closet <br />LJrinal <br />Sink <br />Sewer Alter/Repair <br />General Plan Update <br />lssuance <br />Amount <br />'t4.22 <br />10.87 <br />12.70 <br />44.51 <br />22.O8 <br />55.04 <br />Qry <br />3.00 <br />1.00 <br />3.00 <br />1 .00 <br />1 .00 <br />1.00 <br />Fee <br />$42.66 <br />$10.87 <br />$38.10 <br />$,14.51 <br />s22.O8 <br />$55.04Contractor: <br />Address: <br />Phone <br />Botcii:{8961 - 3/25/2019 I0: CCUELLAF0ffice! CTYH Tronsi3 103 5 ol 6Acct+: fi€ftt 301{0i03 <br />Rcpli:02565670 - 3/23/2019 123{3 Pn <br />Troosoct ion Totol t1r J24.5.', <br />Roul Lopez <br />Ger,,lrol Plan llpdote Fee <br />011t6002- 51600000- <br />Plurb i nr <br />01u6002- 51602000- <br />ICL Check 01394 <br />r22.08 <br />il9l. 18 <br />3l,324.55 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />l B, SPK <br />cPc 20i6 <br />lndustrlal <br />Tenant lmprovemenl <br />TI <br />Notes <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: Verduzco, Viol <br />Subject lo Field: <br />Buildins Permit #: 101 98921 <br />Every pemit iss@d sholl become invelid unless the wol* o, the sile <br />authoized by such peinil is connenced ,nlithin 1 80 days aftet ils <br />issuancc. or if tho utot'l< authotized dt the site by such parmit is suspended <br />ot abandoned lot a panad o,180 deys after the time lha wod< is <br />comfienc€d. <br />lnspector MID#: 2019-1488'16 <br />0r 1 16002 51600 <br />01 't 16002 51602 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />lnterior tenant improvement including addition of (2) <br />bathrooms, (3) offices & a conference room. <br />.-\ <br />"A <br />Date: <br />Date: <br />Date:o3t25t2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$22.08 <br />s'191.18 <br />State Lic #: 1010196 <br />Lic Type: B, C-33 <br />Bus. Lic #: 372275 <br />Workers' Compensation lnsurance: <br />Carrier: Exampl <br />Policy #: <br />Expires: <br />52'13.26 <br />$0.00 <br />3213.26