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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 20{65E67 <br />Pin #: 138,42lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 419 N Broadway Unit: <br />Block: 13 <br />Bldg: Address Range: 411-419 . <br />Tract: TOWN OF SANTA A}listoric: Yes <br />Suite Range: <br />Zoning: SD84 <br />E <br />Assessor'sParcel: 398-257-01 <br />Owner: <br />Address: <br />Fainbarg lV LP <br />'129 W Wilson St #100 <br />Costa Mesa, CA 926271586 <br />19491722-7400 <br />Long Beach Tattoo Co LLC <br />0'1 1 '16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />5'1603 <br />51603 <br />5'1603 <br />51603 <br />51600 <br />51603 <br />Fee Type Amount <br />125 Volt Receptacle 1.40 <br />Light Switches, Occ. Se '1.52 <br />Light Fixtures 1.01 <br />lvlin Fee Adj 37 .20 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />8.00 <br />4.00 <br />16.00 <br />1 .00 <br />1 .00 <br />1 .00 <br />Fee <br />$11.20 <br />$6.08 <br />$ 16.16 <br />$37.20 <br />$21.25 <br />$52.98 <br />Phone. <br />Tenant Name: <br />Contractor <br />Address: <br />Phone <br />Bot,:h+:4.37?4 - :r'lri <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />0 <br />A <br />R <br />T <br />iie: (:1 YH tr. <br />t+;02?639r.!? - <br />ns(,-t ion Tctc.l <br />F0 inbcrrs ltl Ll-' <br />Building Use: <br />Job Type: <br />Nature o, Work <br />B <br />VB <br />cEc 2016 <br />Notes:auth on file <br />ernandez, Kathy <br />Dale <br />Date <br />Date 05t14t2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pemit issued shall bacome invalid unless the wotu on the site <br />authoized by such permit is commenced within 180 days aftot its <br />issuance, or il the wotu authoized on the sito by such peinil is suspended <br />ot abandoned for a pedod of 1 80 days after lhe time the wo* is <br />cgmmenced. <br />$144.87 <br />$0.00 <br />$144.87 <br />lnspector MID#: 2018-143349 <br />01 1 '16002 51600 <br />01 116002 51603 <br />$21.25 <br />$123.62 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Lot: 7,10 <br />Owner-Builder <br />Commercial <br />Miscellaneous <br />Elect Tl <br />It:0!At.l1 <br />I ,t,l <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Occupancy: <br />Constr Type: <br />Code: