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cify of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA127O2 Plumbing <br />Permit Counter: C/14) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: O14) 647-5853 <br />Permit #: 30{ 35E92 <br />Pin #: 59E67 <br />Project Address:1276 N H rbor Blvd <br />Assessor'sParcel: 198-011-02 Lot: <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning <br />q <br />Owner: <br />Address: <br />TH Harbor Venture LLC <br />4'185 Blackhawk Plaza Clrcle f200 <br />DANVILLE, CA 94506 <br />(949) 999-9814 <br />Trumark Construction Servi <br />4185 Blackhawk Plaza Circh <br />DANVILLE, CA 94506 <br />(92s) 648€300 <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 />51602 <br />Qty <br />5.00 <br />3.00 <br />6.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />'t.00 <br />1.00 <br />'t .00 <br />1 .00 <br />2.00 <br />0.50 <br />1 .00 <br />L00 <br />Fee <br />$66.20 <br />$62.19 <br />$70.98 <br />$13.01 <br />$11.16 <br />$9.92 <br />$60.16 <br />$41.46 <br />$61.07 <br />$41.46 <br />$20.73 <br />t28.82 <br />$ 158.54 <br />$20.56 <br />$51.26 <br />Fee Type Amount <br />Waler Closet 13.24 <br />Shower/Bathtub 20.73 <br />Sink 'l 1.83 <br />Clothes Washer 13.01 <br />Dishwasher 11.16 <br />Garbage Oisp 9.92 <br />New Sewer (First 100') 60.16 <br />Gas System 14 41.46 <br />Tankless Wat6r Healer 61.07 <br />Water Servlco (Each l0 41.46 <br />Backffow < 2' 20.73 <br />Hose Bibb 1141 <br />P/C - Repeat at 50o/o 317.08 <br />General Plan Update 20.56 <br />lssuance 51.26 <br />Phone <br />Tenant Name: <br />01116002 <br />01116002 <br />01116002 <br />0't1 !6002 <br />01 116002 <br />0'l 1 16002 <br />01116002 <br />01 'l 16002 <br />0't 1 16002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />0'1116002 <br />o <br />Phone <br />Stale Lic #: 935932 <br />Lic Type: B <br />Bus. Lic #: 351531 <br />Workers' Compensation lnsurance:Carrier: State Compen3ation ln3urance Fund <br />Policy #: 9146795 <br />Expires: 'l2lo1l2o17 <br />Mlxed-Use <br />Nevv <br />New Llve/Work <br />Occupancy: <br />Constr Type <br />Code: <br />U, R.2 <br />V B, SPK <br />cPc 20't3 Notes: Plan l Xrfoes pd on M.69347 <br />Planning Approval By: Date: Misc. Receipt: <br />Plan Checked By: iL Date: Misc. Receipt: <br />Permit lssued Bi: t&emandez, Karhy Date: o3t2gl2o17 Misc. Receipt: <br />Subject to Field: Account# Total <br />Planning conditions: <br />Buildins Permit #: 10187529 <br />Ewry pemit issued shall bocome invalid unless the wo* on the site <br />authoizod by such pomit is commenced within 1 80 days aftet its <br />issuance, ot il lhe wo* authoized on tho site by such permit is suspeoded <br />ot abadoned lot a peiod ol 1 80 days aftet lhe time the wod< is <br />commarcad. <br />PAID <br />tlAR 29 2017 <br />$ <br />City of Santa Ana $717.52 <br />$717 .52 <br />io.ooo <br />lnspector MID#: 2015-125283 <br />N/A - No Balance <br />Contraclor: <br />Address: <br />Building Use: <br />Job Typ€: <br />Nature of Work: <br />Fee Total: <br />Paid to Oate: <br />Balance Due: