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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Permit #:211170932 <br />Pin #: 16274 <br />Project Address: 642 E Dyer Rd <br />Assessor's Parcel: 411-141-12 Lot: <br />unit: MTRO1 <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Phone: <br />Shea Properties <br />130 Vantis Dr. #200 <br />Aliso Viejo, CA 92656 <br />(949) 389-7295 <br />Pacific Construction Group <br />17895 Skypark Circle #K <br />lrvine, CA 92614 <br />(949) 748-1500 <br />Fee Type <br />01 116002 51603 Temporary Electric <br />01116002 51600 General Plan Update <br />01116002 57770 Microfilm Records <br />Qty <br />1.00 <br />0.00 <br />0.00 <br />Fee <br />$253.66 <br />$0.00 <br />$0.00 <br />lLC. L.t ln <br />LLt. <br />rt*:tri?t"r76l <br />nngctct t crr <br />:ii ic i.otrst <br />UI <br />' <br />LLI <br />rtiil: - <br />L.lrELli <br />'/ <br />li-rlLr <br />ll9? r <br />nc <br />3/3i2t <br />J LlLrLr - <br />rrr_r2l i r-r143 <br />IUi L.L.IJE T-L9oi <br />2Lr1/tii3? <br />{.-.. rir hll(l r l!r H,, <br />t13r5ti5.iit <br />$.r <br />lL <br />State Lic #: 742676 <br />Lic Type: B <br />Bus. Lic #: 347876 <br />Workers' Compensation lnsurance:Carrier: Everest National lnsurance Company <br />Policy #: 7600014602191 <br />Expires: O3l01l2O2Of <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 Permit #: <br />lndustrial OccuPancY: <br />Miscellaneous Constr Type <br />30-day temp Elec. Bldg. #4 Code: <br />Chavez Davv-V- <br />Date: <br />Date: <br />Date: <br />B, S-2 <br />IIIB, SPK <br />cEc 2019 Notes: 30 day temp electracal. Bond posted on M-74235. <br />Bldg. tt4 <br />03103t2020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />$253.66 <br />$0.00 <br />$2s3.66 <br />Every permit issued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 360 days after its <br />lssuance, 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#: 2020-158205 <br />0't116002 51603 $253.66 <br />Contraclor: <br />Address: <br />Amount <br />253.66 <br />22.95 <br />3.91 <br />c.l.cL