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City of Santa Ana <br />Permit Counter: (7'14) 647-5800 <br />20 Clvic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (7 14], 667 -2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2lJ162253 <br />Pin #: 36496 <br />Project Address: 1220 W Hemlock Wav <br />AssessoisParcel. 110411-21 Lotr NA <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: 2nd Floor <br />Zoning: C2 \? <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Phone <br />KEYSTONE BLORS <br />/1212 E LA PALMA AVENUE <br />Anaheim, CA 92807 <br />1.7141572-1123 <br />Keystone Builders lnc <br />,1212 E LaPalma Avenue <br />Anaheim, CA 92807 <br />o111 542-1123 <br />51603 <br />51603 <br />51603 <br />51600 <br />5't603 <br />r(117'. <br />oct it <br />u <br />Gen€roI Plon Updote Fee <br />r:r1 1160(12- 5160tr(rtrtr- <br />EIectr icol <br />r:r1 1 I 611(12- 51603(rt(r- <br />011 16002 <br />011'16002 <br />01116002 <br />01116002 <br />011't6002 <br />Qty <br />12.00 <br />2.OO <br />1.00 <br />1.00 <br />1 99, <br />Fee <br />$1 1.76 <br />$22.54 <br />$34.04 <br />$20.56 <br />$51.26 <br />{' <br />TPhone <br />State Lic #: 951489 <br />Lic Type: B <br />Bus. Lic #: 339512 <br />Workers' Compensation lnsurance:Cafiier Wesco <br />Policy #: WWC3218184 <br />Expires: 0710112017 <br />Ider <br />119 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Commercial Occupancy: <br />Tenant lmprovement Constr TYPe <br />2nd Flr.common Area RestrCode: <br />, Teri <br />Notes <br />Plannang Approval By: <br />Plan Checked By: <br />Permit lssued By: ,\ <br />Subject to Field: '. <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Buildins Permit #; 10'l 91 701 <br />Every pemit issued shall become invalid unloss the work on the site <br />authonzod by such porml ts cofinenceal wtlhin 180 days alter ils <br />issuence, or if the wod< authotized on the site by such permit is suspended <br />or abandoned lgt a penod of 180 days aft$ the tine the wo* is <br />commen@d. <br />01t23t2017 <br />Account# <br />lnspector <br />01'116002 5't600 <br />01 I 16002 51603 <br />$20.56 <br />$119.60 <br />Fee Tolal: <br />Paid lo Oale: <br />Balance Due <br />$140.16 <br />$0.00 <br />s140.16 <br />Tenant Name: <br />Fee Typs Amount <br />Light Finures 0.98 <br />Time Clock 11.27 <br />Min Fee Adj U.U <br />General Plan Update 20.56 <br />lssuance P,,Lchi: si lrrl 91f.,E <br />tll t i,::.: i (rTYH Tr.,.I <br />rr,375. <br />+: rlx*ilr****I4g 1: <br />Planning Condilions: <br />Date: <br />Date: <br />Date: <br />B <br />VB <br />cEc 2013 <br />MID#: 2016-'133573