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City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, c492702 <br />Permit Counter: (714) 647-5800 lnspection Requestsr (714\ 667-2738 lnspector Section: (7'14) 647-5853 1,1 <br />Permit #: 2O|7OTAA <br />Pin #: 21915 <br />Proje-ct Address: 400 N Tustin Ave <br />Assessor'sParcel 400-043-09 Lot POR 6 <br />unlr 265 <br />Block: NA <br />Bldg: <br />Tracl: 678 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: P <br />Owner: <br />Address <br />Phone: <br />T€nant Name: <br />PARKCENTER 4OO LLC <br />400 N TUSTTN, #250 <br />Santa Ana, CA 92705 <br />(714) 667-0602 <br />Brldge Hospice Orange <br />Service First Contractors N€ <br />2510 N Grand, #110 <br />Santa Ana, CA 92705 <br />(7111573-2200 <br />01116002 <br />01116002 <br />011 16002 <br />01116002 <br />01116002 <br />01116002 <br />011 16002 <br />51603 <br />51603 <br />51603 <br />51603 <br />51600 <br />5't603 <br />57770 <br />Qty <br />12.OO <br />8.00 <br />14.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$ 18.12 <br />$13.12 <br />$15.26 <br />$35.21 <br />$22.95 <br />$57.20 <br />$3.91 <br />Feo Type Amount <br />125 Voll Receptacle 1.51 <br />Lighl Switches, Occ. Se '1.64 <br />Light Fixtures 1.09 <br />Low Vollage/Comm 35.21 <br />General Plan Update 22.95 <br />lssuance 57.20 <br />Microfilm Records 3.91 <br />Phone <br />State Lic f: 555812 <br />Lic Type: C-36, B, AS8S, COr, i.Z, C-rO, C.21, C-53, C-20, C-33, D-35 <br />Bus. Lic #: 141280 <br />Workers' Compensation lnsurance: <br />Carrier State National lnsurance Company <br />Polic'y #: AMX082002100'| <br />Expires: O2|1A2O21 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By <br />Permil lssued By <br />Subject to Field: <br />Building Permit # <br />Commercial <br />Tenant lmprovement <br />TI <br />d i, Teri <br />0,,l',|.02444 <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />II A, SPK <br />cEc 2019 Notes: Outlets, switches, & lixturoS for Tl. <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />02111t2020 <br />Account# <br />$165.77 <br />$0.00 <br />$165.77 <br />Every pednit tssued shall become invalid unloss the work o,, the sile <br />authonzed by such permit is comnsnced within 360 days aftet ils <br />issuance. ot il the work aulhoized on the site by such pemil is suspehded <br />ot abandoned lor a period of360 days after the time the wotl< is <br />commencgd <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01116002 57770 <br />$22.9s <br />$138 91 <br />$3.91 <br />Fee Tolal: <br />Paid lo Oate: <br />Balance Due <br />Electrical <br />Contractor: <br />Address: <br />lnspector MID#: 2020-156795