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Project Address: 502 S Lvon St <br />Assesso/sParcel: 402-311-17 Lotr NA <br />Uniti <br />Block: NA <br />Btdg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />q <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 211162529 <br />Pin #: 22966 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contraclor <br />Address: <br />Botch+:4(r{ l1 - <br />0ff ice: (:TYH <br />Rcpt i r (rztl434lS <br />Generql Plon ljpdote Fr <br />(rl I16(102- 516it0(tcI:l- <br />Electr icol <br />(t111600?- 516r:r3(100- <br />ICL Check t152S11 <br />Culligan lnternational <br />502 S. Lyon St. <br />Hunlington Beach, CA 92605 <br />(800) 7s6-6300 <br />Culligan lnternational <br />Dust Collector Services lnc <br />1280 N Sunshine Way <br />Anahelm, CA 92806 <br />(7r4) 237-1690 <br />01116002 51603 <br />01 116002 51603 <br />01116002 51600 <br />01r 15002 51603 <br />Fee <br />$22.42 <br />$48.22 <br />$21.25 <br />$52.98 <br />Fee Type Amount <br />Over 1-10 HP, KW or K\ 22.42 <br />Min Fee Adj 48.22 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />1.00 <br />1 .00 <br />1.00 <br />1.00 <br />[n/4/2it7 IDr (: <br />Transl:61Ref+: 2016- Ltt/ +/?(t1? l2.L <br />CUELLA <br />I Ot J <br />6 Pt1Phone <br />State Lic #: 68.1630 <br />Lic Type: D-34 <br />Bus. Lic #: 347077 <br />Workers' Compensation lnsurance: <br />carrier: Security National lnsurance Company <br />Policy #: SWC1 107950 <br />Expires: 0113012018 <br />Ir(lnsof,t a{ln Tot(1l <br />Dust (.()1lector Serv icps In, <br />6rr:r1.39 <br />t2t <br />l9rJi. il <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />lndustrial <br />Alteration <br />Dust Collection System <br />Occupancy: <br />Constr Type <br />Code: <br />F-2 <br />VB <br />cEc 2016 <br />10t04t2017 <br />Account# <br />01 I 16002 51600 <br />01 1 16002 51603 <br />Fee Total: <br />Paid to Date: <br />Balanco Oue: <br />Notes: lndoor dust collection system. No Cc req'd per S. <br />Davis. <br />Planning Conditions: No exterior penetrations or exposed piping <br />\A <br />Date: <br />Date: <br />Date: <br />Misc. Receipt: 69404 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Hernandez, Kathy <br />Every pemit issued shall become invalid unless the wotu on lhe site <br />authodzed by such pemit is conrngnced within 180 ddys after its <br />issuance, ot il tho , or* aulhotized on lhe site by such pemit is suspended <br />or abandoned fot a penod of180 days alter the time the wg* is <br />cofifionc:ed. <br />lnspector MID#: 2017-135387 <br />$21.25 <br />$123.62 <br />$144.87 <br />$0 00 <br />$144.57 <br />Suite Range: <br />Zoning: C2