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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana. cA927o2 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Plumbing Permit #: 3O135775 <br />Pin #: {l9OO <br />^PProject Address: 1327 E St Gertrude Pl <br />AssessoisParcel: 0l/f-331-15 Lot: NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract 726 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: I <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contraclor: <br />Address: <br />1327 St Gertrude LLC <br />2121 E Vla Burton <br />Anaheim, CA 92806 <br />(949) 933-5077 <br />St. Gertrudo Dlspensary <br />Marvlsta Conslructlon <br />603 E Alton Ave #G <br />Santa Ana, CA 92705 <br />(714) s45-6550 <br />0'1116002 51602 <br />0't 116002 51602 <br />011 t6002 51602 <br />01116002 51600 <br />01116002 51602 <br />FeeType Amount Qty Fee <br />waler closet 't2.83 2.00 925.66 <br />Sink 11.47 3.00 $34.41 <br />wtr Htr (comm up to 50 20.09 2.00 $40.18 <br />General Plan Update 19.93 1.00 $19.93lssuance 49.68 1.00 349.68 <br />Sotcht:32623 - 2/l/2t)16 I0' oeon'je-oiiii!,-iiix lrcrnef: 138 2 of 2 <br />tief+ ! J01357 7itlLL!r.iiipii:ot+ctllu - 2/r/2tt16 7'27 Pn <br />ironsoct ion Toto] lL t216 ' 40 <br />llnrv i5t(t Construct ion <br />Phone <br />State Lic #: 760053 <br />Lic Type: B, C-39 <br />Bus. Lic #: 1112 <br />Workers' Compensstion I nsurance:Canbr: Amerlcrn lnrur Co <br />Policy #: RWCCa85322ta <br />Expires; 0210112017 <br />Genensl PIon UPdote Fee <br />011160tr2- 51600000- <br />Plurb ins <br />01116002- 51602000- <br />ICL Check 032630 <br />t19.93 <br />tl{9.93 <br />tl r2{6.{0 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />lndustrial <br />Tenant lmprovement <br />Tl/Roof Mtd Equipt <br />Occupancy: <br />Conslr Type <br />Code: <br />B, S-2 <br />VB <br />cPc 2013 Notes: <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subiect to Field: <br />Buildins Permit #: 10187167 <br />Every pemit issuod shell becomo invalid unless tp wo on tho site <br />authotizsd by such pomit is @mmer,@d wilhin 1 80 days afr€r its <br />issuan(|€, ot il t,i€ wott< authoized on the sito by such p€mit is suspcndsd <br />or abardorcd fot a potiod o1180 days snet tllp time tE wot* is <br />cgm'7,otl6€,d. <br />lnspector <br />$xemanoez, xattrv <br />Date <br />Date <br />Date o2JO1t2016 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipl: <br />Total <br />01116002 5'1600 <br />01116002 51602 <br />$19.93 <br />$149.93 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$'169.86 <br />$0.00 <br />$169.86 <br />MID#: 2015-124938