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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 <br />lnspection Requests: (7 14), 667-27 38 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2lJ1611o4 <br />Pin #: 55555 <br />Project Address: 2110 S Yale St <br />Assessor'sParcel: 408-124-02 Lot: POR 20 <br />Unit: A <br />Block: NA <br />Btdg: <br />Tracl: 3236 <br />AddressRange: 2110-2116 <br />Historic: No <br />Suite Range: <br />Zoning: M'l <br />ffi <br />Phone: <br />Tenant Name: <br />Conlractor <br />Address: <br />2015 Yale Enterprise LLC <br />721'l EmeBon <br />Westminster, CA 92683 <br />(714) 717-0330 <br />2015 Halladay Wellnesg <br />PDC lnc. <br />207 lndianapolaa Ave. <br />Huntlngton B€ach, CA 9264 <br />(7r4) 5r5-1205 <br />01116002 5't603 <br />01116002 51603 <br />01116002 51603 <br />01116002 51603 <br />0't 116002 51603 <br />01116002 51603 <br />01116002 53601 <br />01116002 51600 <br />01116002 5'1603 <br />Feo Typo Amount <br />125 Volt Receptacle '1.35 <br />Light Switches, Occ. Se 1.47 <br />Lighl Fixtures 0.98 <br />Air Conditioner 90.25 <br />Oedicated Circuit 23.09 <br />Time Clock 11.27 <br />P/C - 65% 0.65 <br />General Plan Update 20.56 <br />lssuance 51.26 <br />Qty <br />26.00 <br />9.00 <br />35.00 <br />2.00 <br />3.00 <br />1.00 <br />u4.32 <br />0.00 <br />0.00 <br />Fee <br />$35.10 <br />$ 13.23 <br />$34.30 <br />$180.50 <br />$69.27 <br />$11 .27 <br />$223.81 <br />$0.00 <br />$0.00Phone <br />State Lic #: 988559 <br />Lic Type: B <br />Bus. Lic #: 350918 <br />Workers' Compensaiion lnsurance:Carrier: StaBtone Nat'l lns Co <br />Policy #: T20150775 <br />Expires: O5l29l2O'17 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Plan Checked By <br />Permit lssued By <br />Subject to Field: <br />Building Permit * <br />lndustrial <br />Tenant lmprovement <br />TURoof Mtd Equp <br />on <br />efl <br />10t27t2016 <br />o3to2t20,t7 <br />Account# <br />Misc. Receipt: 68324 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Occupancy: <br />Constr Type <br />Code: <br />B, M, S-1 <br />VB <br />cEc 20r3 Notes <br />Planning Conditlons: Must provide screening detail of roof-mtd equip & complete site plan <br />wlentire property. <br />Planning Approval By Date <br />Date <br />Date <br />Every wmit issued shall becgme invalid unloss the work on the site <br />authgdzed by such pennil is commenced within 1 80 days sfrer ils <br />issuance, or il the wo* aulhoized on lhe sile by such pemit is suspended <br />ot abandoned lor a period ot 180 days afl the lime the wo* is <br />connenced. <br />$567.48 <br />$223.81 <br />3343.67 <br />lnspector MID#: 2016-130747 <br />011 16002 s1603 s343.67 Fee Total; <br />Paid to Date: <br />Balance Due: <br />Owner: <br />Address <br />)<=Ltotgozot