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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-'19), Santa Ana, C492702 Electrical Permit #: 2tJ163244 <br />Pin #: 5{96E <br />l nspection Requests: (7 1 41 667 -27 38 lnspector Sectron. (7 1 4) 647-5853 <br />Unit: <br />Block: 13 <br />Bldg; Address Range: 201-2tt <br />Tracl: TOWN OF SAI'ITA Allistoric: Yes <br />Suite Range: <br />Zoning: SO84Assessor'sParcel: 398-257-09 Lot: 5, POR 1, POR 4 <br />O\rvner: <br />Address: <br />Joseph Elias <br />209 W Fourth St # B <br />Santa Ana, CA 92701 <br />17141 543-31?4 <br />Dolex Oollar Express <br />011 16002 <br />011 16002 <br />01116002 <br />01116002 <br />011 16002 <br />01116002 <br />51603 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Fee Type Amount <br />125 Volt Receptacle 1.35 <br />Light Swilches, Occ. Se 1.47 <br />Light Fixlures 0.98 <br />Min Fee Adj 61.84 <br />General Plan Update 20.56 <br />lssuance 51.26 <br />Qty <br />3.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$4.0s <br />$1.47 <br />$0.98 <br />$6'1.84 <br />$20.s6 <br />$s1.26 <br />Phone: <br />Tonant Name: <br />Conlraclor <br />Address: <br />Rafael A Lopez <br />14327 Moccasin Street <br />La Puente, CA 91744 <br />(626) 638-8005 <br />State Lic #: 767288 <br />Lic Type: B <br />Bus. Lic #: 365790 <br />Workers' Compensalion lnsuranceCarrier: EXEMPT <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nalure of Work <br />Commercial <br />Tenant lmprovement <br />lnterior Tl <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />VB <br />cEc 2016 <br />Notes: lnterior Tl includes to legalize construction of approx <br />74 sq ft area creating employee room. <br />Planning Approval By Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Plan Checked By <br />Permit lssued By <br />Subject to Fieldl <br />Building Permit # <br />Amsden, Julie o512312017 <br />Account# <br />0191962 $ 140.'16 <br />$0.00 <br />8140.16 <br />Ewry ponnil issued shall become invalid unless the wotk on the sito <br />authotized by such pamit is commenctd within 1 80 days after its <br />issuance, ot if the wor* authoizod on the site by such permit is suspended <br />or abandoned lot a potiod of 1 80 days 1ftet the time the wor* is <br />cgmfttenc€d <br />lnspector MID#: 2017-134092 <br />$20.56 <br />$119.60 <br />Fee Total: <br />Paid to Dale: <br />Balance Due: <br />6, <br />Project Address: 211 W Fourth St <br />Phone: <br />Planning Conditions: <br />Date <br />Date <br />Date <br />0'11 't6002 51600 <br />011 16002 51603