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City of Santa Ana <br />Permit Counter (7'l4l 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 20{65995 <br />Pin #: 779o4 <br />Bldg; 24-F Address Range: <br />Tract: A.B. CHAPMAN Historic: No <br />Suite Range: Unit F4, F-6 <br />Zoning: R4 <br />EProject Address: 2424 N Tustin Ave <br />Assessor'sParcel; 395-261-55 Lot 8 <br />Unit: <br />Block: A <br />Owner: <br />Address:01 1 16002 <br />01 1 16002 <br />01 1 '16002 <br />01 I 16002 <br />01116002 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />Qty <br />10.00 <br />24.OO <br />9.00 <br />1 .00 <br />1 .00 <br />Fee <br />$14.00 <br />$36.48 <br />$9.09 <br />$21 .2s <br />$52.98 <br />Phone <br />Tenant Name <br />The Bascom Group, lnc <br />25 Corporate Park Orive, Suite 200 <br />lrvine, CA 92606 <br />(949) 9s5-0888 <br />Katerra Rengvations, LLC <br />3200 Earhart Drive <br />Carrollton, TX 75006 <br />(972) 818-105s <br />Fee Type Amount <br />125 Volt Receptacle 'l 40 <br />Light Switches, Occ. Se 1.52 <br />Light Fixtures 1.01 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />$/tt/?t1ts ID3Phone <br />State Lic #: 1009989 <br />Lic Typet B <br />Bus. Lic #: 366547 <br />Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company <br />Policy #r BNUWCo139070 <br />Expires: O'llO'll2O19 <br />lan 9; <br />lron <br />:(1229?(134 - <br />qcL ion loto I <br />(oterro F€novqt ions, <br />C <br />Generol Plon Updcte Fee <br />ir1116it0?- 516tr(ru0tr- <br />Ele,:tr rcql <br />01116002- 5160300(r- <br />ICL Check 003U0u <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Date <br />Date <br />Date <br />R-2 <br />VB <br />cEc 20't6 Notes: Fixture change outs (unit 4, 6) <br />N4isc. Receipt: <br />lvlisc. Receipt: <br />lvlisc. Receipt: <br />Total <br />Chavez, Dave <br />Evory permit issued shall become invalid unless the wo* on the site <br />authoized by such pemil is commenced wtthin 180 days after its <br />lssuance. ot ifthe wotk authonzed on the site by such permil is suspehded <br />or abandoned lor a period of 180 days after the tifie lhe wotu is <br />commenced <br />o6t1112018 <br />Account# <br />,,ri.!! <br />Sin rpeto MID#: 20'18-'143633 <br />$21 .2s <br />$1 12.55 <br />Contractor: <br />Address: <br />Ref+3 <br />I/1(t1t <br />Planning Conditions: <br />Multi-Family (5 or more uni Occupancy: <br />Alteration Constr Type: <br />Fixture change outs (unit 4, Code: <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />01116002 51600 <br />01116002 51603 <br />$133.80 <br />$0 00 <br />$133.80