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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 20{64503 <br />Pin #: 7O2OA <br />K <br />Proiect Address: 1800 E Wilshire Ave Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range; 1720-1800' <br />Historic: No <br />Suite Range: <br />Zoning: Ml <br />Phone: <br />Tenant Name <br />Contraclor <br />Address: <br />TLF Logistica ll <br />1630 South Sunkist St #A <br />Anaheim, CA 92806 <br />(7141202-2133 <br />Nihon Koden Orangemed <br />Richard Boldcn <br />56 Sagebrush <br />Trabuco Canyon, CA 92679 <br />(720) 936-6079 <br />01 1 16002 <br />01 1 16002 <br />01 1 '16002 <br />01 1 16002 <br />01 I 16002 <br />01 'l 16002 <br />51603 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Fee <br />$4.35 <br />$6.32 <br />$4.20 <br />$58.51 <br />$22.O8 <br />$55.04 <br />Fee Type Amount <br />125 Volt Receptacle 1.45 <br />Light Switches, Occ. Se 1.58 <br />Light Fixtures 1.05 <br />Min Fee Adj 58.51 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />3.00 <br />4.00 <br />4.00 <br />1 .00 <br />100 <br />100 <br />State Lic #: 1031968 <br />Lic Type: B <br />Bus. Lic #: 371716 <br />Workers' Compensation lnsurance: <br />Carrier: National Llablllty and Fir€ lnsurance <br />Policy #: A9WCOrt070l <br />Expires: 0112312020 <br />Building Use: <br />Job Type: <br />Nalure of Work <br />lndustrial <br />Tenant lmprovement <br />Tlrlnterior Doors <br />Verduzco, Violet <br />10199031 <br />Occupancy: <br />Constr Type <br />Code: <br />Notes <br />Planning Conditions: No exterior alterationE or modificationg <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject lo Field: <br />Building Permit #: <br />Evory pemit issued shall become invalid unless lhe wod on the site <br />authorized by such pemit is commenced wilhin360 days aftet its <br />issuance, ot if the wo* authonzed on the sile by such pemit is suspended <br />ot abandonec! fot a pedod of360 days aftet the tirne the wotu is <br />commenced <br />o4t2212019 <br />Account# <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$150.50 <br />$0.00 <br />s150.50 <br />lnspector MtD# 2019-149'l 16 <br />01116002 51600 <br />01116002 51603 <br />$22.08 <br />$128.42 <br />Assessor'sParcel: 10247242 Lol: NA <br />Owner: <br />Address: <br />Phone:80[chi:49442 - 1/22/2019 <br />0f f ice: CTYH Trons+: ll2Acct+: Rel+: <br />Rcpti:02597375 - 4/?2/20t? <br />TronsocL ion TotoI <br />R ichord Bolden <br />R ichqrd Bolden <br />Generol Plon Updote fee <br />01116002- 51600000- <br />Electr i(ol <br />01t t6u02- 516031100- <br />lloster Cord <br />CCi : rrrr*xtr****37I t'l Ar-tt hB, S-,I <br />V B, SPK <br />cEc 2016 <br />Fee Total: <br />Paid to Date: <br />Balance Due: