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1 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 }J <br />Permit #:2lJ164458 <br />Pin #: 12726t <br />Proiect Addressi 4518 Westminster Ave <br />Assessor'sParcel: 100-190-36 Lot: NA <br />Unil: A <br />Block:NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning'. C2 <br />Phone: <br />Tenant Name: Smog Test Only Center <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Phone: <br />MK&SONS <br />4518 WESTMINSTER AVE <br />Santa Ana, CA 927031221 <br />T&KConstructionCo. <br />17660 Newhope Street, #B <br />Fountain Valley, CA 92708 <br />(7141875-6877 <br />01 I 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />Fee Type <br />125 Volt Receptacle <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Amount <br />1.40 <br />65.04 <br />21.25 <br />52.98 <br />Qty <br />4.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$5.60 <br />$65.04 <br />$21.2s <br />$52.98 <br />State Lic #: 793124 <br />Lic Type: B, C-10, C-39, C-15, C-46 <br />Bus. Lic #: 310345 <br />Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund <br />Policy #: 9092246 <br />Expires: 11l0gl2017 <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 />Building Permit #: <br />\A ,",r,"ndez, Kathy <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Commercial <br />Miscellaneous <br />Outlets <br />Occupancy: <br />Constr Type <br />Code: <br />Date: <br />Date: <br />Date: <br />F-1 <br />VB <br />cEc 2016 <br />10t26t2017 <br />Account# <br />01116002 51600 <br />01 1 16002 51603 <br />$21.25 <br />$123.62 <br />$144.87 <br />$0.00 <br />$144.87 <br />Every permit issued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 1 80 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 180 days after the time the work is <br />commenced. <br />lnspector MID#: 2017-139538