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City of Santa Ana 20 Civic Center Plaza (M-19), santa Ana, cAg27o2 Plumbing <br />Permit Counter: 014) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: 014) 647-5853 <br />Permit #: 3Ot37605 <br />Pin #: 51069 <br />Project Address: 1220 W Hemlock Way <br />Assesso/sParcel: 110411-21 Lot: NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />N{ <br />Owner: <br />Address: <br />Contraclor <br />Address: <br />Phone <br />Tenant Name: <br />KEYSTONE BLORS <br />4212 E LA PALMA AVENUE <br />Anahelm, CA 92807 <br />(714t.572-1123 <br />Koystone Buildera lnc <br />4212 E LaPalma Avanuo <br />Anahcim, CA 92807 <br />(71,1) 582-1123 <br />011 16002 <br />011 16002 <br />011 16002 <br />01 1 16002 <br />011 16002 <br />Amount <br />13.24 <br />10.13 <br />18.49 <br />20.56 <br />51 .26 <br />51602 <br />51602 <br />51602 <br />51600 <br />51602 <br />aty <br />3.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$39.72 <br />$ 10.13 <br />$18.49 <br />$20.56 <br />$51.26 <br />Feo Type <br />Water Closet <br />Urinal <br />Min Fee Adi <br />General Plan Updale <br />lssuance <br />Phone <br />State Lic #: 951489 <br />Lic Type: B <br />Bus. Lic #: 339512 <br />Workers' Componsation lnsurance:Catier. W6sco <br />Policy #: WWC3218184 <br />Expires: 0710112017 <br />Bstcht:37101 - l/23/2O17 <br />Ofl ice! CTYH Trons+: 8Acct+t Refi: <br />Generol Plon Uodote Fer <br />01116002- 51600000- <br />Plurb i ne <br />0t u6002- 51602000- <br />V iso <br />CCi: rrrlrrrrrr**{812 <br />ID3 ororoleslS3o{ <br />t2(r. i6 <br />i119. <br />1r'r 137 6rl5 <br />Rcpfi:017?1963 - L/?3/2(!17 2l <br />Tronsoct ion Totol tlr <br />Keestooe Builders Int <br />L7 ?t1 <br />375.81 <br />tl r 37! <br />Autht:019016 <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />B <br />VB <br />cPc 2013 Notes <br />Oale <br />Dale <br />Date 0112312017 <br />Account# <br />Misc. Receipt: <br />Misc. Recelpt: <br />Mlsc. Recsipt: <br />Total <br />ti <br />Subiect to Field: <br />Building Permit *: <br />Ewry pomit issued shall bec!.me invalid unless lho wo.k o, lhe s,te <br />eutpized by such pemit is @fimonccd wi[rin 1 80 days afret its <br />issuance, ot il the wo* authatized on thg site by such permil is suspended <br />ot abandoned lgr a pedod ol 1 80 days aftet dB time the wod< is <br />comrnencgd. <br />0191700 $ 140.16 <br />$0.00 <br />3140.16 <br />$20.56 <br />$119.60 <br />lnspector MID#: 2016-133573 <br />011 16002 51600 <br />01116002 51602 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Suite Range: l!t Floor <br />Zoning: C2 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Commercial Occupancy: <br />Tenant lmprovemont Constr TYPe: <br />lst Flrcommon Aroa Restrccode: