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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana' cA927o2 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Plumbing Permit #: 30341608 <br />Pin #: 23263 <br />Project Address: 333 W Seventeenth St <br />Assessor'sParcel. 002-153-26 Lot: POR 13 <br />Bldg: Address Range: <br />Tract: GEOPPER'S ADD. Hisloric: No <br />Unit: <br />Block: F <br />Suite Range: <br />Zoningr Cl <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor <br />Address <br />Farid Yeawary <br />333 W tTrh Sr <br />Santa Ana, CA 92706 <br />17141395-2745 <br />Conchita Nutricion <br />Owner-Builder <br />01116002 5160i <br />01'1't 6002 5't 602 <br />01116002 5160C <br />01116002 51602 <br />01116002 5777C <br />Amount <br />13.20 <br />32.75 <br />22.95 <br />57 .20 <br />3.91 <br />Fe6 Type <br />Sink <br />Min Fee Adj <br />General Plan Updale <br />lssuance <br />Microfilm Records <br />Qly <br />3.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Foe <br />$39.60 <br />$32.75 <br />$22 95 <br />$57.20 <br />$3.91 <br />Phone <br />Carrier: <br />P .licy #: <br />Expires: <br />Botch+:5319{ - tt/?7/20t? ID3 LRoSALoffi(e: STYH Trons+! I I otAccti: Refil 303i160S <br />RcDtt:0281{796 - lt/27la0.tg l0:4$ Atlfronsoct ion Totql l 156.4l <br />For id Ycoeore <br />(1) wash sink, (1 ) prep sink, & ('l ) three compa <br />sink. Auth on file. <br />t2t <br />tl2! <br />t:Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions <br />Planning Approval By <br />Plan Checked 8y: <br />Permil lssued By: <br />Subrect to Field: <br />Building Permit #: <br />Commercial <br />Miscellaneou3 <br />Sinks <br />Occupancy: <br />Constr Type: <br />Code:Notes rtment <br />Dale: <br />Date: <br />Date:11t27 t2019 <br />Account# <br />Misc. Receipl: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Zuniga, Allissa <br />Every permit issted shell bocome nvalid unless tfio worr( on t le site <br />authorized by stch psmtt ts commerrced wthin 360 days efter rts <br />issuance, ot I tho wotk authorued on the site by such pafinit B suspended <br />or ebandoned tgt a penod o1360 days aftet lho lme tho work is <br />cofimen@d. <br />$156.41 <br />$0.00 <br />8156.41 <br />lnspector MID#: 20't9-152851 <br />01 I 16002 51600 <br />01 1 16002 51602 <br />01 't16002 57770 <br />Fee Total <br />Paid to Dale: <br />Balance Oue: <br />State Lic #: <br />Lic Type: <br />Bus. Lic #i <br />\Jy'orkers' Compensation lnsurance; <br />B <br />VB <br />cPc 2016 <br />$22.95 <br />$129.55 <br />$3.91