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Project Address: 5015 W Edinoer Ave <br />Assessor'sParcel: 108-381-25 Lot NA <br />Unit: K <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: 5015-5127 <br />Historic: No <br />Suite Range: <br />Zoning: C1 <br />Permit #:2O170653 <br />Pin #: 42547 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Phone: <br />Manny Bukiet <br />520 W Willow <br />Long Beach, CA 90806 <br />(310) 639-71 30 <br />Kumon <br />T Signs <br />15151 Moran St <br />Westminster, CA 92683 <br />(714) 890-0932 <br />01 1 '16002 5160: <br />01 1 16002 5160C <br />01 1 16002 5't60: <br />01116002 5777C <br />Fee Type <br />Signs & Neon <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />78.08 <br />22.95 <br />57.20 <br />3.91 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$78.08 <br />$22.95 <br />$57.20 <br />$3.91 <br />State Lic #: 735992 <br />Lic Type C.45 <br />Bus. Lic #: 174801 <br />Workers' Compensation lnsurance:Carrier: Security Nat'l lns Co <br />Policy #: 5WC1221874 <br />Expires: 'l2lO'll2O2O <br />Bobch+:54151 - 1/31'/2Lr2Lr ID: HGARCIA <br />Off ice: CTYH 1p61nsf:53 ? of 4 <br />Acct* I Rel*: 2017r-1653 <br />ll,: "t+:tr2981316 - L/3tt/2tt20 11:22 All <br />Trsnsoct ion TotaI $lrLt36.LtE <br />T Sisns <br />Gt nerol Pton Llpdste Fee $22.'r:i <br />trl I 1600?- 5 I {31:rrJtr0l.l- <br />[lectr icctl $13:i"29 <br />L|1 1 16LlLt2-. 5161:t30Lrrr- <br />ll i crol i Im & Documents $3. ?i <br />Ltl I 16LtU2.. 57771:[Jr]0- <br />1,( t- Checll tltll52 $1,r:l36.Lr$ <br />lnstall (t) led-illuminated channel letter wall sign for <br />"Kumon", bond paid on M-74076 <br />$1 62.1 4 <br />$0.00 <br />$162.14 <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 />{hr",.n"noez, Kathy 01t30t2020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: <br />Fee Totat <br />Paid to Date: <br />Balance Due: <br />Commercial <br />Signs <br />Sign-illuminated <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date: <br />N/A <br />N/A <br />cEc 2019 <br />Buirdins Permit #: 101102905 <br />Every permit issued shall become invalid unless the work on the site <br />authorized by such permit is commenced within360 days after its <br />issuance, or if the work authorized on the site by such permit ls suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />lnspector MID#: 2020-157O4O <br />01 1 16002 51600 <br />011't6002 51603 <br />01116002 57770 <br />$22.95 <br />$135 28 <br />$3.91 <br />t^ City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA927o2 Electrical <br />Qr