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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civlc Center Piaza (M-19), Santa Ana, CA92702 Electrical Permit #: 2O163684 <br />Pin #: EO745 <br />\lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853 ..1 <br />Project Address: 1900 E Fourth St unt: 100 Bldg: Address Range: lgoo'19'10. <br />BIocK: NA TTact: MAYBURY HistoTic: No <br />Suite Range: <br />Zoning: P <br />Kaiser Permanente <br />75 Fair Oaks Ave 1st floor <br />Pasadena, CA 91103 <br />(626) 381-s442 <br />01 't 16002 51603 <br />01116002 51603 <br />01 1 16002 51600 <br />01 'l 16002 51603 <br />Foe Typo <br />FWU <br />Dedicated Circuit <br />General Plan Update <br />lssuance <br />Q.y <br />2.00 <br />2.OO <br />1.00 <br />1.00 <br />Fe6 <br />$47.74 <br />$47.74 <br />$21.25 <br />$52.98Tenant Name <br />Contraclor: <br />Address: <br />Harris L Woods Electric Cor <br />921,1 Norwalk Blvd. <br />Santa Fe Springs, CA 90670 <br />(562) 945-8751P hone <br />State Lic #: 481959 <br />Lic Type: C-10 <br />Bus. Lic #: 177717 <br />Workers' Compensation lnsurance:Carrier: Cypress <br />Policl #: HAWC705315 <br />Expires: 1010112017 <br />B <br />V A, SPK <br />cEc 2015 <br />Notes: (2) interior roll-up doors at the pharmacy <br />Planning Conditions: <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Plan Checked Byl <br />Permit lssued By: <br />Subject to Field: <br />sden. Julie 07t1312017 <br />Account# <br />Buldins Permit #: 10192303 <br />Every pemit issuod shall become invalid unloss lhe wod( on the slle <br />authoized by such pemit is connenced withinl80 days after its <br />issuance, or il tho wo* authotized on lhe site by such pefilit i$ suspended <br />or ebandoned fot d penod ol 1 80 days aftet the lime tho work is <br />comfienced. <br />lnspector MID#: 20"17-134843 <br />01116002 51600 <br />01116002 51603 <br />$21.25 <br />$148.46 <br />Fee Total: <br />Paid lo Date: <br />Balance Due: <br />$ 169.71 <br />$0.00 <br />$169.71 <br />Assessor'sParcel: 400-08'l-03 Lot: POR 15 <br />Owner: <br />Address <br />Phone: <br />Amount <br />23.87 <br />23.87 <br />21 .25 <br />52.98 <br />: tlxrrrrr*r **66/ l <br />/ti <br />I <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Approval By: <br />Commercial <br />Alteration <br />lnl. Doors <br />Occupancy: <br />Constr Type: <br />Code: