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Project Address: 1575 N Grand Ave <br />Assessor'sParcel: 4OO-231.O2 Lot <br />Unit: <br />Block: NA <br />Bldg: <br />Tracti NA <br />Address Range. <br />Historic: No <br />Suite Range: <br />Zoning <br />@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana. CA92702 Mechanical <br />Permit Counter: (714) 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5E53 QA <br />Permit #: 40{ 33396 <br />Pin #: 82E39 <br />Owner: <br />Address <br />Phone: <br />Tenent Namo <br />Conlraclor <br />Address. <br />Phone <br />State Lic #: 817464 <br />Lic Type: B <br />Bus. Lic #: 315186 <br />Workers' Compensation lnsurance:CarneL Employoo SerYice Group <br />Policy r: 020339323 <br />Expires: gOlOll2O2O <br />Fee Typ€ Amount <br />Air Handling 46.25 <br />Bathroom Fan 31.72 <br />Envir. Air Olher 36.59 <br />Gas Piping lncidental 23.26 <br />Air Compressor (each, t 68.64 <br />Ptc - 650h 0.65 <br />General Plan Update 22.95 <br />lssuance 57.20 <br />Generol Plon Updote Fee <br />01116002- 51600000- <br />MechaDical for dental o,rica <br />llaster (ord <br />CCi: *rrrrlIlrlrr5880 <br />BotchS:51973 - 9112/2019 I03 ccuEL0fficel CTYH Trons+! 16 2 olAccti: Refi! {0133391 <br />Rce1i.02716867 - 9/12/2019 8.$ An <br />Troosoct ion Totol 131467.ltPt{B Controcton <br />C B Bovenkorp Inc <br />RGA Group, LLC/VenturePoint <br />P.O. Box 5384 <br />Newport Beach, CA 92662 <br />(949) 6734660 <br />Western Dental <br />C B Bovenkamp lnc <br />9002 SW 152 Street <br />Miami, FL 33157 <br />(305) 2334438 <br />01116002 <br />0't116002 <br />01116002 <br />01 1 16002 <br />01116002 <br />0 t116002 <br />01116002 <br />0r 1 16002 <br />51604 <br />51604 <br />51604 <br />51604 <br />51604 <br />53603 <br />51600 <br />51604 <br />Qty <br />100 <br />200 <br />300 <br />1 .00 <br />1 .00 <br />311.36 <br />100 <br />1.00 <br />Aul hi <br />Fee <br />$46.2s <br />$63.44 <br />$ 109.77 <br />$23.26 <br />$68.64 <br />$202.38 <br />$22.95 <br />$57.20 <br />Building Use. <br />Job Type: <br />Nature of Work: <br />Occupancyl <br />Cons[ Type <br />Code: <br />B <br />V B, SPK <br />cMc 2016 <br />Noles <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked By: CSG consultants <br />Permit lssued By Amsden, Julie <br />199705 <br />Subjecl lo Field <br />Building Permil #10 <br />Every petmil issued shall bocome invahd unloss tho wo on tho slo <br />eutho zed by such pem $ commoncocl withn 360 days attor tts <br />,ssuan(E, or i tl]E wot* authgnzo<t on the stto by such pem E suspended <br />or abandoned tor a penod o1360 days altor tho lmo tho wot* ts <br />coalfi?pocrd <br />lnspector MID#: 2019-150620 <br />08/16/2019 <br />09t12t2019 <br />Account# <br />011't6002 51600 <br />01'116002 51604 <br />$22.95 <br />$368.56 <br />Fee Total: <br />Paid lo Dale; <br />Balance Due: <br />Date <br />Date <br />Date. <br />Mrsc. Receipt 73315 <br />Misc. Receipt <br />Misc. Receipt <br />Total <br />$593.89 <br />$202.38 <br />t391.51 <br />Commorcial <br />Tenant lmprovemgnt <br />TI