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@ City of Santa Ana <br />Permit Counter: (/14) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mecha n ical Permit #: 4O131768 <br />Pin #: 70730lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address:1921E Iton Ave Unit: <br />Block: 9 <br />Bldg: Address Range: 1901-1921 <br />Tract: IRVINE SUB Hisloric: No <br />Suite Range: <br />Zoning: P <br />q <br />AssessofsParcel: 430-191-21 Lot POR 'lts <br />Owner: <br />Address: <br />Edwards Llfesciences <br />3 Edwards Way <br />lrvine, CA 9261,1 <br />(949) s2s6579 <br />Fos Type <br />01116002 51604 Bathroom Fan <br />01116002 51604 Min Fee Adj <br />01116002 51600 General Plan Update <br />01116002 51604 lssuance <br />Amount <br />29.38 <br />11.88 <br />21.25 <br />52.98 <br />Qry <br />2.OO <br />1 .00 <br />1 .00 <br />1 .00 <br />Fee <br />$58.76 <br />$11.88 <br />921 .2s <br />$s2.98 <br />Phone <br />Tenant Name: <br />Contractor <br />Address: <br />COG Bullders, lnc <br />24 Executlve Park, #150 <br />lrvine, CA 92614 <br />(949) 892-3510Phone <br />State Lic #: 921615 <br />Lic Type: B <br />Bus. Lic #: 342748 <br />Workers' Compensation lnsurance:Carrier: Evere3t Nat'l lns Co <br />Policy #; 7600012738171 <br />Expires: 0112012019 <br />Lttl l600 <br />llechan inti!lno <br />Building Use: <br />Job Type: <br />Nature of Work <br />Commerclal Occupancy: <br />Tonanl lmprovement Constr TYPe <br />Remodel Rastroom3-2n6 516Code: <br />Noles: <br />Planning Conditions: lnterior work only. <br />Planning Approval By:Date: <br />Date: <br />Date: 0l/'18/2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Plan Checked By: <br />Permil lssued By: <br />Subjecl lo Field: <br />Building Permit #: <br />I Teri <br />194831 01 1 16002 51600 $21.25 <br />$123.62 <br />$144.87 <br />$0.00 <br />s144.87 <br />Ewry pemit issued shall becone invalid unless the wo* on the site <br />authonzed by such permit is camnenced within 1 80 days afiot its <br />issuancc, ot il the wod< authoizod on tho site by stch pemit is suspeded <br />ot abandoned fot e pedod ol 1 80 days afrq the tima the wo* is <br />@firnen@d. <br />lnspector MID#: 2017-140606 <br />01 I 16002 51604 <br />Fee Total: <br />Paid lo Date; <br />Balance Due: <br />B <br />t B, SPK <br />cMc 2016