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Project Address: 2800 N Main St <br />Assessor's Parcel: 1 11-111-11 Lotr 1 <br />unt.i2$11Ol Bldgr Address Ranger 28@-2890 <br />Block: NA WO ft^"|.RESUB OF SHAFER-lastoric: No <br />Suite Range: <br />Zoning: C2 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing <br />Permit Counter: (714) 647-5800 lnspectlon Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit#: s#rozz <br />Pin #: 684{ I <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />House ot Sportamen lnc <br />2800 N Main St <br />Santa Ana, CA 92705 <br />17141613-2278 <br />Coffee Heist <br />NADEL I..AZCANO.SALAZAF <br />13522 Darvalle St <br />Cerritos, CA 90703 <br />(562) s05-2008 <br />011 16002 5'160i <br />01116002 5160i <br />011 16002 5160C <br />01116002 51602 <br />Amount <br />12 70 <br />60.68 <br />22.O8 <br />55.04 <br />Fee Typo <br />Sink <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />F€e <br />$12 70 <br />$60 68 <br />$22.08 <br />$55 04 <br />Phone <br />State Lic #. 1031928 <br />Lrc Type C-36 <br />Bus Lic #: 373172 <br />Workers' Compensation lnsurance <br />. Carrier: Exempt <br />Policy f <br />Expires <br />Sotchi:50{90 - 6/21/20L9 IOi ororolesl5office: CTYH TronsS: 32 I of 2Acctir Refi: 301{ 1072 <br />Rcetir02658977 - 6/21/2019 10:25 Al'l <br />Trongoct ion Totol t380.50 <br />HAI)EL LAZ(:AHO-SALAZAR <br />Generol Plon Uedote Fee <br />01116002- 51600000- <br />Plurb ing <br />011t6002- s1602000- <br />ICL Check 001013 <br />t22.08 <br />tt28.12 <br />t380.50Building Use: <br />Job Type <br />Nature of Work <br />Planning Conditions <br />Commercial <br />Miscellaneous <br />Fixture <br />B <br />VB <br />cPc 2016 Notes: Sink change out. <br />Date <br />zunisa,A,issa f$4:l: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />06121t20'19 <br />Account# <br />01116002 51600 <br />01116002 51602 <br />$22.08 <br />s128.42 <br />Fee Total <br />Paad to Date. <br />Balance Oue: <br />$150.50 <br />$0.00 <br />$150.50 <br />Evory pemtt issued shall beco,me invalid unless the wod< on the stlo <br />authonzod by such pemtt $ conmencocl wtthin 360 days aftet s <br />$suance. ot t the wo* authofized on the stte by stch Nrmil $ suspended <br />ot abandoned tor a pend ot360 days after the limo the wo/* is <br />cgmnenced <br />lnspector MID#: 2019-1524't6 <br />Contractor <br />Address <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permil #: <br />Occupancy: <br />Constr Type: <br />Code: