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Proj ect Address:1921 E Alton Ave <br />AssessofsParcel: 430-191-21 Lot: POR l'15 <br />Unit: <br />Block: 9 <br />Bldg: Address Range: rgoi-i921 <br />Tract: IRVINE SUB Historic: No <br />Suite Rangs: <br />Zoning: P <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing <br />Permit Counter: O14) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 3lJ138927 <br />Pin #: 89043 <br />Owner: <br />Address: <br />Conlraclor <br />Address: <br />Phone <br />Tenant Name: <br />Edwards Llfesclenceg <br />3 Edwards Way <br />lrvine, CA 92614 <br />(949) 52s€s79 <br />CDG Builders, lnc <br />24 Executive Park, fl50 <br />lrvlne, CA 92614 <br />(949) 892-3510 <br />011 16002 51602 <br />01'l 16002 51602 <br />01116002 51602 <br />01 1 't6002 51602 <br />01'116002 51602 <br />01116002 51602 <br />01116002 51600 <br />01116002 51602 <br />Fes Type Amount <br />Water Closet 13.69 <br />Urinal 10.47 <br />Sink 12.23 <br />Floor orain 15.53 <br />Floor Sink 15.53 <br />Wtr Hlr (Comm up to 50 21.42 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />9.00 <br />3.00 <br />8.00 <br />2.00 <br />1 .00 <br />2.OO <br />1.00 <br />1.00 <br />F€e <br />$123.21 <br />$31.41 <br />$97.84 <br />$31.06 <br />$15.53 <br />$42.84 <br />$21 .25 <br />$s2.98 <br />Phone <br />State Lic #: 92'1615 <br />Lic Type: B <br />Bus. Lic #: 3,12744 <br />Workers' Compensation lnsurancS:Carrier: Evorest Nat'l lns Co <br />Policy #: 760fir2738171 <br />Expires: 0112012019 <br />r I 9l <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: lnterior work only. <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Sub.iecl to Field: <br />Building Permit #; <br />Date: <br />Date: <br />Date: <br />B <br />III B, SPK <br />cPc 2016 Notes Remove & replace fixtures. <br />n <br />94 1 01116002 51600 <br />01116002 51602 <br />$21.25 <br />$394.87 <br />Fee Total: <br />Paid lo Date: <br />Balanco Duo: <br />$416.12 <br />$0.00 <br />$416.12 <br />Evary permit issued shall became invdlid unless th€ worr( on t e sils <br />authoized by such pemit is commenccd wilhin 1 80 days aftet its <br />issuenca, or it the wo* authorized on tho site by such permil is suspended <br />ot abandoned for a peiod ot 1 80 days aftet tho time the wo* is <br />lnspector MID#: 2017-140606 <br />5 <br />Commerclal OccuPancY: <br />Tenant lmprovemant Conslr TYPe: <br />Remodel Restrooms-2nd Flccode: <br />0t/18/20't8 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total