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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853 <br />Electrical Permit #: 2lJ16628.2 <br />Pin #: 4475IJ <br />Project Address: 2424 N Tustin Ave <br />Assessor'sParcel: 396-261-55 Lot: 8 <br />Unit: <br />Block: A <br />Suite Range: Unit A-12 <br />Zoning: R4 <br />Owner: <br />Address <br />Contractorl <br />Address: <br />Tenant Name <br />The Bascom Group <br />26 Corporate Park Drive, Suite 200 <br />lrvine, CA 92606 <br />(866) 695-5s91 <br />Katerra Renovations, LLC <br />3200 Earhart Drive <br />Carrollton, TX 75006 <br />(972) 818r065 <br />01116002 <br />01 1 16002 <br />01 1 16002 <br />01 I 16002 <br />01't'16002 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Qty <br />5.00 <br />12.OO <br />4.00 <br />1.00 <br />1.00 <br />Fee <br />$7.00 <br />$18.24 <br />$4.04 <br />$21.25 <br />$52.98 <br />Fee Type Amount <br />125 Volt Receptacle 1.4O <br />Light Switches, Occ. Se 1.52 <br />Light Fi)dures 1.01 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Phone <br />State Lic #: 1009989 <br />Lic Type: B <br />Bus. Lic #: 366547 <br />Workers' Compensation lnsurance:Carrier: Midrvest Employe/s Casualty Company <br />Policy #: BNUWCo139070 <br />Expires: 0110112019 <br />iH <br />7 /2 / ]1118 <br />Irnns* ! <br />LEOSALI <br />s-1 of <br />1362.c:i <br />.: Ffl <br />t7?,211 <br />It, r <br />',,,rr Ifii'pti:r:r?;J17i9;7 - <br />Ironsq,:t ion Totol <br />Notes: Fixture change outs (unit 12) <br />$4rt/,7"iltBuilding 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 />Chavez, Dave <br />R-2 <br />VB <br />cEc 2016 <br />06/2sl20't8 <br />Account# <br />Multi-Family (5 or more uni Occupancy: <br />Miscellaneous Constr Type <br />Fixture change outs (unit 12Code: <br />Datel <br />Date: <br />Date: <br />Misc. Receipl; <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$21 .25 <br />$82.26 <br />$103.51 <br />$0.00 <br />$103.51 <br />lnspector MID#: 2018-144266 <br />011 16002 51600 <br />01116002 51603 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Bldg: 24.4 Address Range: <br />Tract: A.B. CHAPMAN Historic: No <br />Phone; <br />iirterr{l f(rnD!,nt ions . l-1.,1 <br />Every pemit issued shall becorne invalid unless th€ work on the site <br />authoized by such permit is conmenced within 180 days after ils <br />tssuance, ot if the work authoized on the site by such permit is suspended <br />ot abandoned for a period of 180 days aftet the time lhe wo* is <br />conmenced.