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Project Address: 628 E Washinoton Ave <br />Assessor'sParcel: 398-191-02 Lot NA <br />Bldg: Address Range: G28-636 <br />Tract; SANTA ANA EAST Historic: No <br />Unil: <br />Block: 55 <br />Suite Range: <br />Zoning: SD84 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit#: 2lJ16224A <br />Pin #: 51294 <br />Owner: <br />Address: <br />Contractor <br />Address: <br />Phone <br />Tenant Name: <br />GG&GPropLlc <br />1038 N CUSTER ST <br />Santa Ana, CA 927013915 <br />KZ Miller Construction <br />3'180 University Avenue Ste <br />San Diego, CA 92104 <br />(5't9) 584-2858 <br />01116002 51603 <br />01116002 53601 <br />01 1'16002 51600 <br />01 116002 51603 <br />Amount <br />23.88 <br />0.65 <br />21.25 <br />52.98 <br />Fee Type <br />LightStdWl fixture <br />Ptc - 650/0 <br />General Plan Update <br />lssuance <br />Qty <br />10.00 <br />231.00 <br />1.00 <br />1.00 <br />Fee <br />$238.80 <br />$ 1 50.1s <br />$21.25 <br />$52.98 <br />Phone <br />State Lic #: '10'11565 <br />Lic Type: B <br />Bus. Lic #: 367851 <br />Workers' Compensation lnsurance: <br />Carrier: Ever$t Natlonal lnsurance Co. <br />Policy #: 7600018043 <br />Expires: 09/01/2018 <br />BoUcht:41342 - L2/ L3/2017 ID: CCUELLAR <br />oflices CTYH ir(tns+3 121 1(r of 13Acct+! Rel+: 20162218 <br />R€pti:02106683 - 1?/13/2017 2316 Pn <br />Trqnsqct ion Totol t15 r 188.53 <br />KZ niller (:onstrucLion <br />6€ne.qI Plon Updote Fee <br />01116002- 51600000- <br />E lect r icol <br />011160tr2- 51603000- <br />ICL Check 055{27 <br />_ t2r.2 <br />l29t ."t <br />tlir188.5 <br />Building Use; <br />Job Type: <br />Nature of Work <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl to Field: <br />Building Permit #: <br />CSG Consultants <br />Link, Patricla <br />Commercial <br />New <br />Light Standards <br />Occupancy: <br />Constr Type <br />Code: <br />B, S-'t <br />V B, SPK <br />cEc 2013 Notes <br />Date <br />Date <br />Date <br />06122t2017 <br />12113t2017 <br />Account# <br />01116002 51600 <br />011'16002 51603 <br />$21 .25 <br />s291.78 <br />Fee Toial: <br />Paid to Date: <br />Balance Due: <br />Misc. Receipt: 68984 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pefinit issued shall become invalid unloss the wo* oh the site <br />aulhodzed by such pemtt is commenced within 180 days after its <br />issuance, or il the wo* authodzed on the site by such pemil is suspended <br />otabandonedlota poiod gf 180 days aftet lhe lime lhe wo* is <br />comfienctd. <br />lnspector MID#: 2016-133593 <br />$463.18 <br />$150.15 <br />$313.03