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Project Address: 200 W Santa Ana Blvd <br />AssessoisParcel: 398-253-06 Lot: 1-10 <br />unit: 801 <br />Block: 20 <br />Suite Range: <br />Zoning: SD84 <br />\[ <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Plumbing <br />Permit Counter: O14) 647-5800 lnspection Requests: (714) ffi7-2738 lnspector Section: 014) 647-5853 <br />Permit #: 3Ol3AOO{ <br />Pin #: 17958 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contraclor <br />Address: <br />011't6002 51602 <br />011't6002 51602 <br />01116002 51602 <br />01116002 51602 <br />01116002 51600 <br />0'1116002 5't502Coastline Developmont <br />13911 Enterprlse Dr <br />Gard6n Grove, CA 92843 <br />(714) 26s-O250 <br />Fee Type Amount <br />Water Closel 13.24 <br />Garbage Disp 9.92 <br />Wtr Htr (Comm up to 50 20.73 <br />Water Piping (Each 100 41.46 <br />General Plan Update 20.56 <br />lssuance 51.26 <br />Feo <br />$13.24 <br />$9.92 <br />$20.73 <br />$41.46 <br />$20.56 <br />$51.26 <br />Phone <br />Stale Lic #: 485187 <br />Lic Type: B <br />Bus. Lic #: l6l0a4 <br />Workers' Compensation lnsurance:Carrior; EYarest lnt'l ln! Co <br />Policl #: 76q,014215 <br />Expires: O1lO1l2O1a <br />Building Use: <br />Job Type: <br />Nature of Work <br />Commorclal <br />Tonant lmprovement <br />TI <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />I A, SPK <br />cPc 2016 Notes' <br />Plannlng Condltions: <br />Plannlng Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subiec{ to Field: <br />Buildins Permit #: 1 0192389 <br />Every pomil issued shall bocgmo invalid unless the work o, ,hg sito <br />autwized by such pennit is @fimenc!,d within 180 days eflor its <br />issuance, ot il the wod( euADized on tD site by such pe,rnit is susFnded <br />ot abendonod lot a peiod ol 1 80 days affet tlp lme the work is <br />cgnnw@d. <br />lnspector MID#: 2017-134982 <br />[Sternanoez, xattrv <br />Dale <br />Date <br />Date 04t2512017 <br />Account# <br />Misc. Recaipl: <br />Misc. Receipl: <br />Misc. Receipt; <br />Total <br />01116002 51600 <br />011 't6002 51602 <br />Fee Tolal: <br />Paid to Oate: <br />Balanca Due: <br />$20.56 <br />$136.61 <br />$ 1 s7.'r 7 <br />$0.00 <br />$'1s7.17 <br />Bldg: Address Range: <br />Tract: TOWN OF SANTA Aistoric: No <br />Ocean WaBt Management SerYlceg <br />200 W Santa Ana Bvd #200 <br />Ssnta Ana, CA 92701 <br />(7141 245-9455 <br />WBtern Youth Sorvlceg <br />Qty <br />1 .00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00