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City of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, CA92702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 <br />Plumbing permit#:3O123868 <br />lnspector's Section: (7'14) 647-5853 <br />Project Address: 901S Harbor Blvd <br />Assessor'sParcel: 1/f4-36141 Lol: NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Rangel <br />Historic: No Zoning: SP2 <br />Suite Range: 202 &230? <br />Contractor <br />Address: <br />Phone: <br />Tenant Name: <br />Advanced Group 93-7 <br />23792 Rockfield Bld #'100 <br />Lake Forest, CA 926302868 <br />(949) 595-5900 <br />R-3 Construction Services <br />1305 N Knollwood Circlo <br />Anaheim, CA 92801 <br />(949) s95-5960 <br />Fee Type Amount <br />Gas Line alter/extend/a( 26.80lssuance 36.75 <br />Notes: Allwork is interior <br />Qty <br />1 .00 <br />1.00 <br />Fee <br />$26.80 <br />$36.75 <br />Phone: <br />State Lic #: 908168 <br />Lic Type: B <br />Bus. Lic #: 322655 <br />Workers' Compensation lnsurance:Carrier: ICW Group <br />Policy #: WSD-155736840 <br />Expires: 1210112008 <br />Building Use: <br />Job Type: <br />Nature ot Work <br />Occupancy: <br />Constr Type <br />Code: <br />R-1 <br />VB <br />cPc 2007 <br />HoteUMotel <br />Alteration <br />Gas piping altorlrepair <br />Planning Conditions; All interior work. No Exterior Modifications <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject lo Field: <br />/ctrlqrjl-.-\ eacrrl <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt;den, Julie <br />Building Permit #: 1 0164901 <br />Every pemit issued shall become invalid unless the wo* on the sita authoized by such pemit is commenced <br />within 1 80 days aftor ils issuanca, or il the wo* authoized on the site by such pemit is suspended or <br />abandonad lor a peiod of 180 days afrer the time tho wotk is commenced. <br />Fee Tolal: <br />Paid to Oate: <br />Balance Due <br />lnspector <br />O$/ner: <br />Address: <br />$63.55 <br />$0.00 <br />$63.55 <br />11124t2008 <br />Account #: 011-01-5912 MID#: 2008-84653