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Permit #: 3O139595 <br />Pin #: 94572 <br />q <br />Assessor'sParcel: 396-16'l-03 Lol: POR G.L. RUSSE <br />Unit: <br />Block: A <br />Bldg: Address Range: <br />Tract: A.B. CHAPMAN Historic; No <br />Suite Range: <br />Zoning: C4 <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Justin Strom <br />777 S. Harbor Blvd. <br />La Habra, CA 90631 <br />(916) 893-1s36 <br />CVS Pharmacy <br />Eleven Western Builders lnc <br />2862 Executive Place <br />Escondido, CA 92029 <br />(760) 796-6346 <br />0 t 1 16002 <br />0'1 1 16002 <br />01 1 16002 <br />0'1 1 '16002 <br />01 1 16002 <br />Fee <br />$28.44 <br />$25.40 <br />$ 19.54 <br />$22.08 <br />$55.04 <br />51602 <br />51602 <br />5160' <br />5160C <br />51602 <br />Notes <br />Amount <br />14.22 <br />12.70 <br />19.54 <br />22.O8 <br />55.04 <br />Fee Type <br />Water Closet <br />Sink <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Qty <br />2.OO <br />2.00 <br />1.00 <br />1.00 <br />1.00 <br />P hone <br />Slate Lic #: 439908 <br />Lic Type: B <br />Bus. Lic #: 364156 <br />Workers' Compensation lnsurance;Carraer: Twin City Fire lnsurance Company <br />Policy #: 72WEAZR0733 <br />Expires: 1Ol31l2O1A <br />Botchi:46032 - I /29/?Ol8 <br />0f I i,:e: CTYH Tronsl: 15Accti: Ref;: <br />Fcpti:02387676 - 9/2$/2fi19 <br />Tronsoct ion Totol <br />I0: sdl <br />30139 <br />1:11 <br />t1 rQ0l <br />Occupancy; <br />Constr Type: <br />Code: <br />M <br />V B, SPK <br />cPc 2016 <br />Eleven llestern 8u ilders IncBuilding Use: <br />Job Type: <br />Nature of Work: <br />Commercial <br />Tenant lmprovement <br />T.l. - Accessibility <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By:ernandez, Kathy <br />Subject to Field: <br />Buildins Permit #: 1 0196303 <br />Every permit issued shall become invalid unless the work on the site <br />authoized by such pemit is commanced within 1 80 days aftet its <br />issuance, gr if the wotk authoized on the site by such pemit is suspended <br />ot abandoned for a period of 1 80 days aftet the time tho wo* is <br />commencad. <br />09t20t2014 <br />Account# <br />Date: <br />Date: <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />lnspector MID#: 2018-'143055 <br />01 1 16002 51600 <br />01 1 16002 51602 <br />$22.08 <br />$128.42 <br />Fee Totat <br />Paid to Date: <br />Balance Due: <br />City of Santa Ana 20 civic center Plaza (M-19), Santa Ana' cAgz7o? Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: i.714),647-5853 <br />Project Address: 1750 N Grand Ave <br />Generol Plan uodote Fee <br />01116002- s1600000- <br />PIUlb ins <br />Lul 160tr2- 5 16t'r2060- <br />ICL Check 2129 <br />$150.s0 <br />$0.00 <br />$150.50