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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Plumbing <br />Permit Counter: (714) tr7-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 30443353 <br />Pin #: 16683 <br />Project Address: 115 W Fourth St unit: 200 Bldg: Address Range: <br />Block: '14 Tract: TOWN OF SANTA Allistoric: No <br />Suite Range: <br />Zoning; SO84Assessor'sParcel: 398-258-04 Lot: POR 2 <br />Owner. <br />Address <br />COHF PROPERTY MANAGEMENT LLC <br />23016 Lake Fore8t Dr 1145 <br />Laguna Hills, CA 92653 <br />(714l.797-2008 <br />Fso Type <br />Cap Fixtures <br />Penalty <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />7.44 <br />261.96 <br />23.79 <br />59.30 <br />4.05 <br />Q.) <br />100 <br />100 <br />100 <br />100 <br />'1 00 <br />Fee <br />$7.48 <br />$261 .96 <br />$23.79 <br />$s9.30 <br />$4.05 <br />Phone: <br />Tenant Name: <br />Contraclor <br />Addressl <br />Owner-Builder <br />Phone <br />Building Use: <br />Job Type: <br />Nature o, Work <br />Commercial <br />Miscellaneous <br />N/V-Demo <br />Occupancy: <br />Constr Type; <br />Code: <br />B <br />VB <br />cPc 2019 Notesr Cap unpermitted shower faxture. <br />Phnning Approval By <br />Plan Checked By: <br />Pemit lssued By: Zuniga, Allissa <br />Subjoct to Fisld; <br />BuirdinsPermit#: 104107239 <br />07 t19t2021 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every permit issued shall becorne invahd unless the $or* o, the site <br />authorized by such permit is commencod wthn 360 days afle. its <br />issuanc:c. ot if the wod< authonzed on the s e by such pemit is suspeded <br />ot abondoned lo. e penod 01360 days allet the thre tll€ wotl( is <br />cgmrpn@d <br />$23.79 <br />$328.74 <br />$4 05 <br />$356.58 <br />$0.00 <br />$356.58 <br />lnspector MID#: 2021-167455 <br />01 116002 51600 <br />01 1'16002 51602 <br />01116002 57770 <br />State Lic #: <br />Lic Typei <br />Bus Lic #: <br />Workers' Compensation lnsurance: <br />Carri€r: <br />Policy #: <br />Expires: <br />01 I 16002 51602 <br />01 1 16002 51602 <br />01116002 5160C <br />01116002 5't602 <br />01116002 5777C <br />Botchi:59930 - 7/ <br />0ff ice: CTYH Tr <br />Acct+: <br />Rcpt+!033$3606 - <br />Tnonsoct ion Totql <br />DHF PROT,EKTY IIAHAGEI <br />benerol I <br />01116002- <br />ll icrol i Ir <br />01 116002- <br />P lurb ane <br />0l 116002- <br />ICL Checli <br />Datel <br />Datel <br />Date: <br />Planning Conditions: <br />Fee Tolal <br />Paid lo Date: <br />Balance Due: