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Project Address: 220 E Fourth St <br />AssessoasParcel: 398-503.10 Lot: PORS 5, 8, 9 <br />Bldg: Address Range: 216-200. <br />Tract: TOWN OF SANTA Allistoric: No <br />Suite Range: <br />Zoning: SD84 <br />q <br />unn: 101 <br />Block: 9 <br />City of Santa Ana <br />Permil Counler: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2O159949 <br />Pin #: 92141 <br />Owner: <br />Address <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />S & A PropertieE <br />129 W Wlson <br />Costa l$esa, cA 92627 <br />(9491722-7400 <br />The Playground <br />Owner-Builder <br />01 1 16002 51603 <br />01 116002 51603 <br />01 116002 51603 <br />01116002 51603 <br />01 1 16002 51603 <br />01 1 16002 53601 <br />01116002 51600 <br />Fee <br />$54.00 <br />$74.48 <br />$115.45 <br />$31.55 <br />$49.63 <br />$185.41 <br />$20.s6 <br />Botc ' ' '.'tr - <br />otl ice: CTYH <br />A(.LC: <br />Rcata:0178? 165 <br />Tnofr,,,.t, or' Tr, <br />Foe Type <br />125 Volt Receptacle <br />Light Fixlures <br />FWU <br />Low Voltage/Comm <br />Subpanel <br />PIC - 650/o <br />General Plan Update <br />Amount <br />1 .35 <br />0.98 <br />23.09 <br />31.55 <br />49.63 <br />0.65 <br />20.56 <br />Qty <br />40.00 <br />76.00 <br />5.00 <br />1.00 <br />1.00 <br />285.25 <br />'1.00 <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />3/7/?017 ID3ororolests <br />Irons+: 83 2 of 5Refi: 2015?9,19- 3/7 /2017 2.11 Pn <br />SIAPt <br />(€nerol PI <br />011160(r? - <br />Elech i co I <br />01116r ' <br />Up dote <br />00ir00- <br />r5l38 Auth i: <br />1325.11 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />lnspector <br />Commercial OccuPancY: <br />Tenant lmprovement Constr TYPe <br />TURoof Mtd Equip/W311-1n 6 Code; <br />A-2 <br />V B, SPK <br />cEc 2013 Notes: Auth <br />'rq{.1 <br />t4,81 <br />+7336 <br />Davis. Scott <br />Brodowski, Teri <br />1018905'l <br />MID#: 2016-126427 <br />Date: <br />Date: <br />Date: <br />osto2t2016 <br />o3t0712017 <br />Account# <br />01 1 16002 51600 <br />01 1'16002 51603 <br />Fee Total: <br />Paid to Date: <br />Balance Oue <br />$531.08 <br />$185.41 <br />$345.67 <br />Misc. Receipl: 67644 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$20.56 <br />$325.'11Every pemil issued shsll become invalid unless the wot* oh the stte <br />authoized by such pemit is commenced within 180 days aftot ils <br />issuance, ot if the wo* authgrized on the sito by such pemil is suspended <br />ot abandoned for a peiod ol 1 80 days 6fler lhe time the wotl< is <br />comn@nced. <br />Phone: <br />I <br />I ?0.5 <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Fieid: <br />Building Permit #: