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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 7+P <br />Project Address: 1717 N Old Tustin Ave <br />Assessor'sParcel: 396-311.O4 Lot: NA <br />Unit: A <br />Block: B <br />Bldg: Address Range: <br />Tract: A.B. Chepman Historic: No <br />Suile Range: <br />Zoning: Cl <br />Contractor <br />Address: <br />Phone: <br />Tonant Name: Orange Coast Dontal <br />Golden Oaks Xitchen Bath : <br />5952 Chinook Drive <br />Huntington Beach, CA 9254 <br />(7r4) 473.5041 <br />01116002 51602 <br />01116002 51602 <br />01116002 51602 <br />0't 1 16002 51600 <br />01116002 57770 <br />Amount <br />0.00 <br />0.00 <br />68.70 <br />22.95 <br />3.91 <br />Fee Type <br />Waler Closet <br />Sink <br />Chg Owner/Contr <br />General Plan Update <br />Microlilm Records <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />0.00 <br />1.00 <br />Fee <br />$0.00 <br />$0.00 <br />$68.70 <br />$0.00 <br />$3.91 <br />Building Use: <br />Job Type: <br />Nature ol Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssu€d By: <br />Subject lo Field: <br />Building Permit #: <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />VB <br />cPc 2016 Notes: "Change in contrector." Roplaces 30140542. lnteriot <br />remodel includes new reatrooms, reception counter, <br />interior demo and new paaitiong <br />10197339 <br />Oale: <br />Date: <br />Date:11t1412019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every Nrmit issued sha te(,ome invalid unloss tlre wglr( o,, the sr'te <br />authon.ed by such pormit is cofimencod within 3@ days aflet its <br />6suance. ot il the work authonzed on lho ste by such pomit is suspended <br />or ebadotgd lor a period ot 3@ days atto. tho lime the wotu is <br />confiEnctd. <br />MID#: 2018-'145363 <br />01 1 16002 51602 <br />01 1 16002 57770 <br />Fee Tolal: <br />Paid to Oale: <br />Balanco Dua: <br />$72.61 <br />$0.00 <br />172.61 <br />Permit #: 3O141545 <br />Pin #: 37539 <br />Owner: <br />Address: <br />1717 OLD TUSTIN RO LLC <br />PO BOX 473 <br />Silverado, CA 926760473 <br />Phone: <br />Slate Lic #r 838971 <br />Lic Type B, C-54, C-15 <br />Bus Lic #. 194361 <br />Workers' Compensalion lnsurance.Carrier: State Compensation lnsurance Fund <br />Policy fr 9234000 <br />? Expires 0612712020 <br />Commerclal <br />Tenant lmprovsment <br />Tl - Change in Contractor <br />Chavez, Dave <br />7.t. <br />$68.70 <br />$3.91 <br />lnspector