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Project Address: 1750 E Fourth St <br />Assesso/sParcel: 400-071-07 <br />Unit: 140 <br />Block: NA <br />Bldg: <br />Tract: MAYBURY <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning; SDt0 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Plum bin flPer^it*,3ol4ooo3 <br />Pin #: EEE9{ <br />Owner: <br />Address: <br />Phone <br />Tenant Name: <br />Boyd Santa Ana, LLC <br />6641 W. Broad Street, Suite 101 <br />Richmond, VA 23230 <br />Swinerton Builders <br />865 S Figueroa St. <br />Los Angeles, cA 90017 <br />(213) 896-3429 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />01'116002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51600 <br />51602 <br />Qty <br />1.00 <br />1.00 <br />'t.00 <br />2.00 <br />1.00 <br />1.00 <br />install new <br />Fee <br />$12.7O <br />$10.66 <br />$22.25 <br />$89.02 <br />$22.08 <br />$55.04 <br />Foo Typo Amount <br />Sink '12.70 <br />Garbage Oisp 10.66 <br />Wtr Htr (Comm up lo 50 22.25 <br />Backflow > 2" 44.51 <br />General Plan Update 22.08 <br />lssuanc, 55.04 <br />Phone <br />State Lic #: 92 <br />Lic Type: B, A, C-10, C-9, C{, C-39 <br />Bus. Lic #: 167862 <br />Workers' Compensation lnsurance:Carrier: Liberty Mutual Fire lns Co <br />Policy #: WA265D066493018 <br />Expires: OalOll2O2O <br />Botchi:{9261 - <br />0ff i ce: CTYH <br />Acct+: <br />Rcptt:02588171 <br />Tronsoct ion Tc <br />ieinerton Eui ]del <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Commercial <br />Tenant lmprovement <br />T.t. <br />Chavez, Dave <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />IA <br />cPc 2016 <br />Notes T.l. - dcmo exisling partitron walls. <br />partition walls to create offices, <br />o4t',i012019 <br />Account#t (.,4 <br />10197768 <br />Ewry pemit issued shall become invalid unless the wo* on the site <br />authodzed by such permit is commanced within 180 da$ afret ils <br />issuance, or il tho wot* euthotized on the site by such pemit is suspended <br />ot dbandoned lot a pedod of 1@ days aftet lttc brne tt?€ wotk is <br />commenccd. <br />lnspector MID#: 2018-146293 <br />01116002 51600 <br />011't6002 51602 <br />$22.08 <br />$189.67 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />$211.75 <br />$0.00 <br />i?'tl.75 <br />Lot POR 16 <br />Contractor: <br />Address: <br />Date: <br />Date: <br />0ate: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total