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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana' cA92702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector S "kil <br />Mechanical <br />647-5853 <br />ProjectAddress: 1302 E Seventeenth St un:B <br />Assesso/sParcel: 400-231-01 LoI NA Block: NA <br />Bldg: <br />Tract NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: C,a <br />Owner: <br />Address <br />Contraclor <br />Address: <br />Amount <br />43.62 <br />30.52 <br />22.08 <br />55.04 <br />Fee <br />$43 62 <br />$30.s2 <br />$22.08 <br />$55.M <br />Phone <br />Tenant Name: Jamba Juice <br />RGA Group <br />3308 Apolena Ave <br />Newport Beach, CA 92562 <br />Gary Maddox Construction I <br />10133 Meadow Glen Way <br />Escondido, CA 92026 <br />(909) 262-544s <br />Fso Type <br />01116002 5160,4 Add'lVent Sys <br />01116002 516M Bathroom Fan <br />01 116002 5160C General Plan Updale <br />0'1116002 5'1604 lssuance <br />Phone <br />Stale Lic #: 598667 <br />Lic Type: B <br />Bus Lic #r 311232 <br />Workers' Compensation lnsurance: <br />Carrier: APPLIED UNDERWRITERS CAPTIVE RISK ASSURANCE COIITPAN <br />Policy #: 464141520103 <br />Expires: 0110112020 <br />Botchi:4{ <br />LJfI rce; ( <br />r onsqct <br />Building Use: <br />Job Type: <br />Nalure of Work: <br />566149 <br />02- 516tr40011 <br />Occupanc-y: <br />Constr Type: <br />Code: <br />B <br />V B, SPK <br />cMc 2016 <br />Planning Conditions <br />Planning Approval Bf <br />Plan Checked By: <br />Permil lssued By: zuniga, Allissa <br />Subjecl lo Field: <br />suildins Permit #: 10198696 <br />Every pennit issued shall bocome invalid unless lhe work on t e sife <br />auhodzed by such pemit is @mmencrd within 1 80 days eftat its <br />issuance, ot if tlr€ wot* authoi2ed on tho site by such pemit is suspended <br />ot abandgned lor a peid ot 1 80 days afret thd time lho wotk is <br />comfilq$ed <br />MID#: 2018-148320 <br />01 '! 15002 51600 <br />01 1 16002 51604 <br />$22.08 <br />$129.18 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />$1s'r .26 <br />$0.00 <br />3151.26 <br />Permit #: 4lJ132992 <br />Pin #: 79846 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />ii 26, <br />Garv lloddox Const <br />Commsrcial <br />Tenant lmprovemsnt <br />TI <br />Notes. lnterior Tl lor now Jamba Juice <br />01 I160 <br />ICL Ch <br />, h.r", <br />\\Y ,",u, <br />l.\ Date:03,26/2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipl: <br />Misc. Receipt: <br />Total <br />lnspector