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Project Address: 3103 W Centra! Ave <br />Assessor's Parcel 414-111-15 Lol POR 4 <br />Unit: <br />Block: NA <br />Bldgl <br />Tracl: 2650 <br />Address Range: 310'l-3103 <br />Historic: No <br />Suile Range: <br />Zoning: Mi <br />City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Mechanical <br />Permit Counter (714) 647-5800 lnspection Requests: (714l,667-2738 lnspector Sectionr (714) 647-5853 <br />Permit #: 4l)133447 <br />Pin #: 5391O <br />Owner: <br />Address <br />Conlraclor <br />Address <br />Phone <br />Tenant Name: <br />Green Wish Concepts <br />3103 W Central Ave <br />Santa Ana, CA 92704 <br />(949) 690-0098 <br />H A Kirchen lndustrial Elect <br />3521 Center Avenue <br />Norco, CA 92860 <br />(714) 501-0309 <br />Fee Typs Amount <br />01116002 51604 Product Conveying Sysl 195.74 <br />01'fi6002 53603 PtC - 65Vo 0.65 <br />01116002 51600 General Plan Update 22.95 <br />01116002 5'1604 lssuance 57.2O <br />Qty <br />2.00 <br />376.72 <br />1.00 <br />1.00 <br />Fee <br />$391.48 <br />$244 87 <br />$22 95 <br />$57.20 <br />Slale Lic # 528109 <br />Lic Type B, C-16, C-10 <br />Bus. Lrc # 347078 <br />Workers' Compensatron lnsuranceCatnet: Norguard lnsurance Company <br />Policy #: HAWC077655 <br />Exprresr O3lO1l202O <br />Botcht:527{1 - l(r/29/2019 ID: PZunieotlff ice: clYll Tronsis 2 I of 3Acctt3 Refi: {0133417 <br />RcatS:02787001 - lO/28/2O19 l.og ?n <br />lccnsoct ion Totol ,929.1i& f ire PPotection Sest <br />H A Kirchen Indusuriol Electri <br />Generol Plan Llodote Fee <br />01116002- 51600000- <br />]lechon icol <br />0ul61102- 5160{000- <br />ltoster Csrd <br />cc+ 3 *rrlrlrrlr**2029 <br />_ t22.?3 <br />t418.6S <br />t920.45 <br />Authi:01366c <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permil #r <br />lndustrial <br />Spray Booths <br />Spray Booths <br />Orozco. lvan <br />CSG Consultants <br />Chavez. Dave 2.., <br />10199837 <br />Occupancy: <br />Constr Type <br />Code: <br />B, S-1 <br />VB <br />cMc 2016 Notes lnstall 2 spray booths <br />Dalel <br />Oate: <br />Date <br />10t25t2019 <br />07,30/2019 <br />10t2812019 <br />Accountf <br />Evory pemit issued shall becone invehd unless the wo* on the site <br />authoized by such permil ts cofifiencec! wtthin 3 days aftet ts <br />issuanco- or I the wott authonzed on the site by such perfiit ts suspondod <br />ot abandoned fot a pe od ol 3@ days atlot lhe hme the wo* ts <br />commenced <br />lnspector MID#: 2019-150895 <br />01 1 16002 51600 <br />01116002 51604 <br />Fee Total: <br />Paid lo Date <br />Balance Due; <br />$716 50 <br />$244 A7 <br />$471.63 <br />Phone <br />Building Use: <br />Job Type: <br />Nalure oI Work: <br />Misc. Receipt: 72478 <br />Misc. Receipt: <br />Misc Receipt: <br />Total-- sz gs <br />$448 68