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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing <br />Permit Counter: C/14) 647-5800 lnspeclion Requests: (7141667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 30{ 38966 <br />Pin #: 74991 <br />Project Address: 520 N Main St <br />Assessor'sParcel 398-254-11 Lot: 1,4,5,8,9 <br />unit: 250 <br />Block: 19 <br />Bldg: Address Range: 5OO-520. <br />Tract TOWN OF SANTA Allistoric: No <br />Suite Range: <br />Zoning: SDE4 <br />q <br />Owner: <br />Address <br />Contractor: <br />Address: <br />Phone <br />Tenant Name: <br />CCP Holdings Group, LLC <br />520 N. iraln St. <br />Santa Ana, CA 92701 <br />17141925-5827 <br />HaBsard Constructlon <br />1355 Logan Avenue, Unlt 5 <br />Co3ta Mesa, CA 92626 <br />(949) 836-1679 <br />01116002 <br />01116002 <br />01 1 16002 <br />011 16002 <br />01 1 16002 <br />011'16002 <br />011'r6002 <br />5160i <br />51602 <br />51602 <br />5160i <br />51602 <br />5160i <br />5160C <br />Amount <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Fee <br />$0.00 <br />s0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />Feo Type <br />Waler Closet <br />Sink <br />Floor Orain <br />Drink'g Fountain <br />Backflow < 2" <br />Backflow > 2" <br />General Plan Updale <br />Qty <br />8.00 <br />6.00 <br />2.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Phone <br />State Lic #: 937779 <br />Lic Type: B <br />Bus. Lic #: 341484 <br />Workers' Compensation lnsurance:Carrier: Norguard lns Co <br />Policy #: EDWC855975 <br />Expires: 0511212018 <br />coPY <br />Building Use: <br />Job Type: <br />Nature of Work <br />B <br />VB <br />cPc 20t6 <br />Commercial <br />Tonanl lmprov6ment <br />Change of contractor <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date: 0112912018 <br />Account# <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: Amsden, Julie <br />Subject to Field: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: Replaces 30138456 & tees pd on 30138456 - change in <br />contractor <br />$0.00 <br />$0.00 <br />s0.00 <br />Buildins Permit #: 1 01931 53 <br />Ewry pemit issuod shall boco,I,e invalid unless lrlg wor* on lfle srlrt <br />authorized by such Nmit is @mmoncsd within 1 80 days aftet ils <br />issuanc.€, or if the 'lo* auhoized on AD site by such pemit is suspended <br />or abandorred lot a petiod o1180 days afiet tho timo tt16 wod< is <br />codibfr@d. <br />lnspector MID#: 2017-136558 <br />Fee Total <br />Paid to Dalel <br />Balance Due: