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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Electrical <br />lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 1Jt4 <br />Permit #: 2lJ16,494? <br />Pin #: AAO72 <br />Lot <br />Unit: <br />Block: 4 <br />Bldg: Address Ranger 201 W First <br />Tract: TowN oF SANTA Afiistori" "3;:"'J, <br />Suite Range: <br />Zoning <br />Owneri <br />Address <br />Contractor <br />Address: <br />Phone <br />Tenant Name <br />ROBERT D FAINBARGWDJRC, LLc <br />23016 Lake Forest Dr. ll45 <br />Laguna Hills, CA 92653 <br />(714) 647-0536 <br />Platinum X Construction <br />2 McLaren Suite F <br />lrvine, CA 92518 <br />(949) 812-0924 <br />01116002 51603 <br />01116002 51603 <br />0'1116002 5't603 <br />01116002 51603 <br />01116002 51603 <br />01116002 51603 <br />011 16002 51603 <br />011 16002 51603 <br />01116002 s3601 <br />01 116002 51600 <br />01 116002 51603 <br />Fee Type Amount <br />'125 Volt Receptacle 1.40 <br />Light Swilches, Occ. Se 1.52 <br />Light Fixlures 1.01 <br />Air Conditioner 93.28 <br />Dedicated Circuit 23.87 <br />Low Voltage/Comm 32.61 <br />Serv Meter 139 85 <br />Subpanel 51.29 <br />P/C - 650/" 0.65 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />18.00 <br />10.00 <br />82.00 <br />2.OO <br />9.00 <br />1.00 <br />100 <br />4.00 <br />869.63 <br />1 .00 <br />L00 <br />Foe <br />$25.20 <br />$15.20 <br />$82.82 <br />$186.56 <br />$214.83 <br />$32.61 <br />$139.86 <br />$205.16 <br />$s65.26 <br />$21 .25 <br />$52.98 <br />Phone <br />State Lic #: 982426 <br />Lic Type: B <br />Bus. Lic #: 358992 <br />Workers' Compensation lnsurance: <br />Carrier: Paul's Lake Fire & Casualty <br />Policy #: FLA0054i6 <br />Expires: 041261201A <br />eot{h+:{3{69 - 4/2r!/2ltl8llll ice: CTYH Trons+r 39 <br />,i,:,: t +: Fel + i <br />F:.rpti:022.{0093 - 1/2;t/2lnA <br />I r (lnsoct aon Totcl <br />2tJL649 4, <br />| 1'17 Pl1ll r llt'i.4t <br />ID: JOI] <br />Auth+ ! tr <br />f l ot. inun X (:onstruction <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued <br />Subject to Fiel <br />Commercial Occupancy: <br />Tenanl lmprovement Conslr TYPe <br />Tl/Demising WalUChange UsCode: <br />rod <br />Date: <br />Date: <br />Date: <br />195004 <br />invalid unless lhe wo* on lhe sile <br />A-2 <br />V B, SPK <br />cEc 2015 <br />Generol Plon lJpdqte Fee <br />nll 16tr02- t160(10(10- <br />Ele,:tr ico I <br />rl 116002- 51603[r0U-t /C E I ectr ic <br />r r 1160(12- 53601r:r(0- <br />V iso <br />f (:9; r rrr r ir)I*r r9299 <br />o4124t2018 <br />o4t2512018 <br />Account# <br />Misc. Receipl: 70457 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Building Pe <br />Every permil t <br />aulhonzed by <br />it# 1 $1,541.73 <br />$432.33 <br />$1,109.40t ts cofimenced within 180 days aftet its <br />6suance, ot it lhe wotk authonzod on the stte by such peffnit is suspendod <br />ot abandoned fot a penod o1180 days after the limo lhe work is <br />commenced. <br />lnspector MID#: 2017-139364 <br />01116002 51600 <br />01 1 16002 51603 <br />01116002 53601 <br />$21 .25 <br />$955.22 <br />$132.93 <br />Project Address: 102 N Sycamore St <br />Assessor'sParcel: 398-273-03 <br />Teri <br />Notes <br />Fee Total: <br />Paid to Date: <br />Balance Due: