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Proj ect Address: 1029 E Fourth St <br />Assessor'sParcel: 398-3/f2-'15 Lot: NA <br />Unil: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: SD84 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAI27O2 Plumbing Permit #: 30136368 <br />Permit counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: O14) 647-5853 )AP Pin #: 10856 <br />Owner: <br />Address: <br />Phone: <br />Tensnl Nams: <br />Contraclor <br />Address: <br />Rafaol H De Anda <br />'1029 E Fourth St <br />Santa Ana, CA 92701 <br />(714) 981{780 <br />Taquerla do Anda <br />Alex Burrola <br />17671 lrvino Blvd. <br />Tustin, CA 92780 <br />(7r4) 981-5780 <br />01116002 51602 <br />01116002 51602 <br />01 1 '16002 51600 <br />01116002 51602 <br />Amount <br />14.57 <br />5't .66 <br />19.93 <br />49.68 <br />Fee Typs <br />Floor Drain <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Qty <br />1 .00 <br />1 .00 <br />1 .00 <br />1.00 <br />Fee <br />$ 14.57 <br />$51.66 <br />$19.93 <br />$49.68 <br />Sotchi:33293 - 3/2+/2Ot6 I0: NGARCIA <br />olfice! CTYH lrons+i 63 2 of 3 <br />Accti: Reft: 30136368 <br />Rcpti:01517522 ' 3/21/2016 1328 Pn <br />Tronsoct ion Totol ,+73.97 <br />Alex Bunrolo <br />Phone <br />Genenol Plon Updote Fee <br />01116002- 51600000- <br />Plurb inr0 16002- 316U?000- <br />Cnsh <br />Chonee <br />Notes: Prefabricated walkln cooler 80 sf. Handout given <br />t19.93 <br />tlr5.9l <br />1500-00 <br />( 326.03) <br />A-2, A-3 <br />V B, SPK <br />cPc 2013 <br />Planning Conditions: All lnterior work. <br />Planning Approval By <br />Plan Checked By <br />Permit lssued By <br />Subject lo Field: <br />Building Permit # <br />03t21t2016 <br />Account# <br />Misc. Receipl: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Teri <br />Ewry pennit issued shall becgmo invalid unless tho vtg* on the site <br />euthodzed by such pennil is commenced within 1 80 days aftot ils <br />issuance, or il t,]€ wot* authotizod on the sile by such pemit is suspended <br />ot abadoned lor e Ntiod o1180 days aftat lho lme tho wotk is <br />commen@d. <br />lnspector MID#: 2016-127702 <br />01116002 51600 <br />01116002 s1602 <br />$19.93 <br />$115.91 <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />$135.84 <br />$0.00 <br />$135.84 <br />state Lic #: 631253 <br />Lic Type: B <br />Bus. Lic *: 3533a7 <br />Workers' Compensgtion lnsurance:CaJrier: Exompl <br />Policy #: <br />Expires: <br />Building Use: Commorclal <br />Job Type: Altoratlon <br />Nature of Work: walk-ln Cooler <br />Occupancyl <br />Constr Type: <br />Code: <br />Dale: <br />Dale: <br />Dale: