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City of Santa Ana <br />Permit Counler: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (7 1 41 667-27 38 lnspector Section: (714) 647-5853 <br />Mecha n ica I <br />ij-_ t" <br />Permit #: 4O13O1O7 <br />Pin #: E76.22 <br />Project Address: 628 E Washinqton Ave <br />Assesso/sParcel: 398-191-02 Lot: NA <br />Bldg: Address Range: 628-636 <br />Tracl: SANTA ANA EAST Historic: No <br />Unit: <br />Block: 55 <br />Suite Range: <br />Zoning: SO84 <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Phone <br />Tenant Name: <br />01 I 16002 5'1604 <br />01'116002 51604 <br />01116002 51604 <br />01116002 51604 <br />01116002 53603 <br />01 1 16002 51600 <br />01116002 51604 <br />GG&GPropLlc <br />IO38 N CUSTER ST <br />Santa Ana, CA 927013915 <br />KZ Miller Construction <br />3180 University Avenue Ste. <br />San Diego, CA 92104 <br />(619) 584-2858 <br />FeeTypo Amount <br />Heal Pump 86.82 <br />Bathroom Fan 29.38 <br />Vent Fan/Comm 41.99 <br />Air Compressor (each, I 63.58 <br />Plc - 65% 0.65 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />ary <br />3.00 <br />3.00 <br />4.00 <br />1.00 <br />561.25 <br />1.00 <br />1.00 <br />Foe <br />$260.46 <br />$88.14 <br />$167.96 <br />$63.58 <br />$364.81 <br />$21.25 <br />$s2.98 <br />Phone <br />State Lic #; 1011565 <br />Lic Type; B <br />Bus. Lic *: 367851 <br />Workers' Compensalion lnsurance:Carrier: Evsrest Natlonal lnsurance Co. <br />Policy #: 7600018043 <br />Expires: 09/01/2018 <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />P€rmit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Evary pemit issued shall becgma invalid unless the wok on the site <br />authoized by such pemit is commenced within 180 days afrer its <br />issuanc'€, or if the wotu authodzed on the site by such peffnit is suspended <br />or abandonod lot e pedod ol ,80 days afret the time lhe wod< is <br />commenced. <br />CSG Consultanis <br />Link, Patricia <br />Date: <br />Date: <br />Date: <br />06t2212017 <br />12t1312017 <br />Account# <br />Sotchi:{1342 ' 12/ 13/2017 ID: CCUELLAf, <br />olfice: CTYH Tronsi: 123 1l of 13Accti: Rafi: t0130707 <br />Rcpt9:02106684 - 12/13/2017 2216 ?n <br />Tronsoct ion Totol t15r188'53 <br />KZ hiller Construct ion <br />Genenol Plon Updote Fee <br />01116002- tl600000- <br />Itechon icql <br />$1,019.18 <br />$364.81 <br />$654.37 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Commercial <br />New <br />New Commercial Bullding <br />Occupancy; <br />Constr Type <br />Code: <br />B, S-r <br />V B, SPK <br />cMc 2013 Notes: <br />t2t .25 <br />t633. t2 <br />2..'$f,ffiS1irffi ffia 1r1 u"y u," il#rsg. r, <br />8nd wash bay <br />Mi8c. Receipt: 689E4 <br />Misc. Receipt: <br />Mlsc. Receipt: <br />Total <br />lnspector MID#: 20'16-133593 <br />0't 'l 16002 51600 <br />01116002 5'1604 <br />$21.2s <br />$633.12 <br />Fee Total: <br />Paid to Date: <br />Balanco Due: