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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 <br />Plumbing Permit#: 307,24221 <br />lnspectofs Section: (714) 647-Ur5a$/ <br />Project Address: 801S Harbor Blvd Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: NoAssessor'sParcel: 1,14-361-60 <br />Advanced Group 93-7 <br />23792 ROCKFIELD BLVD lOO <br />Lake Forest, CA 926302868 <br />Fee Type <br />Water Piping <br />Water Service <br />Backflow>2" <br />PtC 650/o <br />lssuance <br />Amount <br />'t8.20 <br />'t8.20 <br />18.20 <br />0.65 <br />36.75 <br />Phone: <br />Contraclor <br />Address: <br />R-3 Construction Services <br />1305 N Knollwood Circle <br />Anaheam, CA 92801 <br />(949) 595-5960 <br />State Lic #: 908168 <br />Lic Type: B <br />Bus. Lic #: 322655 <br />Workers' Compensation lnsurance:Carrier: ICW Group <br />Policy #: WSD-i557368{0 <br />Expires: I l/3012009 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Extend6d Stay Hotel/Motol <br />Alt6ration <br />Repipe <br />Occupancy: <br />Constr Type: <br />Cod6: <br />R-2 <br />VB <br />cPc 2007 <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Ni, Ann <br />Kiker, Kraig <br />Morales, Janet t1- fi1,.' <br />10164008 <br />03/31/2009 <br />06/25/2009 <br />06/26/2009 <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />54009 <br />Every pemit issued shall become invalid unless the wod< on lhe site authoized by such pemit is commenced <br />within 180 days afterits lssuanca, or if the wotu authorized on the site by such pemit is suspended or <br />abandoned for a peiod of 180 days after the time the wod< is commenced. <br />$307.02 <br />$70.98 <br />$236.04 <br />Account #: 011-01-5912 lnspector MID#: 2009-86219 <br />Lot: NA <br />Suile Range: <br />Zoning: SP2 <br />Owner: <br />Address: <br />Tenant Name: <br />Foo <br />$109.20 <br />$36.40 <br />$18.20 <br />$106.47 <br />$36.75 <br />Q.y <br />6.00 <br />2.OO <br />1.00 <br />163.80 <br />1.00 <br />Phone: <br />Notes: Ropips all structures. Written certification lstter on <br />file. <br />Oate: <br />Date: <br />Date: <br />Fee Total: <br />Paid to Date: <br />Balance Due: