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qProject Address: 102 W Fourth St <br />Assessor'sParcel: 398-264-07 Lot: POR 8, POR 9 <br />U nil: <br />Block: 11 <br />Bldg. Address Range: 102-to6 <br />Tract TOWN OF SANTA Allistoricr Yes <br />Suite Range. <br />Zoning: SO84 <br />City 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 #: 2lJ1641/l4 <br />Pin #: 3664{ <br />Owner: <br />Address: <br />Contractor <br />Address <br />Phone <br />Tenant Name: Shoe Palace <br />Ted Tapfer <br />'106 W Fourth <br />Santa Ana, CA 92701 <br />Hanna Design Group, lnc. <br />650 E. Algonquin Road Suitl <br />SCHAUMBURG, IL 60173 <br />(847) 719-0370 <br />01 1 16002 <br />01 't 16002 <br />01 116002 <br />01 1 16002 <br />01116002 <br />01116002 <br />01116002 <br />01116002 <br />01 1'16002 <br />011't6002 <br />01 1 16002 <br />01116002 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />53601 <br />51600 <br />51603 <br />Qry <br />50.00 <br />10.00 <br />175.00 <br />4.00 <br />5.00 <br />1.00 <br />3.00 <br />1.00 <br />1.00 <br />966.88 <br />1.m <br />1.00 <br />Fee <br />$70.00 <br />$15.20 <br />$176.75 <br />$373.12 <br />$119.35 <br />$23 87 <br />$153 87 <br />$11.65 <br />$22.42 <br />$628.47 <br />$21.25 <br />$52.98 <br />Fee Type Amount <br />125 Volt Receptacle 1.40 <br />Light Switches, Occ. Se 1 52 <br />Light Fixlures 1.01 <br />Air Conditioner 93.28 <br />Dedicated Circuit 23.87 <br />Track Light Per 100' 23 87 <br />Subpanel 51 29 <br />Photo Cell 'l'1.65 <br />Over 1-10 HP. KW or K\ 22 42 <br />Ptc - 65% 0.6s <br />GeneralPleo'Updale 21.25 <br />lssuance I 52.98 <br />Phone <br />State Lic #: 872509 <br />Lic Type: B <br />Bus. Lic #: 368407 <br />Workers' Compensation lnsurancelCarrier: Amerisure Mulual lnsurance Company <br />Policy #: WC20923300 <br />Expires: 0510112018 <br />Building Use; <br />Job Type: <br />Nature ol Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject lo Field: <br />Building Permit #: <br />Commercial <br />Tenant lmprovement <br />TI <br />CSG Consultants <br />Chavez. Dave <br />?z-. <br />10194',157 <br />Occupancy: <br />Constr Type <br />Code: <br />M <br />B <br />cEc 2016 <br />renef <br />11ll3 <br />.I e,:t <br />rl i I ( <br />Notes <br />Date: <br />Date: <br />Date: <br />10t12t2017 <br />o2J1512018 <br />Account# <br />01 1 16002 51600 <br />01 1 16002 51603 <br />$21 .25 <br />$1,019.21 <br />Fee Tolal: <br />Paid to Dale: <br />Balance Oue <br />Misc. Receipt: 70050 <br />Misc. Receipl. <br />Misc. Receipt. <br />Total <br />Every pemit issued shall become invalid unless lhe wo* on the site <br />authodzed by such peinit is cofinenced within 180 days atler ls <br />issuance ot i lhe wor* aulhonzed on the site by such pefinit is suspendod <br />or ebandoned for a penod of 180 days after the time the wo* is <br />commenced <br />lnspector MID#: 2017-'138687 <br />$1,668.93 <br />$628.47 <br />sl ,040.46