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Project Address: 1301 E Wilshire Ave <br />Assesso/sParcel: 014451-20 Lot: 9, 10, 11,12,13 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 6630 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Ml <br />E <br />city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 30{37909 <br />Pin #: 65200 <br />Owner: <br />Address <br />Contraclor <br />Address: <br />Phone <br />Tenant Name: <br />Ted Ripley <br />1368 E Nevada St <br />Ashland, OR 97520 <br />15621397-0727 <br />JCH Gensral Construction <br />3004 Orange Street <br />Santa Ana, CA 92704 <br />(7 141 6124149 <br />01116002 <br />011 16002 <br />01116002 <br />0'1116002 <br />01116002 <br />01116002 <br />011 16002 <br />01116002 <br />011 16002 <br />01116002 <br />01116002 <br />0't 1 t6002 <br />01116002 <br />01 1 16002 <br />011 16002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />53602 <br />51600 <br />51602 <br />Qty <br />12.O0 <br />5.00 <br />'15.00 <br />6.00 <br />2.00 <br />1.00 <br />2.OO <br />2.OO <br />6.00 <br />2.00 <br />1 .00 <br />2.OO <br />1,209.05 <br />1.00 <br />1.00 <br />Feo <br />$164.28 <br />$s2.3s <br />$183.45 <br />$93.18 <br />$17.24 <br />$62.18 <br />$42.84 <br />s42.84 <br />$378.72 <br />v2.84 <br />$42.85 <br />$'126.24 <br />$785.88 <br />$21 .25 <br />$52.98 <br />FeeType Amount <br />Water Closet 13.69 <br />Urinal 10.47 <br />Sink 12.23 <br />Floor Drain 15.53 <br />Drink'g Fountain 8.62 <br />New Sower (Firsl 100 ) 62.18 <br />Add'l Sewer Conneclion 2'1.42 <br />Wtr Htr (Comm up to 50 21.42 <br />Tankless Water Heater 63.12 <br />Backflow < 2" 21.42 <br />Backflow > 2" 42.85 <br />Sewage Ejec{or 63.12 <br />Ptc - 650/o 0.65 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Phone <br />State Lic #: 997410 <br />Lic Type: B <br />Bus. Lic #: 347573 <br />Workers' Compensation lnsurance:Canier: Norguard <br />Policy #: JCWC846785 <br />Expires: 05/16/2018 <br />lndustrial <br />Tenant lmprovement <br />TURoof Mtd Equlpt <br />Occupancy: <br />Constr Type <br />Code: <br />A-2, B, F-l, H-2 <br />III B, SPK <br />cPc 2016 <br />?t26/20ll Iot o! <br />+!0 <br />ll hel <br />rongt3 I <br />REf+: <br />- 9 /26/20ti r:36 <br />I1.6,4 <br />Planning Approval By: Date: <br />Plan checked By: West, Glen NU,,/ Dale. oslo4l2o17 <br />Permil lssued By: Zuniga, Allissi\\ Date: 0912612017 <br />Subiect to Field: Account# <br />Plannlng Conditions: <br />Buirdins Permit #: 10192432 <br />Ewy pormit issued shall become nvalid unless the wolr( o, aho srto <br />aulhonzed by such pemit is commenced within 1 80 ddys aftet its <br />issuance, ot il the wo aulhoized on the site by such peinit is suspoded <br />ot abandoned lor a peiod ol 1 80 days afret the time the wo* is <br />ctmmah@d. <br />lnspector MID#: 20'17-135073 <br />01116002 51600 <br />011 16002 51602 <br />01116002 53602 <br />$21.2s <br />$1.301.99 <br />$40.42 <br />Fee Total: <br />Paid lo Date: <br />Balance Due: <br />Misc. Receipt: 69337 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />,i. <br />(on struct i on <br />n updote Fee <br />1600|:t00- <br />3602000- <br />1359 <br />0202153 <br />$2,109.12 <br />$745.46 <br />$1,363.66 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Notes: