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Project Address: 2721 S Harbor Blvd <br />Assesso/sParcel: 414-131{9 Lot: POR 1/POR 1 <br />Unil: B <br />Block. N <br />Bldg: <br />Tracl: 50911013 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Ml <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing <br />Permit Counter: O14) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (7141U7-5853 <br />Permit #: 30{38370 <br />Pin #: 98384 , <br />! <br />Owner: <br />Address: <br />Contraclor <br />Address: <br />Phone: <br />Tonanl Namo: Quest Dlagnodlcs <br />Cancilla PropertleE ll LLC <br />2721 S Harbor Blvd Unit# B <br />Santa Ana, CA 927045803 <br />Coa3tal Paciflc Constructior <br />28 Edelman <br />lrvlne, CA 926'18 <br />(949) 770-1555 <br />01116002 51602 <br />01116002 51602 <br />01116002 51602 <br />01116002 51600 <br />0'1116002 5'1602 <br />Fee Typs <br />Water Closel <br />Urinal <br />Fee Exempt <br />General Plan Update <br />lssuance , .hir.j <br />Amount <br />13.69 <br />10.47 <br />46.48 <br />21 .25 <br />52.98 <br />nerol Pl,on Updote Frr <br />l l6{t02- 51600m0- <br />urb i n, <br />r 16002- 51602000- <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$ 13.69 <br />$ 10.47 <br />$46.48 <br />$21.25 <br />$52.98 <br />ti:01977952 - <br />nsoct ion Toto I <br />138left3 3013 <br />2Ol7 3.26 <br />t?57 . <br />I <br />Phone <br />State Lic f: '17858a <br />Lic Type: B <br />Bus. Lic #: 164/trt0 <br />Workers' Comp€nsation ln8urance:Canier: lnsurancs Company of tho Wo3t <br />Policy #: WsDso3.tala <br />Erpires: 1U0112017 <br />tol Poc if ic Construction <br />: rrr * rrlrrIIiS2 31 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By <br />Permit lssued By <br />Subject to Field: <br />lndustrial <br />Alteration <br />Reslroom expansion <br />Occupancy: <br />Conslr Type <br />Code: <br />s-l <br />III B, SPK <br />cPc 2016 Notes Expand existing restroom, <br />Misc. Receipt: <br />Misc. Receipt: <br />Mlsc. Receipt: <br />Total <br />sden, Julie <br />Building Permit #:0193303 <br />Ewry pemit issued shall become invalid unhss lh" wo.k o/, tllg slla <br />au totized by such petmit is commerced within 180 days afret its <br />issuarca, or if the wo authodzed on the site by such permit is suspended <br />ot abandoned lgr d petid c.1180 days afret the time tho wed< is <br />cafirrcr@d. <br />lnspector MID#: 2017-136896 <br />ouoal2017 <br />Account# <br />0 1 1 '1 6002 5't 600 <br />01116002 51602 <br />$21.25 <br />$123.62 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$ 144.87 <br />$0.00 <br />3144.87 <br />Dale: <br />Dale: <br />Date: