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Project Address: 2800 N Main St <br />Assessofs Parcel 111-l1l-l I Lot 1 <br />unit: 504 <br />Block: NA <br />Bldg: Address Range 2800-2890 <br />Tract: RESUB OF SHAFEfiistoric: No <br />Suite Range: <br />Zoning: C2 <br />City trf Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA92702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section. (714) 647-5853 <br />Mechanical Permit #: 4(J134(J24 <br />Pin #: 76411S( <br />Owner <br />Address <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Centennial Real Estate <br />2800 N Main St 775 <br />Santa Ana, CA 92705 <br />(714) ss9-6s35 <br />Candeeland Children's Playground <br />Omni Construction Compan <br />10355 Downey Avenue <br />Downey, CA 90241 <br />(562) 715-03r3 <br />01 116002 <br />01 116002 <br />01116002 <br />01116002 <br />01 1 16002 <br />01 1 16002 <br />01 116002 <br />51604 <br />51604 <br />51604 <br />5360: <br />5160C <br />51604 <br />5777( <br />Amount <br />46.25 <br />45.33 <br />31.72 <br />0.65 <br />22.95 <br />57 .20 <br />3.91 <br />Qty <br />7.OO <br />1.00 <br />2.00 <br />432.52 <br />1.00 <br />1.00 <br />1 .00 <br />Fee <br />s323.75 <br />$45.33 <br />$63.44 <br />$28'l.14 <br />$22.95 <br />$57.20 <br />$3.91 <br />Fse Type <br />Air Handling <br />Add'l Vent Sys <br />Balhroom Fan <br />PtC - 650/o <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Phone <br />State Lic #: 527053 <br />Lic Type. B <br />Bus. Lic # 374294 <br />Workers' Compensation lnsurance: <br />Carfler: Exempt <br />Policy #: <br />Exprres: <br />Building Use: <br />Job Typel <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked 8y: <br />Permil lssued By: <br />Subject to Field: <br />Building Permal #: <br />Commercial <br />Tenant lmprovement <br />change of Occupancy/Tl <br />Occupancy: <br />Constr Type <br />Codel Notes Mechanical for ti <br />1 01 101 705 <br />Ewry petmil Esuod sha becorne invahd unless lho wolk oftlhe site <br />autho.Eed by such po.mtt is cgmmencad withn 360 deys after its <br />/ssuence, ot I lhe wot* authonzed on tho site by such peintl is suspended <br />ot abandohed tor a percd ol360 days efter the time tho wotl< is <br />commenced <br />lnspector MID#: 2O19-154372 <br />01 1 16002 51600 <br />01 1 16002 51604 <br />01116002 53603 <br />01 115002 57770 <br />s22.95 <br />$489.72 <br />$239 90 <br />$3.91 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />CSG Consultaols <br />Chavez, Oave <br />Dale: <br />Date: <br />Date: <br />Misc Receipt: 73577 <br />Misc Receipt: <br />Misc Receipt: <br />Total <br />$797.72 <br />$41.24 <br />$756.48 <br />A-3 <br />II B, SPK <br />cMc 2016 <br />,0/30,2019 <br />1110712019 <br />Account#