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I <br />City of Santa Ana <br />Permit Counter (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2lJ1ll,4357 <br />Pin #: 96594lnspection Requests: (7 14), 667-27 38 lnspector Section: (7'14) 647-5853 <br />Proiect Address: 3801 S Harbor Blvd Unil: C <br />Block: NA <br />Bldg: <br />Tract: WILLIAMS <br />AddressRange: 3751-380'l <br />Historic: No <br />Suite Range: <br />Zoning: MlAssessor'sParcel: 414-261-12 Lotr POR 3 <br />Owner: <br />Address <br />D&SlnvestmentLlc <br />3751 S Harbor Blvd., #D <br />Santa Ana, CA 927047902 <br />17't4't 435]t2'.t0 <br />Crystal vision <br />01116002 <br />01116002 <br />01 1 '16002 <br />01116002 <br />01116002 <br />51603 <br />51603 <br />51603 <br />5'1600 <br />5'1603 <br />Fee Type Amount <br />125 Volt Receptacle 1.4O <br />Light Switches, Occ. Se 1.52 <br />Min Fee Adj 59.08 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />5.00 <br />3.00 <br />1.00 <br />1 .00 <br />1.00 <br />Fee <br />$7.00 <br />$4.56 <br />$59.08 <br />$21 .25 <br />$52.98 <br />Phone: <br />Tenant Name: <br />Contractor <br />Address <br />Win Nguyen Construction <br />13172 Sandra Place <br />Garden Grove, CA 92843 <br />(7141326-3124Phone <br />Stale Lic #: 955157 <br />Lic Type: B <br />Bus. Lic #: 363678 <br />Workers' Compensation lnsuranceCarrier: Exempt <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Occupancy: <br />Conslr Type <br />Code: <br />B <br />V B, SPK <br />cEc 2016 <br />Notes <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject lo Field: <br />Building Permit #: <br />Date <br />Date <br />Date 10t't012017 <br />Account# <br />Misc. Receipt: <br />Misc Receipt: <br />l\4isc. Receipt; <br />Total <br />94215 $21.25 <br />$123.62 <br />$144.87 <br />$0.00 <br />$144.87 <br />Every pemit issued shall become invalid unloss tho wo* on the site <br />authoized by such pemit is comnenced within 180 days aftet its <br />issuanco, ot il the wor* authonzed on the sile by such painit is suspended <br />ot sbandoned tot a pedod o1180 days aftet the lime the wo* is <br />commencod. <br />lnspector MtD# 2017-138762 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />Fee Total: <br />Paid to Date: <br />Balance Oue <br />Commercial <br />Tenant lmprovement <br />TI <br />\?)-,-- <br />$*y[4*i