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Permit #: 40{29195 <br />Pin #: 14067 <br />Project Address: 2130 N Grand Ave <br />Assesso/sParcel: 396-'19l-!f Lot POR G.L. RUSSE <br />Bldg: Address Range: <br />Tract A.B. CHAPMAN Historic: No <br />Unit: <br />Block: A <br />Owner: <br />Address: <br />Contraclor <br />Address: <br />Tenant Name: <br />Alllance Church of Orange <br />2'130 N Grand Avenue <br />Santa Ana, CA 92705 <br />17't415424777 <br />Alllanco Church of Orange <br />Rindtek <br />'1440 E 28th Strcet <br />Signal Hill, CA 90755 <br />(310) 696{271 <br />01116002 51604 <br />01116002 53603 <br />01116002 53603 <br />01116002 51600 <br />Fee Typo <br />Type I Hood <br />PIC - 650/o <br />Revision <br />General Plan Update <br />Amount <br />102.22 <br />0.65 <br />200.53 <br />19.93 <br />Qty <br />2.00 <br />204.44 <br />'t.00 <br />0.00 <br />F€e <br />8204.44 <br />$'r 32.89 <br />$200.53 <br />$0.00 <br />Botchi:32830 ' 2lL8/2OLi ID: ELIZABETH <br />0fficc; CTYI ]ronsl: 3l I ol 2Acct+: Refi: {0129195 <br />Rcptl:01{9?{20 - 2/18/2016 11:20 An <br />Tronsoct ion Totol t791.81 <br />F indte* <br />ll€chla icol <br />0tu6m2- 5r60{(m- <br />P/C ,lcchon icol <br />01u6002- 53603000- <br />Viso <br />CCf rfir*rrrlrr}18969 <br />_ 1201.14 <br />a r32.8? <br />a791 .81 <br />Authi: 1212{2 <br />$537.86 <br />$200.53 <br />$337.33 <br />Building Use: <br />Job Type: <br />Nature ot Work: <br />Other <br />Revislon <br />Revislon <br />A-3 <br />VB <br />cMc 2013 <br />Occupancy: <br />Constr Type <br />Code:Notes: Revision to 40127043-add typs I hood, erhaust fan and <br />makcup alr fadremove (1) ac unit <br />Planning Conditlons: <br />Planning Approval By: <br />Plan Checked By: Scon Fazekas <br />Permit lssued Byi Zuniga, Allissa <br />Subiect to Field: <br />Building Permit #; 10180945 <br />Ewry pemit issued shall bocome invalid unless tlD wo* on the site <br />authotized by such pemit is cofinencod within 180 days afrer its <br />issuenca, or il the ,rot* autpized on tli€ site by such pomit is suspended <br />ot obendoned fot a pedod ol 1 80 days aftet lhe lime the wo* is <br />com,,lEn@d. <br />V <br />Dale <br />Date <br />Date <br />o'l t2712016 <br />02t1a12016 <br />Account# <br />Misc. Receipt: 67060 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Sr*.oo ?tj'{ tlt Fee Totat: <br />lnspector MID#: 2015-121983 <br />01 1'16002 51604 <br />01 1 '16002 53603 $132.89 Paid to Date: <br />Balanc6 Due: <br />1$l City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAs?7o2 Mechanical <br />Suite Range: <br />Zoning; Rl <br />Phone: <br />Phone: <br />State Lic #: 966844 <br />Lic Type: B <br />Bus. Lic #: 3,16862 <br />Workers' Compensation lnsurance:Carrier: Bonchmark <br />Policl #: CST50U911 <br />Expires: 0211912016