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Proj ect Address:12O2 W Edinqer Ave <br />Assessor'sParcel: 013-040-29 Lot: NA <br />Suite: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: O <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, c492702 <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 <br />Electrical Permit#: 2Ot3ll08 <br />lnspector's Section: (714) 647-5853 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Fee <br />$18.90 <br />$22.4O <br />$26.84 <br />$32.50 <br />i. iLe of Scrfilo An0 <br />PD : g,/5/2i05I0 r S(:AL0ER0L0(:! CTIH -(:UST: I IJU : 2TI1 3I l III <br />t076 B0i2 (rtttr:t4l7, S/$r?irn5 1:4? <br />TRAH5A(:TION ]OIAL: i3 <br />gu ild ins S? <br />(tu: <br />ffl <br />45.d1 <br />3. g0 <br />Phone: <br />State Lic #: 724633 <br />Lic Type: B, C-10 <br />Bus. Lic #: 0176892 <br />Workers' Compensation lnsurance:Carrier: Contractors Access Program <br />Policy #: DIR GROUP 4505 <br />Expires: 0l/01/2006 <br />Diocese Of Orange Ed & welfare C <br />2811 E Villa Real Dr <br />Orange, CA 928671932 <br />(7141282-3012 <br />Mater Dei <br />Fee Type <br />Fire Alarm/Comm <br />Add'l Devices/Comm <br />PIC 650/o <br />lssuance <br />Amount <br />18.90 <br />'t.60 <br />0.65 <br />32.50 <br />Qty <br />1 .00 <br />14.00 <br />41.30 <br />'1.00 <br />Contractor <br />Address: <br />(:K <br />i:HAl.hrE $t.0r: <br />Building Use: <br />Type of Work: <br />Nature of Work <br />Other <br />Fire Alarm <br />Fire Alarm <br />E1lA3/B <br />VN SPK <br />cEc 2001 <br />Notes <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: \. - <br />Permit lssued By; <br />Subject to Field:!. _ <br />Building Permit #:_ <br />This pemit shall expire by limitation and become null and void if the wotu authoized by this pemit <br />is not commenced within 180 days hom the date ol this permit, or if the wo* authorized by this <br />pemit is suspended or abandoned at any time after the wo* is commenced for a peiod of 180 days. <br />Before such wotk can be rccommenced, a new pemit shall be tirst obtained to do so. <br />Account #: 01 1-0'l -5913 lnspector <br />Davis.Scott <br />Date <br />Date <br />Date <br />08/04/2005 <br />08/05/2005 <br />Misc. Receipt <br />Misc. Receipt <br />Misc. Receipt <br />t\446760 <br />Brodowski, Teri <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$100.64 <br />$26.84 <br />$73.80 <br />I <br />AJ Kirkwood & Associates <br />2752 Walnut Avenue <br />TUSTtN, CA 92780 <br />(7 141 505-1977 <br />Occupancy: <br />Constr Type: <br />Code: