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City of Santa Ana 20 Civic Cenler Plaza (M-19), Santa Ana, CA|27O2 Plumbing <br />Permit Counter: (714) 7-5800 lnspection Requests: (714\ 667-2738 lnspector Section: O14) 647-5853 <br />Permit #: 3Ol4O9t4 <br />Pin #: 41122 <br />Project Address: 2410 W Seventeenth St Unil: <br />Block: NAAssessor'sParcel: 198-133-05 Lot: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: C2 <br />Ownerl <br />Address <br />Contraclor <br />Address: <br />Phone <br />Tenant Name <br />ADT3 Enterprise Ltd <br />11272 W6stminster <br />Garden Grove, CA 928/f3 <br />(7141 902-3022 <br />De3lgn Concopt and Constr <br />14371 StaEia St <br />Westminster, CA 92683 <br />(7111612-7112 <br />011 16002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />Foe <br />$14.22 <br />$12.70 <br />$46.46 <br />$22.08 <br />$55.04 <br />51602 <br />51602 <br />51602 <br />51600 <br />51602 <br />Amount <br />.14.22 <br />12.70 <br />46 46 <br />22.O8 <br />55.04 <br />Fee Type <br />Water Closet <br />Sink <br />Fee Exempt <br />G€neral Plan Update <br />lssuance <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />P hone <br />State Lic #: 5936E0 <br />Lic Type: a <br />Bus. Lic #: '187798 <br />Workers' Compensation lnsurance:Canier: Southom lnlurance Company <br />Policy *: PWC008484 <br />Expires: 09/1t2019 <br />0otcht:{9755 - <br />0fl ice: CTYH <br />Acct3: <br />Rcatg:02620S91 <br />Trongoct ion Tc <br />9n Lon <br />P lurb i nr <br />01116002- 516ui <br />Genenol Plon Ur <br />01116002- 5160( <br />Notes R".o"Qd!?phf,&,,,,,,, <br />Planning Conditions: All materia13 to match existing. See Planning condition under <br />Ml-NONR2016€44T1. <br />Planning Approval By <br />Plan Checked By <br />Permit lssued By <br />Subject to Field: <br />Buildins Permit #: 101 97998 <br />Ewry Nfinit issued shall boc!me invalid unless lhe wod on tho srl9 <br />authon2ad by such Nmit is commenczd within 360 days after its <br />$suance, ot il t,l€ wot* authorized on the sile by such Nrmil is suspended <br />ot abandoned tor a pa.iod o1360 days aftot lhe lme the wuk is <br />comne.1,Cpd <br />05/09/20'19 <br />Account# <br />eri <br />Date: <br />Datel <br />Date: <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$150.50 <br />$0.00 <br />3150.s0 <br />MID#: 2016-133278 <br />01 1 16002 s1600 <br />01 1 16002 5'1602 <br />$22.08 <br />$128.42 <br />Building use: Commercial Occupancy: B <br />Job Type: Tenant lmprovement Constr Typel V B <br />Nature ofwork: Tl Code: CPC 2016 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />lnspeclor