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Assessor's Parcel: 400-23'l -01 Lot. NA <br />Unit: B <br />Block: NA <br />Bldg: <br />Tract NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: C4 <br />City of Santa Ana <br />Permat Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA927O2 <br />lnspection Requestsr (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2O167661 <br />Pin #: 3O{4O <br />Phone <br />Tenant Name: Jamba Juice <br />RGA Group <br />3308 Apolena Ave <br />Newport Beach, CA 92662 <br />Gary Maddox construction I <br />10133 Meadow Glen Way <br />Escondido, CA 92026 <br />(909) 262-5,1.t5 <br />Contractor: <br />Address: <br />01116002 51603 <br />011 16002 51603 <br />0'1116002 5160: <br />01116002 51603 <br />01116002 5160: <br />01116002 5'1603 <br />01116002 5360' <br />01116002 5160C <br />011'16002 5160r'Phone <br />Fee Typo Amount <br />125 Volt Receptacle 1.45 <br />Lighl Switches, Occ. Se '1.58 <br />Lighl Fixtures 1.05 <br />Dedicated Circuit 24.79 <br />Track Light Per 100' 24.79 <br />Time Clock 12j0 <br />Ptc - 65% 0.65 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qty <br />20.00 <br />7.00 <br />42.00 <br />25.00 <br />1.00 <br />1.00 <br />740.80 <br />1.00 <br />1.00 <br />Feo <br />$29.00 <br />$11.0€ <br />$44.10 <br />$619.75 <br />$24.79 <br />$12.10 <br />$481.52 <br />$22.08 <br />$55.04 <br />State Lic #: 598667 <br />Lic Type: B <br />Bus. Lic #: 311232 <br />Workers' Compensation lnsurance: <br />Carrier: APPLIED UNDERWRITERS CAPTIVE RISK ASSURANCE COMPAN <br />Policy #: /164141520103 <br />Expires: O1lOll2O2O <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Fieldl <br />Building Permit #: <br />Commercial <br />Tenant lmprovement <br />TI <br />CSG Consultantr <br />\ <br />Zuniga, Allissa <br />B <br />V B, SPK <br />cEc 20r6 <br />\ <br />Date <br />Date <br />Date <br />o2to8t2019 <br />o3t2612019 <br />Account# <br />01116002 51600 <br />01116002 51603 <br />$22.08 <br />$79s 84 <br />Fee Total <br />Paid to Date: <br />Balance Due <br />Misc. Receipt: 71965 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />10198696 <br />Every pennit issued shall bocono invalid unless lhe t/otk on the site <br />aulhoized by such pemit 6 conmenced within 180 days afiet its <br />issuance. ot if lhe wotk aulhorized on the stte by such pemit is suspended <br />ot abandoned fg. a penod o1180 days after the tirne the wo* is <br />commen@d. <br />lnspector MtD#. 2018-148320 <br />\ <br />Proiect Address: 1302 E Seventeenth St <br />Owner: <br />Address: <br />Botchit40fi i(e: <br />h(pL+:D: <br />TronEtt,:t <br />Generol F lon Updote <br />r11 I 160!;- 5l6utt0(rr1- <br />E lectr r co I0 1600!- 5160308u- <br />ICL Check liil:i:l <br />60r9 noddox LonstautL lorr ln, <br />39S1 - 3/ <br />::TYH TT <br />i66147 - <br />r on TotoI <br />Refi t <br />3/ 26/')(tlg <br />FEE <br />Building Use: <br />Job Type: <br />Nature of Work: <br />Occupancy; <br />Constr Type: <br />Code:Notes: <br />$1,299.44 <br />$481 .s2 <br />$817.92