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Assessor'sParcel. 396-311-04 Lot NA <br />Unil: B <br />Block: B <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853 ffi <br />Permit #: 2l)17()194 <br />Pin #: 78241 <br />Ownerl <br />Address <br />Phone: <br />Tenant Name <br />Contractor <br />Addressl <br />01 1 16002 <br />01 1 'r 6002 <br />01 't 16002 <br />01 1 16002 <br />01 1 16002 <br />51603 <br />51603 <br />51603 <br />51600 <br />57770 <br />Golden Oaks Kitchen Bath : <br />5952 Chinook Drive <br />Huntington Beach, CA 9264 <br />(7r4) 473.5041 <br />Fse Type Amount <br />Light Switches, Occ. Se 0.00 <br />Lighl Fixtures 0.00 <br />ChangeOwner/Contr 68.70 <br />General Plan Update 22.95 <br />Microfilm Records 3.91 <br />Qty <br />1.00 <br />4.00 <br />1.00 <br />0.00 <br />1.00 <br />Fee <br />$0.00 <br />$0.00 <br />$68.70 <br />$0.00 <br />$3.91 <br />State Lic #: 838971 <br />Lic Type: B, C-54, C.15 <br />Bus. Lic #i 194361 <br />Workers' Compensalion lnsurance:Carrier: State Compensation lnsurance Fund <br />Policy #: 9234000 <br />Expires: OGl27l2O2O <br />Bullding 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 lo Field: <br />Building Permit #: <br />Commercial <br />Tenant lmprovement <br />T - Change in Contractor <br />Chavez, Dave <br /><?!'/ <br />10197341 <br />Occupancy: <br />Constr Type <br />Code; <br />B <br />VB <br />cEc 2016 <br />11t1412019 <br />Account# <br />01 1 16002 51603 <br />01'l '16002 57770 <br />$68.70 <br />$3 91 <br />Oate <br />Date <br />Oate <br />Misc. Receipt: <br />Misc. Receipt. <br />Misc. Receipt: <br />Total <br />Noles: "Change in Contractor" Replaces #20167885. lnterior <br />remodel includes new restroomg, receplion counter, <br />interior demo and new partitions. <br />Every pemtl Esued shall becomo invahcl unless tho work on the site <br />sulhonzed by such pemil $ commoncecl w hh 3@ clays aftet tls <br />tssuance, ot it the wo* aulhotized on the stto by such perfiit is suspended <br />or abandoned lot a pefiod ol 360 days aftet lho tmo the work 6 <br />commonced. <br />lnspector MID#: 2018-145364 <br />Project Address: 1717 N Old Tustin Ave Bldg: Address Range: <br />Tract: A.B. Chapman Historic: No <br />Suite Range; <br />Zoning: cl <br />Maryum Nazeri <br />1717 Old Tuslin Ave <br />Santa Ana, CA 92705 <br />(949) 300-384'l <br />Orange Coast Dental <br />Phone: <br />$72 61 <br />$0.00 <br />$72.61 <br />Botchi r 53Lr31 - <br />0ll ice: CTYH <br />Acct +: <br />R,:!, ti : it?gi7?(tl <br />Tronsoct ion Tot <br />t1/ 14/2{.tl? <br />TnnnEi:11 4 2al: 2017tr19,( <br />019 3:25 Fl <br />t8t3, 73 <br />- fi/11/2ol <br />Golden 0oks Xitcherr Eqth ond I <br />Fee Total: <br />Paid to Dale: <br />Balance Due: