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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing <br />lnspection Requests: (714) 667-2738 lnspector Sectlon: (714) 647-5853 <br />Proiect Address: 102W Fourth St Unit: <br />Block: ll <br />Bldg: Address Range: ,102-,106 <br />Tract: TOWN OF SANTA Aliistoric: Yes <br />Suite Range: <br />Zoning: SO84 <br />E <br />Assessor'sParcel: 398-264-07 Lot: POR 8, POR 9 <br />Ted Tapfer <br />106 W Fourth <br />Santa Ana, CA 92701 <br />01116002 51602 <br />011't6002 51602 <br />01116002 51602 <br />01116002 51600 <br />01116002 51602 <br />Feo Type <br />Water Closet <br />Sink <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Amount <br />13.69 <br />'12.23 <br />44.72 <br />21.25 <br />52.98 <br />Qty <br />1 .00 <br />'1 .00 <br />L00 <br />L00 <br />1 .00 <br />Fee <br />$13.69 <br />$12.23 <br />$44.72 <br />$21.25 <br />$52.98 <br />Phone <br />Tenant Name: Shoe Palace <br />Contractor <br />Address: <br />Hanna Design Group, lnc. <br />650 E. Algonquin Road Suitl <br />SCHAUMBURG, IL 60173 <br />(847) 719-0370Phone <br />State Lic #: 872509 <br />Lic Type: B <br />Bus. Lic #: 368407 <br />Workers' Compensation lnsurance: <br />Carrier: Amerisure Mutual lnsurance Company <br />Policy #: WC20923300 <br />Expires: 05/0'l/2018 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Commercial <br />Tenant lmprovement <br />TI <br />Occupancy: <br />Constr Type <br />Code:Notes <br />Chavez, Dave7o <br />10194157 <br />Date <br />Date <br />Date 021'15t2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every permit issued shallbecome invalid unless the work on the site <br />authoized by such pormit is conmenced within 180 days after its <br />issuance, or if the wo* authotized on lhe sile by such permit is suspended <br />or abdndoned fot a peiod of 180 days aftet lhe time lhe work is <br />cofimenced. <br />$21.25 <br />$123.62 <br />$144.87 <br />$0.00 <br />$144.87 <br />lnspector MID#: 2017-138687 <br />01 1 16002 51600 <br />0'1 1 '16002 51602 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Permit #: 30{ 3E494 <br />Pin #: 52562 <br />Owner: <br />Address <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field; <br />Building Permit #: <br />M <br />B <br />cPc 2016