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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 20{66269 <br />Pin #: 58693 <br />Project Address: 2414 N Tustin Ave <br />Assessoas Parcel: 396-261-55 Lot: I <br />U nitl <br />Block: A <br />Bldg: 14-C Address Range: <br />Tract: A.B. CHAPMAN Historic: No <br />Suite Range: Unit C"9 <br />Zoning: R4 <br />q <br />Owner: <br />Address 01'1 16002 <br />011 16002 <br />01116002 <br />011 16002 <br />011 16002 <br />51603 <br />51603 <br />51603 <br />s1600 <br />51603 <br />Qry <br />5.00 <br />12.00 <br />4.00 <br />1.00 <br />'l.00 <br />Phone <br />Tenant Name <br />The Bascom Group <br />26 Corporate Park Orive, Suite 200 <br />lrvine, CA 92606 <br />(866) 695-5s91 <br />Katerra Renovations, LLC <br />3200 Earhart Drive <br />Carrollton, TX 75006 <br />(972) 818-1065 <br />Fee Type Amount <br />125 Volt Receptacle 1 .40 <br />Light Switches, Occ. Se 1.52 <br />Light Fixtures 1.0'l <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: Midwest Employe/E Casualty Company <br />Polacy #: BNUWCoi39070 <br />Expires: 011O1120'lS <br />Bot,:hi:44579 - 7/2/2nt3 I0: LR0SAI.F:Soffice: CTYH Trons+: 69 1 ol 3?Acct+: fiefi: ?r_1166269 <br />kcpti:02317.557 - 7/2/2tt18 3ti7 Pn <br />Transoct ion Totol 14 r 17? ,?-r) <br />K(lterrc Renov(lt ionsr LL( <br />6enerql Plcn lrpdot€ Fee <br />trl116002- i160000tt- <br />Electr icol <br />01116002- 516(t300tr- <br />ICL Check 003002 <br />t2L ,25 <br />t'{!2.?6 <br />J{r177 .2u <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Approval By: <br />Plan Checked By: <br />Permil lssued By: <br />Subject to Field: <br />Building Permit #: <br />Multi-Family (5 or more uni Occupancy: <br />Miscellaneous Constr Type <br />Fixture change outs (unit 9) code: <br />R-2 <br />VB <br />cEc 2016 Notes: Fixture change outs (unit 9) <br />Chavez, Dave <br />Every permit issued shall becorne invalid unless the work o, lhe slte <br />authoized by such permit is commenced within 180 days after its <br />issuance. or ifthe wotk aulhonzed on the site by such permit is suspended <br />or abandoned for a period of 180 days aftet the time lhe wo* is <br />commenced <br />o6t25t2018 <br />Account# <br />lnspector MID#: 2018-144248 <br />$2',t.2s <br />$82.26 <br />Contractor: <br />Address: <br />Fee <br />$7.00 <br />$18.24 <br />$4.04 <br />$21.25 <br />$52.98 <br />Planning Conditions: <br />Date. <br />Date: <br />Date: <br />l\4isc. Receipt: <br />l\4isc. Receipt: <br />lvlisc. Receipt: <br />Total <br />Fee Total: <br />Paid to Dale: <br />Balance Due: <br />01 1 16002 51600 <br />01116002 51603 <br />$103.51 <br />$0.00 <br />$103.51