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Lot: POR 1 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 880 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: SP2 <br />City of Santa Ana <br />Permit Counter: (7'14) 6/.7-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA927O? <br />l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853 <br />Mechanical Permit #: 4Ol 3l O58 <br />Pin #: 95920 <br />\\.1 <br />Owner: <br />Address: <br />Conlraclor <br />Address: <br />Phone <br />Tenant Name: <br />Ole Vandburg <br />3122 Westmin8ter <br />Santa Ana, CA 92703 <br />M H Graves lnc <br />5852 Mueller St <br />Bell, CA 90201 <br />(s62) 833-3703 <br />01116002 <br />01'116002 <br />01116002 <br />01 'l 16002 <br />01116002 <br />51604 <br />51604 <br />s3603 <br />51600 <br />51604 <br />Amount <br />105.46 <br />20.u <br />0.65 <br />20.56 <br />51.26 <br />Qry <br />1.00 <br />1.00 <br />126.30 <br />1.00 <br />'1.00 <br />Fee <br />$105.46 <br />$20.84 <br />$82.10 <br />$20.56 <br />$51.26 <br />Feo Type <br />O/D Pkg H/C <br />Gas Piping lncidental <br />PIC - 65Yo <br />General Plan Update <br />lssuanc€ <br />:hi338617 - 5/ll/2017 <br />ce: CTYH Trons+: 4l <br />b+r01848379 -rofoction Totol <br />Refi: <br />5/tL/70t <br />II <br />l1: I <br />1921. <br />Authi : rii <br />State Lic #r 241731 <br />Lic Type; C-2O <br />Bus. Lic #: 365592 <br />Workers' Compensation lnsurance:Carrier: Security National lnsurance Company <br />Policy #: SWCl135048 <br />Expires: O1lO1l2O18 <br />fl tl Groves Inc <br />;inerol Plon tlDdote Fee <br />0l116002- 51600u00- <br />le,:hon icol <br />01u6002- 5160{000- <br />lo etar Cord <br />( c I r Itri**lrr}}12289 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Condltions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl to Field: <br />Commercial <br />Miscellaneoug <br />Roof Mounted Equipt <br />Occupancy: <br />Constr Type <br />Code: <br />B, S-t <br />t B <br />cMc 2016 <br />Notes <br />\N <br />Date: <br />Date: <br />Oate: <br />West, Glen <br />Hernandez, Kalhy <br />05t09t2017 <br />05111t2017 <br />Account# <br />01116002 51600 <br />01116002 51604 <br />$20.56 <br />$151.40 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Buirdins Permit #: 10192872 <br />Ewry pemit issued shall become invalid unless ,re wor* on lho sito <br />authotized by such pemit is comnenced within 1 80 doys altet its <br />issuanc;e, ot il lhe wo* authorized on tll€ sito by such pemil is suspended <br />or abandoned fot a period ot 1 80 days aftet the time the wotu is <br />comnen@d. <br />lnspector MID#: 2017-135929 <br />$280.22 <br />$108.26 <br />$171 .96 <br />Project Address: 3122 W Westminster Ave <br />Assesso/sParcel: 198-201-01 <br />Phone: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total