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20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714) 667-?738 lnspector Section: (714\ 647-5853 <br />ElectricalCity of Santa Ana <br />Permit Counter: (714) 647-5800 <br />Address Range: 100-230 * <br />Historic: No <br />Suite Range: <br />Zoning: SP2 <br />qProject Address:100 N Ha or Blvd <br />Assessor'sParcelr 198-061-17 <br />Un : C-1 <br />Block: NA <br />Bldg: <br />Tract: NA <br />Owner: <br />Address <br />Contractorl <br />Address: <br />Tenant Name: <br />01 't 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />51603 <br />51603 <br />5'1603 <br />51603 <br />51600 <br />51603 <br />Qty <br />30.00 <br />6.00 <br />30.00 <br />3.00 <br />1.00 <br />1.00 <br />Fee <br />$42.00 <br />$9.12 <br />$30.30 <br />$34.95 <br />$52.98 <br />Fee Type Amount <br />125 Volt Receplacle 1.40 <br />Light Switches, Occ. Se 1.52 <br />Lighl Fixtures '1.01 <br />Photo Cell 11.65 <br />General Plan Updale 21.25 <br />lssuance 52.98 <br />Phone <br />State Lic #: 374153 <br />Lic Type: B, C-39 <br />Bus. Lic #: 366882 <br />Workers' Compensation lnsurance:Carrier: State Fund <br />Policy #: 9038073 <br />Expires: 0110112019 <br />r[ch+1439[1 - tj/12/21118 I0: 0rrrlicet CTYH Tr(nsi: 113 1 <br />:,. t +: Rea+: 20164pLi:O2269142 - l/22l2(r18 5: r:t1 <br />.rns(lrt lofl Totql *1',54r-l <br />tflerql Plon Updnte Fee <br />tl16002- 516[tru[(-le(tr i':n1 <br />t 116tr02- F l6r.13110rl-I Chec]r fttr3281 <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 />Commercial <br />Tenant lmprovement <br />TI <br />Chavez,Dave <br />Date <br />Date <br />Date.-74'ost22t2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />B <br />VB <br />cEc 2016 Notes. <br />Buildins Permit #: I 0195042 <br />Every permil issued shall become invalid unless the work on the site <br />authonzed by such pefinit is commencod within 180 days after its <br />issuance, ot il the wotu authorized on lhe sile by such permit is suspended <br />or abandoned fot a period of 180 days aftet the time the wotu is <br />commenced. <br />$190.60 <br />$0.00 <br />$190.60 <br />lnspector MID#: 2017-140384 <br />0'1 'l 16002 51600 <br />01 1 16002 51603 <br />$21.25 <br />$169.35 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Permit #: 2l!164421 <br />Pin #: 9{659 <br />Lotr NA <br />Phone: <br />GARFIELD BEACH CVS LLC <br />1545 W 17TH ST <br />Santa Ana, CA 927063300 <br />Federal Building <br />15870 Curtis Ave <br />Fontana, CA 92336 <br />(909) 428-8007 <br />Fcderol ftu i 1d ins <br />Occupancy: <br />Constr Type: <br />Code: