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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing <br />PermitCounter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714\647-5853 <br />Permit #: 3O142394 <br />Project Address: 1570 E Seventeenth St <br />Assessor's Parcel. 400-251-07 Lot: NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Pin #: <br />Suite Range: <br />Zoning: C5 <br />Owner: <br />Address: <br />Phone <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone <br />Easter Seals of Southern Calif <br />1063 McGaw <br />lrvine, CA 92614 <br />(7141 724-9157 <br />JLC Associates lnc. <br />3198-A Airport Loop Drive <br />Costa Mesa, CA 92626 <br />(7141 2414430 <br />01 1 1 6002 <br />01 1 1 6002 <br />01 1 1 6002 <br />01 1 1 6002 <br />01 1 1 6002 <br />01 1 1 6002 <br />01 1 16002 <br />01 1 16002 <br />01 1 1 6002 <br />51 602 <br />51 602 <br />51 602 <br />51 602 <br />51 602 <br />51 602 <br />51 602 <br />51 60C <br />5777C <br />Qty <br />3.00 <br />2.00 <br />4.00 <br />1.00 <br />14.00 <br />1.00 <br />2.00 <br />1.00 <br />1.00 <br />Fee <br />$45.96 <br />$23.42 <br />$54.72 <br />$47.95 <br />$106.s4 <br />$70.64 <br />$478.68 <br />$23.79 <br />$4.05 <br />Fee Type Amount <br />Water Closet 15.32 <br />Urina! 11 .71 <br />Sink 13.68 <br />Gas System 14 47.95 <br />Gas Outlet, each Add'l 7.61 <br />Gas Line alter/extend/ar 10.64 <br />Revision 239.34 <br />General Plan Update 23.79 <br />Microfilm Records 4.05 <br />State Lic #: 645576 <br />Lic Type: B <br />Bus. Lic #: 177048 <br />Workers' Compensation I nsurance:Carrier: INSURANCE COMPANY OF THE WEST <br />Policy #: WSD5045216 <br />Expires: 0110112021 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Commercial Occupancy: <br />Revision Constr Type: <br />Revision due to vandalism Code: <br />A-3, 14 <br />V B, SPK <br />cPc 2019 <br />CSG Consultants <br />Hernan dez, Kathy <br />09t21t2020 <br />09124t2020 <br />Account# <br />Misc. Receipt: 74702 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Date: <br />Date: <br />Date: <br />Revision to 301 41317 - due to vandalism - added water <br />closet, urina! & sink; added condensate drain piping, <br />upsize pipe; rerouted condensate drain piping, g?s <br />piping, waste line; new water piping <br />$85s.75 <br />$478.68 <br />$322.07 <br />Subject to Field: <br />Buirdins Permit #: 101104534 <br />Every permitissued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 360 days after its <br />issuance, or if the work authorized on fhe sife by such permitis suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />01 1 16002 s1600 <br />01 1 16002 51602 <br />01 1 16002 57770 <br />$23.7e <br />$349.23 <br />$4.05 <br />lnspector MID#: 2O1 9-149352