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CiW of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2lJ16.226,4 <br />Pin #: E9492 <br />wProiect Address: 2840 S Bristol St <br />Assessor'sParcel 140.251-O4 Lolr 75 <br />Unit: <br />Block: NA <br />Bldg: <br />Tract: 5653 <br />Address Range: 2820-2872 <br />Historic: No <br />Suite Range: <br />Zoning: Cl <br />Owner: <br />Address: <br />Conlraclor <br />Address: <br />Burlington Stores, lnc <br />1830 Route 130 North <br />BURLINGTON, NJ 08015 <br />Cirks Construction lnc <br />1,142 E Lincoln Avenue, Unil <br />Orange, CA 92855 <br />17't4l632-6717 <br />01116002 <br />01116002 <br />01116002 <br />01 1 '16002 <br />0'1 1 16002 <br />011 16002 <br />01116002 <br />01 1 16002 <br />01116002 <br />01116002 <br />51603 <br />51603 <br />s1603 <br />51603 <br />51603 <br />51603 <br />51603 <br />53601 <br />51600 <br />51603 <br />Qty <br />4.00 <br />6.00 <br />332.00 <br />7.00 <br />1.00 <br />60.00 <br />1.00 <br />551.49 <br />1 .00 <br />1 .00 <br />Fee <br />$5.40 <br />$8.82 <br />$325.36 <br />$161.63 <br />$31.55 <br />$178.80 <br />$49.63 <br />$358.47 <br />$20.56 <br />$5'1.26 <br />Fee Type Amount <br />125 Volt Receptacle 1 .35 <br />Light Swilches, Occ. Se 1.47 <br />Light Fixtures 0.98 <br />Dedicated Circuit 23.09 <br />Low Voltage/Comm 31.55 <br />Add'l Devices/Low Volt 2.98 <br />Serv Meler 49.63 <br />Ptc - 650/o 0.65 <br />General Plan Update 20.56 <br />lssuance 51.26 <br />Phone <br />State Lic #: 763589 <br />Lic Type: C-36, B, C-10, C-20 <br />Bus. Lic #: 189273 <br />Workers' Compensation lnsurance:Carrier: Travelera Property <br />Policy #: WC2JU88G25164816 <br />Expires: O4lO1l2O1A <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permil #: <br />Commercial <br />Tenant lmprovement <br />TUDemising Wall <br />Occupancy: <br />Conslr Type <br />Code: <br />M <br />It B, SPK <br />cEc 2013 Notes <br />Davis, Scott <br />Chauez, Oavee,? <br />10191734 <br />Date <br />Date <br />Oate <br />01109t2017 <br />06/05/2017 <br />Account# <br />Misc. Receipt: 68996 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pomit issued shell becorne invelid unless the wod< on the sile <br />authoized by such pemit is comfiehcec! wilhin 1 80 days aftet its <br />issuance, or il the wo* authoized on the site by such permit is suspehded <br />ot abadoned lot a pariod ol 180 days eftet the lime lhe wo* is <br />commenced <br />$20.56 <br />$812.45 <br />$32.68 <br />$1 ,191 .48 <br />$325.79 <br />$865.69 <br />lnspector MID#: 2016-'133647 <br />01116002 51600 <br />01116002 51603 <br />011 16002 53601 <br />Fee Total: <br />Paid lo Date: <br />Balance Due: <br />Phone: <br />Tenant Name: Burlington Coat Factory