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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: (714) 667-2738 <br />Plumbing Permit#: 30124938 <br />lnspector's Section: (714) 647-5853 <br />Project Address: 905 S Harbor Blvd unit: 322 <br />Block: NA <br />Bldg: <br />Tracl: NA <br />Address Range: <br />Historic: No <br />Suite Range:x <br />Assessor'sParcel: 14.[36161 Lot: NA Zoning: SP2 <br />Advanced Group 93-7 <br />23792 Rockfield Blvd #100 <br />Lake Forest, CA 926302868 <br />(949) 5s5-5960 <br />01 1 16002 <br />01 1 16002 <br />01116002 <br />01116002 <br />01 1 16002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />Fee Type <br />WaterCloset <br />Shower/Bathtub <br />Sink <br />Garbage Disp <br />lssuance <br />Amount <br />9.35 <br />9.35 <br />9.35 <br />9.35 <br />37.85 <br />Qty <br />1.00 <br />1 .00 <br />2.OO <br />'1.00 <br />1.00 <br />Fee <br />$9.35 <br />$9.35 <br />$18.70 <br />$9.35 <br />$37.85 <br />Phone <br />Tenant Name: <br />Contrac{or: <br />Address: <br />R-3 Construction Services <br />1305 N Knollwood Circle <br />Anaheim, CA 92801 <br />(949) 595-5960Phone <br />State Lic #: 908{68 <br />Lic Type: B <br />Bus. Lic #: 322655 <br />Workars Compensation lnsuranc6:Canier: EXEMPT <br />Policy #: <br />Expires: <br />PATD <br />JAI'I 13 Z0t0 <br />3 & <br />Building Use: <br />Job Type: <br />Nature of Work <br />Extended Stay Hotol/Motel Occupancy: <br />Altaration Constr Type <br />lnterior Remodel Code: <br />R-2 <br />VB <br />cPc 2007 Notes: direct change ouuall fees pd on M-55697 <br />Planning Conditions: No Exterior Modifications <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Faeld: <br />Building Permit #: <br />\y Hernandez, Kathy <br />Date: <br />Date: <br />Date:01t13t2010 <br />Account# <br />Misc. Receipt: 55697 <br />Misc. Receipt: <br />Misc. Rec€ipt: <br />Total <br />10167716 $84.60 <br />$84.60 <br />30.00 <br />Evory pemit issued shall become invalid unless the wot* <br />on the site authoized by such pemit is commenced within <br />180 days afrer ils issuance, or if the wot* authodzed on the <br />site by such petmit is suspended or abandoned for a pedod <br />d 180 days after lhe time the wot* is commenced. <br />lnspector <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Owner: <br />Address: <br />MID#: 20'10-89874