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20166618 - Permit
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1220 W Hemlock Way Unit# 107
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20166618 - Permit
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Last modified
6/2/2021 12:03:09 PM
Creation date
6/2/2021 12:03:08 PM
Metadata
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Template:
Permit
Permit Number
20166618
Full Address
1220 W Hemlock Way Unit# 107
Permit ID
244516
Master ID Number
2018-145222
Project Name
WIC Tenant Improvements
Street Number
001220
Street Direction
W
Street Name
Hemlock
Street Suffix
Way
Unit Number
107
Building Use Code
Medical Office
Job Types
Alteration
Permit Type
Electrical
Applied Date
8/7/2018
Issued Date
11/9/2018
Finalized Date
1/30/2019
Flood Zone
X-0602320259J
Description of Work
TI to existing medical office including new partition walls, lighting and finishes
Nature of Work
TI
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qProject Address: 1220 W Hemlock Wav <br />Assessor's Parcel: 410411-21 Lot: NA <br />unit: 107 <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: 103 <br />Zoning: C2 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), SantaAna, CA92702 <br />lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2O166618 <br />Pin #: 18255 <br />Owner: <br />Addressl <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />wtc <br />Owner-Builder <br />01 1 16002 <br />01 't 16002 <br />01 't 16002 <br />01 1 16002 <br />01 I 16002 <br />01 I 16002 <br />01116002 <br />01116002 <br />01 1 16002 <br />01 1 16002 <br />Karim Markarbhichi, Keystone Builders <br />4212 E La Palma Ave <br />Anaheim, CA 92807 <br />51603 <br />51603 <br />51603 <br />51603 <br />51603 <br />5'1603 <br />51603 <br />53601 <br />51600 <br />51603 <br />Fes Type Amount Qty Fee <br />125 Volt Receptacle 1.45 67.00 $97.15 <br />Light Fixtures 1.05 37.00 $38.85 <br />Heat Pumps 96.90 6.00 $581.40 <br />FWU 24.79 16.00 $396.64 <br />Dedicated Circuit 24.79 14.00 $347.06 <br />Serv Meter 53.28 1.00 $53.28 <br />Time Clock 12.'lO 3.00 $36.30 <br />Plc - 65% 0.65 1 ,551.33 $1 ,008.36 <br />General Plan Updale 22.08 1.00 $22.08 <br />lssuance 55.04 1.00 $55.04 <br />gol,:hi:+6ii61, - tl/9/'2ljlY I[:,.41 -(olf, :.:t . iirj irons+r 4? <br />Ac.t +; Refi: lr.tl <br />Trnnsnct, r,i I ot.01 $i,o <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Knrr llcrkrlrbhi(hir KegsLone <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 />Commercial <br />Alteration <br />TI <br />B <br />VB <br />cEc 2016 <br />Occupancy: <br />Constr Type <br />Code:Noles Tl to existing medical office including new partition <br />vralls, lighting and finishes <br />$2,636.16 <br />$1.008.36 <br />$1,627.80 <br />Smith, Mark <br />Chavez, Dave <br />Date: <br />Dale: <br />Date: <br />11t08t2018 <br />11t09t2018 <br />Account# <br />01116002 51600 <br />01116002 51603 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Misc. Receipt: 71335 <br />Misc. Receipt: <br />Masc. Receipt: <br />Total <br />-62lz <br />10197280 <br />Every permit issued shall bocome invalid unless the wo* on the site <br />authoized by such pennit is commenced within 180 days dfter its <br />issuance, ot if the $/o* authoized on the site by such permit is suspended <br />ot abandoned lor a period ot 180 days aftet the time the work is <br />commenced. <br />lnspector ltnlD#: 2018-145222 <br />$22.O8 <br />$1,605.72
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