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Project Address: 2904 W Pendleton Ave <br />Assessods Parcel: 408{l l -19 Lot: POR 2, POR 4 <br />Unit: <br />Block: NA <br />Bldg: <br />Tracl: NA <br />AddressRange: 2900-2922 <br />Historic: No <br />Suite Range: <br />Zoning: Ml <br />q <br />city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing <br />Permit Counter: 014) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: f/14) 647-5853 <br />Permit #: 3O138562 <br />Pin #: 4576,4 <br />Contraclor: <br />Address: <br />Phone <br />Tenant Name: <br />Gildred Dovelopment Co <br />2304 S Falrvlew <br />Sanla Ana, CA 927044910 <br />(714) 966-2025 <br />Har-Bro lnc <br />2750 Slgnal ParkrYay <br />Signal Hill, CA 90755 <br />(s62) s284000 <br />01116002 <br />01116002 <br />0't 1 16002 <br />01 116002 <br />01116002 <br />01116002 <br />011 16002 <br />01116002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />51600 <br />51602 <br />Fee Type Amount <br />Water Closet 13.69 <br />Sink 12.23 <br />Sewer Alter/Repair 42.85 <br />Gas Line repair/replace 42.85 <br />Tankless Waler Heater 63.12 <br />RainMr Pip'g (Each 'l0l 20.85 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fge <br />$13.69 <br />$12.23 <br />$42.85 <br />$42.85 <br />$63.12 <br />$20.85 <br />$21.25 <br />$52.98 <br />Phone <br />State Lic #: 25841 <br />Lic Type: B <br />Bus. Lic #: 3711 <br />Workers' Compensation lnsurance: <br />Carrier: American Zurlch lnsurance Company <br />Policy #: WC3487147 <br />Expires: O4lO1l2O18 <br />Eotchi!{lE?0 - l/22/7018 I0! CCUELLAR0fficc! CTYH Trons3: 47 13 of l,fAcct+: RefC: 30138562 <br />Rcpti:021{3941 - l/22/2018 10341 All <br />Tronroctidl Totol 15r 196.55 <br />Hor-8ro Inc <br />Building Use: <br />Job Type: <br />Nature of Work <br />Occupancy: <br />Constr Type <br />Code: <br />lndu3trlel <br />Tsnant lmprovement <br />Flre Damage <br />Notes <br />Generol Plnn Updot€ Faa <br />0r116002- 51600000- <br />Plurb inr <br />01116002- 51602000- <br />ICL Check 086453 <br />t2t .73 <br />l2+8.57 <br />l5r 196.55 <br />Planning Conditions: <br />Planning Approval By: Date: <br />Plan Checked By: Oate: <br />Permit lssued By: Hernandez, Kathy Dale: O1l2A2O1a <br />Subjecl to Field: Account# <br />Buildins Permit #: 10194285 <br />Ewry Nmit issuod shall bec!,me invalid unless a1e wo* on the site <br />authoized by such pemit is cgmmenced within 1 80 days afrot its <br />issuance, or il the wod< aulttotized on lhe site by such pormit is suspondod <br />ot abendonod lot a pedod ot 1 80 days aftet tr€ time the wotu is <br />cammenced. <br />01116002 51600 <br />01 '1 16002 51602 <br />lnspector MID#: 2017-138889 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipl: <br />Total <br />$21.25 <br />$248.57 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$269.82 <br />$0.00 <br />s269.82 <br />Owner: <br />Address: <br />B <br />VB <br />cPc 2016