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Project Address:1241E ver Rd <br />Assesso/sParcel: 411-13'l-36 Lot: NA <br />unit: 120 <br />Block: NA <br />Bldg: <br />Tract NA <br />AddressRange: 1231-1241 <br />Historic: No <br />Suite Range: <br />Zoning: SD53 <br />city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAq27O2 Plumbing <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 3()142233 <br />Pin #: 31111 <br />Owner: <br />Address: <br />Phone: <br />T6nant Name: <br />Contractor <br />Address: <br />Green Law Parlne6 <br />l23l E Dyer Rd #2/t0 <br />Santa Ana, CA 92705 <br />(949) 33113'16 <br />OC-HCA Environmental Health <br />Esplanade Builder3 lnc <br />23820 Hawthorne Blvd fi00. <br />Torrance, CA 90505 <br />(3r0) 783.7654 <br />011'16002 51602 <br />01116002 53602 <br />01116002 51602 <br />01116002 51602 <br />01116002 5160C <br />01116002 5160i <br />011'16002 5777C <br />Fee Type Amount <br />Gas System 14 47.95 <br />Plc - 65% 0.6s <br />Revision 239.34 <br />Min Fee Adj 31.11 <br />General Plan Updale 23.79 <br />lssuance 59.30 <br />Microfilm Records 4.05 <br />Ory <br />1.00 <br />47.95 <br />1.00 <br />1.00 <br />0.00 <br />1.00 <br />0.00 <br />Fse <br />$47.9s <br />$31.17 <br />$239.34 <br />$31.1' <br />$0.00 <br />$59.30 <br />$0.00 <br />Phone <br />State Lic #: 831964 <br />Lic Type: B, C-2, C-9, C-33, C-23, C-'17 <br />Bus. Lic #: 352893 <br />Workers' Comoensation lnsurance:' Canier: Zurich American lnsurance Company <br />'Policy #: WC38O467OO1 <br />E{pires: 0'll0'11202'l <br />Building Use: <br />Job Type: <br />Nature ol Work: <br />Planning Approval Blx <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl to Field: <br />Building Permit #: <br />CSG Consulta <br />Zuniga, Allissa <br />101103476 <br />07 t1612020 <br />07t2712020 <br />Account# <br />Misc. Receipt: 74543 <br />Misc. Receipt: <br />Misc. Receipt; <br />Total <br />Commercial <br />Revision <br />Revision <br />Occupancy: <br />Constr Type: <br />Code: <br />B <br />V B, SPK <br />cPc 2019 <br />Date: <br />Date: <br />Date: <br />Notes: Revision to 30'142048. Changes in griddle and oven. <br />$408.87 <br />$239.34 <br />s169.53 <br />0't 1 16002 51602 Fee Total <br />Paid to Date: <br />Balance Due: <br />$169.53 <br />Every pemit issuod shall become invalid unless ths wolr( ol, the srt€ <br />aulhodzed by such pemit is @mmen@d within 360 days aria/ rits <br />issuance, ot il tha wotk authoized on the site by such permit is suspended <br />ot abandonod fot a peiod ol,360 days altet the tirtD he work is <br />commenc€d. <br />lnspector MID#: 2020-158505 <br />Planning Conditions: