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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2O4674O1F <br />Pin #: 55555lnspection Requests: (714) 667-2738 lnspector Section: 1714) 647-5853 <br />Project Address: 1638 E Seventeenth St Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: C5Assessor'sParcel: 400-25'l-03 Lot: NA <br />Owner: <br />Address: <br />Trinidad Cisneros <br />1125 E Seventeenth Street, W-'17 <br />Santa Ana, CA 92701 <br />Fee Type Amount <br />01116002 51603 Demolition (includes ren 48.46 <br />01 116002 51600 General Plan Update 22.08 <br />0'1 116002 51603 lssuance 55.04 <br />Qty <br />2.00 <br />1.00 <br />'1.00 <br />Fee <br />$96.92 <br />$22.08 <br />$55.04Phone: <br />Tenant Name <br />Contractor <br />Address: <br />Owner-Builder <br />1/ 14 / 2it) <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />Commercial <br />Alteration <br />lnterior demo - n/v <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />VB <br />cEc 20r6 Non-structural demo of all interior walldceilings <br />(complete gut of offices/restrooms) on the lst & 2nd <br />floors,5800sf. Letter of auth on file. <br />Planning Conditions: lnterior demo only <br />Planning Approval By:Date: <br />Date: <br />Date: 1111412018 <br />Account# <br />Plan Checked By: <br />Permit issued By: <br />Subject to Field: <br />Building Permit #: <br />Amsden, Julie <br />10498362 01 1 16002 51600 $174.O4 <br />$0.00 <br />$174.04 <br />Every permit issued shall become invalid unless the wo* on the site <br />authoi.ed by soch permit is commenced within180 days aftet ils <br />issuance, or if the work authorized on the site by such permit ls suspended <br />or abandoned for a period of 180 days afte( the tifie the wo* is <br />commenced. <br />lnspector MID#: 2O18-147302 <br />01 1 16002 51603 <br />$22.08 <br />$151.96 <br />Phone: <br />;, <br />{ri <br />l, j. <br />ii <br />lr <br />ri(l <br />!pd(lle Feeiu|]u[[- <br />;uiuut:r- <br />',it2\ <br />Misc. Receipt: <br />lvlisc. Receipt: <br />l\,lisc. Receipt: <br />Total <br />Noles: <br />Fee Total: <br />Paid to Dale: <br />Balance Oue: