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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 <br />Permit #:2O17O99O <br />Pin #: 45612a-\c\ <br />Proiect Address: 2000 E Seventeenth St <br />Assessor'sParcel: 400-121-06 Lot: 1 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: MAYBURY <br />Address Range: 2000-2278 <br />Historic: No <br />Suite Range: <br />Zoning: Cl <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Safeway <br />5918 Stoneridge Mall Road <br />Pleasanton, CA 94588 <br />(877t-723-3979 <br />Albertson's <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 51600 <br />01 I 16002 51603 <br />01116002 57770 <br />Fee Type <br />125 Volt Receptacle <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />1.51 <br />70.84 <br />22.95 <br />57.20 <br />3.91 <br />Qty <br />'t.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$1.51 <br />$70.84 <br />$22.95 <br />$s7.20 <br />$3.91 <br />Contractor: R4 Electrical Construction, I <br />Address: 30141 Antelope Road Unit D <br />Menifee, CA 92584Phone: (951) 925-0429 <br />State Lic #: 782019 <br />Lic Type: A, C-10 <br />Bus. Lic #: 348504 <br />Workers' Compensation lnsurance:Carrier: Hartford lnsurance Company of the Midwest <br />Policy #: T2WECAA9KGV <br />Expires: O1lO1l2O21 <br />afitoing use: <br />l{o rype: <br />r.Jetrre of Work. <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Occupancy: <br />Constr Type <br />Code: <br />Date: <br />Date: <br />Date: <br />B,M <br />IIIB, SPK <br />cEc 2019 <br />Chavez. Davev3'03111t2020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: lnstallation of (1)outlet. <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01116002 57770 <br />$22.95 <br />$129.55 <br />$3.91 <br />$'t56.41 <br />$0.00 <br />$156.41 <br />Every permit issued shall become invalid unless lhe work on the site <br />authorized by such permit is commenced within 360 days after its <br />lssuance, or if the work authorized on the site by such permit is suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />lnspector MID#: 2020-158359 <br />f tce: <br />pti:t-tl <br />ctn snc t <br />Ilect <br />Commercial <br />Miscellaneous <br />Outlet