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<'/ <br />Permit #: 201689OG <br />Pin #: 52192 <br />Project Address: 2500 S Fairview St Unit H <br />Block. NA <br />Bldg: <br />Tracl: l0'13 <br />Address Range: 2500-2520 <br />Historic: No <br />Suile Range: <br />Zoning; MlAssessor's Parcel 414-l0l -05 Lot POR 3 <br />Owner <br />Address: <br />Roberl W Johnson <br />2280 University Dr <br />Newpon Beach, CA 92660 <br />(949) 645-1422 <br />Mama's Bread lnc <br />01116002 51603 <br />01116002 51603 <br />011 16002 51600 <br />01116002 51603 <br />Fee Type <br />125 Volt Receptacle <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Amount <br />1 .45 <br />58.88 <br />22.O4 <br />55.04 <br />Qty <br />10.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$ 14.50 <br />$58.88 <br />$22.08 <br />$55 04 <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />M & E S Construction Engin <br />5405 Alton Parkway, Ste 5A <br />lrvine, CA 92604 <br />(949) 235-8750 <br />Slate Lic f: 770942 <br />Lic Type; B, C-10, C-20 <br />Bus. Lic f: 373095 <br />Workers' Compensation lnsurance: <br />Carrier: State Compemation lnsurance Fund <br />Policy #: 1506179 <br />Expires: 0510112020 <br />lndustrial <br />Alteralion <br />TI <br />M <br />V B, SPK <br />cEc 20r6 Notes <br />Planning Conditions <br />Verduzco Violet <br />Date: <br />Dale: <br />Date:06112J2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt. <br />Total <br />Evory perrnit 6sued shall become nvalid unless lho worl< on the sle <br />authonrcd by such pemil is ctmmonced wtthin360 days aftet its <br />$suance ot il lhe wo authonzed on the sie by such pemil is suspended <br />or abehcloned lgr a peiod o1360 days after the ttmo the wo* ts <br />comfienced <br />$1s0.50 <br />$0 00 <br />t150.50 <br />lnspector MID#: 20't9-151649 <br />01 1 16002 51600 <br />01 116002 51603 <br />$22.08 <br />$128 42 <br />..- <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Electrical <br />Permat Counter: (7141647-5EOO lnspection Requests: (714) 667-273E lnspector Section: (714) 647-5;53 <br />Phone. <br />Building Use: <br />Job Type: <br />Nature of Work. <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl lo Field: <br />Building Permit #: <br />Occupancy: <br />Constr Type: <br />Code: <br />Fee Tolal <br />Paad to Date: <br />Balance Due: