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Cify of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />lnspection Requests: (7 1 4) 667 -27 38 I nspector Section: (7 1 4) 647 -5853 <br />Permit #:20164535 <br />Pin #: 15414 <br />Proiect Address: 1100 W Warner Avea <br />- <br />Assessor'sParcel: 410431-06 Lot: NA <br />Unit: <br />Block: NA <br />Btdg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: C2 <br />Owner: <br />Address <br />Phone <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Orange County Convalescent Hospital, <br />1030 W Warner Ave <br />Santa Ana, CA 927073147 <br />(714) 546-6450 <br />South Coast Post Acute <br />Owner-Builder <br />Fee Type <br />01 1 16002 51603 Light Fixtures <br />01 I 16002 51603 Min Fee Adj <br />01 1 16002 51600 General Plan Update <br />01 I 16002 51603 lssuance <br />Amount <br />1.01 <br />69.63 <br />21.25 <br />52.98 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$1.01 <br />$69.63 <br />$21.2s <br />$52.98 <br />llbY <br />lr!1'? t <br />lrc(n50r::f, lofi <br />Genernl P10n Upilut <br />r-rl 1 16LrLr7- 5161r:rur:ru <br />Electr i':ctI <br />t:rL l 1,5rllrz- 516r:rSLrLrLl <br />V isn <br />(:C+: rx***x***f*r7 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />,,,,M <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Other <br />Signs <br />Monument Sign <br />Zuniga, Al <br />Occupancy: <br />Constr Type <br />Code: <br />Date: <br />Date: <br />Date: <br />N/A <br />N/A <br />cEc 20't6 Notes: Relocate monument sign, "SCPA South Coast Post <br />Acute". Bond posted on M-70232. Auth on file. <br />11t02120',t7 <br />Account# <br />Building Permit #: 10191609 <br />Every permit issued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 180 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 1 80 days after the time the work is <br />commenced. <br />01 1 16002 51600 <br />01't16002 51603 <br />$21.25 <br />$123.62 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$144.87 <br />$0.00 <br />$144.87 <br />lnspector MID#: 2016-133462 <br />L