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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 Electrical Permit #: 2O166004 <br />Pin #: 34249lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853 <br />Unit: <br />Block: A <br />Bldg: 14-H Address Range: <br />Tract: A.B. CHAPMAN Historic: No <br />Suite Range: LJnit H{ <br />Zoning: R4 <br />E <br />Assessor'sParcel: 396-261-55 Lot; 8 <br />Owner: <br />Address <br />The Bascom Group <br />26 Corporate Park Drive, Suite 200 <br />lrvine, CA 92606 <br />(866) 695-5591 <br />01 1 16002 <br />01 't 16002 <br />01 1 16002 <br />01'116002 <br />01116002 <br />5'1603 <br />5'1603 <br />51603 <br />51600 <br />51603 <br />Fee Type Amount <br />125 Volt Receptacle 1.4O <br />Light Switches, Occ. Se 1.52 <br />Light Fixtures '1.01 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qty <br />500 <br />7.00 <br />400 <br />1.00 <br />1.00 <br />Fee <br />$7.00 <br />$10.64 <br />$4.04 <br />$21.25 <br />$s2.98 <br />Phone <br />Tenant Name: <br />Contractor <br />Address: <br />Katerra Renovations, LLC <br />3200 Earhart Drive <br />Carrollton, Tx 75006 <br />(972) 818-106sPhone <br />State Lic #: 1009989 <br />Bus. Lic #r 366547 <br />Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company <br />Policy #: BNUWCo'|39070 <br />Exprres: 01/01/2019 <br />SCCIi i <br />1.pt.i 3 tl?2921 <br />fransocL ion <br />Building Use: <br />Job Type: <br />Nature of Work <br />Multi-Family (5 or more uni Occupancy: <br />Miscellaneous Constr TYPe <br />Fixture change outs (Unit 4)Code: <br />R-2 <br />VB <br />cEc 2016 Notes Fixture change outs (unit 4) <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permil #: <br />Chavez, Dave <br />Date <br />Date <br />Date o6t1112018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt; <br />Misc. Receipt: <br />Total <br />Every pemit issued shall become invalid unless the wo* on the sile <br />authoized by such permit is cofimenced within 180 days after ts <br />issuance, or if the wo* authorized on the site by such pemit is suspended <br />orabandoned lota period of 180 days aftet the time lhe work B <br />commenced <br />$21 .25 <br />$74.66 <br />$95.91 <br />$0.00 <br />$9s.91 <br />lnspector MID#:.2018-143641 <br />01116002 51600 <br />01 1 16002 51603 <br />Fee Total: <br />Paid to Date: <br />Balance Oue: <br />Proiect Address: 2414 N Tustin Ave <br />gene!'o <br />r:r1116{ <br />- 6/t[/2ln14 <br />Transi:68 <br />ftefi <br />Lle':tr I qs <br />r:11116r:rtr2.' <br />ICL Check <br />Flon UPdotP Fe,- :l6tlUttttu- <br />rtlJ{.lUU- <br />DtlJIl]rl