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city of Santa Ana 20 Civic Center Plaza (M- 19), Santa Ana, CA 92702 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714).667-2738 lnspeclor Section: (7141647-5853 <br />permit*Rorcosse <br />Pin #: 96{45 <br />Assessofs Parcel 414-10'l -05 Lot POR 3 <br />Unil: H <br />Block: NA <br />Bldg: <br />Tracl: 1013 <br />Suite Range: <br />Zoning: M1 <br />Owner: <br />Address <br />Tenant Name Mama's Bread lnc <br />Robert W Johnaon <br />2280 UniYersity Dr <br />Newport Bcach, CA 92660 <br />(949) 64s-1422 <br />M A E S ConEtruction Engin <br />5405 Alton Parkrvay, Ste 5A <br />lrYine, CA 92604 <br />(949) 235-8750 <br />Fe€Typo Amount <br />Sink 12.70 <br />Floor Drain 16.1.1 <br />Floor Sink 16.14 <br />Sewer Alter/Repair 44.51 <br />Gas System 14 44.51 <br />Plc - 65% 0.65 <br />Min Fee Adi 28.87 <br />General Plan Update 22.Oa <br />lssuance 55.04 <br />Qty <br />4.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />44.51 <br />1.00 <br />1.00 <br />'t.00 <br />Fse <br />$50.80 <br />$ 16.14 <br />$ 16.14 <br />$44.51 <br />$44.51 <br />$28.93 <br />$28.87 <br />$22.O8 <br />$s5.04 <br />Contraclor <br />Address: <br />01116002 51602 <br />0'l 't 16002 51602 <br />01116002 5'1602 <br />01116002 51602 <br />01116002 51602 <br />01116002 53602 <br />01116002 51602 <br />01 1 16002 51600 <br />01 1 16002 51602 <br />Phone <br />Slate Lic *: 77OY2 <br />Lic Type: B, C-10, C-20 <br />Bus. Lic #: 3730!t5 <br />Workers' Compensation lnsurance:Carrier: State Compons.tlon lnsuranca Fund <br />Policy #: 1506179 <br />Expires: 0510112020 <br />Planning Condilions <br />lndustrial <br />Alteration <br />New Gas System <br />Occupancy; <br />Constr Type <br />Code: <br />M <br />V B, SPK <br />cPc 2016 <br />Notes <br />Kelaher. Selena <br />CSG Consultants <br />Verduzco. Violet <br />Date: <br />Date: <br />Date: <br />o5t242019 <br />05131/2019 <br />o6t1212019 <br />Account# <br />Ewry Nmil issued sh.ll boe!me invaltd unloss lhe wot( o, the sil6 <br />authotizect by such pemit B @fifienced wtlhin 360 days alter ts <br />issuanco, ot il the wo* authotized on lhe site by such permit is suspended <br />ot abendonod lgt a poriod o1360 deys afiet the lime the wo* is <br />co,,men@d <br />lnspector MID#: 2019-151649 <br />01't 16002 51600 <br />01116002 51602 <br />$22.08 <br />$256.01 <br />Fee Total: <br />Paid to Oate: <br />Balance Due: <br />Project Address: 2500 S Fairview St AddressRange: 2500-2520 <br />Hisloric: No <br />Phone. <br />Building Use: <br />Job Type: <br />Nalure of Work: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permil #: <br />Misc. Receipt: 72623 <br />Misc. Receipt: <br />Misc. Receipl: <br />Total <br />$307.02 <br />$28.93 <br />$278.09