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Project Address: 1525 E St Gertrude Pl <br />Assesso/sParcel: 014-172-10 Lot NA <br />Unit: <br />Block: NA <br />Btdg: <br />Tracl: NA <br />Address Range; 1525-1563 <br />Hisloric: No <br />Suite Range: <br />Zoning: M1 <br />ciff of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing <br />Permit Counter: O14) 647-5800 lnspection Requests: (714].667-2738 lnspector Section: O14) 647-5853 <br />Permit #: 3O139997 <br />Pin #: 74O2O <br />Owner: <br />Address: <br />Conlractor <br />Address: <br />Phone <br />Tenant Name: A,.ifuA Health Center <br />PJC Gertrude LLC <br />1525 E St Gertrude Pl <br />Santa Ana, CA 92705 <br />Bejarano's construction <br />9612 Hunt Avenue <br />South Gate, CA 90280 <br />(323) 816-3980 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />01'116002 <br />01116002 <br />01116002 <br />01116002 <br />51602 <br />51602 <br />51602 <br />51602 <br />51602 <br />53602 <br />51600 <br />5't602 <br />Qty <br />4.00 <br />2.00 <br />5.00 <br />1.00 <br />1.00 <br />208.80 <br />1.00 <br />1.00 <br />Foe <br />$s6.88 <br />$21.74 <br />$63.50 <br />$22.2s <br />$44.51 <br />$135.72 <br />$22.08 <br />$55.04 <br />Feo Type Amount <br />Water Closet 14.22 <br />Urinal 10.87 <br />Sink 12.70 <br />Wtr Htr (Comm up to 50 22.25 <br />Backnow > 2" 44.51 <br />Ptc - 65Yo 0.65 <br />General Plan Update 22.08 <br />lssuanc2 55.04 <br />Phone <br />Stato Lh* 71114 <br />Lic Type: B <br />Bus. Lic #: 350E91 <br />Worters' Compansaf on lnsurance:Canier: Stato Compon3atlon lnaurance Fund <br />Policy #: 9037122 <br />Expires: 0110112019 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Commercial <br />Tenant lmprovement <br />Tl/Mezzanine <br />Occupancy: <br />Constr Type <br />Code: <br />B, M, S-2 <br />t B <br />cPc 2015 Notes: FEES PO lN FULL ON M-71903 <br />Commercial CannabisPlanning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl to Field: <br />Buirdins Permir #: "10197729 <br />Every pemit issuod sha become invalid unless thg wo/k o, lhe s,te <br />ouitotized by such pemit is comnen@d within 1 80 days aftet its <br />issuance, ot if the wo* aultpraod on tihe site by such Wmil is suspended <br />ot abanhned fot a Nrid ot 1 80 days aft"l' thg tme tho wgt* is <br />cgfirion@d. <br />lnspector MID#: 2018-141157 <br />CSG Consullants <br />Amsden, Julie <br />Date: <br />Date: <br />Date: <br />10t11t2014 <br />1A061201a <br />Account# <br />Misc. Receipt: 71554 <br />Misc. Receipt: 71903 <br />Misc. Receipt: <br />Total <br />N/A - No Balance $421.72 <br />$421 .72 <br />$0.00 <br />Fee Total: <br />Paid to Date: <br />Balance Due: