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@ City of Santa Ana 20 Civrc Center Plaza (M-19), Santa Ana, c492702 <br />,/l/ <br />Permit #: 20168,48,4 <br />Pin #: 58019Permit Counter: (7'14) 647-5800 lnspectron Requests (714) 667-2738 lnspector Section: (714) 647-5853 t(Y <br />Project Address: 3201 S Shannon St Unrt <br />Block: NA <br />Bldg. <br />Tract: NA <br />Address Range: <br />Hrstoflc: No <br />Suite Range: <br />Zoning: MiAssessor'sParcel: 415-024-07 Lot NA <br />Owner <br />Address <br />AlltrYins Usa lnc <br />550 Baker St #358 <br />Costa Mesa, CA 926267505 <br />(714) s07-5010 <br />D & R Coastal Financail lnc <br />Fee Type <br />01116002 5360' Revision <br />Amount <br />230 87 <br />Qrr <br />100 <br />Fee <br />$230.87 <br />Phone <br />Tenant Name: <br />Contractor <br />Address <br />Roller Electric lnc <br />P.O. Box 1538 <br />Laguna Beach, CA 92652 <br />Phone <br />State Lic #: 683916 <br />Lic Type. C-10 <br />Bus Lic #: 3744OA <br />Workers' Compensation lnsurance:Carrier: Evo.ast Premler lnsurance Company <br />Policy #: 7600019856191 <br />Expires. O1lO1l202O <br />Commercial <br />Revision <br />Revision <br />B, F.1 <br />VB <br />cEc 2015 Notes Revision to 20167434 - electrical room omitted, added <br />additional lighting and oullets <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked 8y: <br />Permit lssued By: <br />Subject to Field: <br />Building Permil #: <br />Date: <br />Date: <br />Dale: <br />9 <br />t CannabisSmith, Mark <br />Hernandez, Kathy <br />10198399 <br />06t18t2 rcla <br />07t22t20 9 rsc <br />$+3'H+$230.87 <br />$222.16 <br />s8.71 <br />Every peml tssued shall become nvalial unless lhe worr( on lhe srte <br />authonzecl by such pemit ts commencod withn360 days aftot ls <br />rssuance. ot if lhe work authonzoc! on tho sle by such pemtt is suspended <br />ot abancloned fot a ponod of 360 deys aftor the lme lho work ts <br />commenced <br />lnspector MID#: 2019-'150706 <br />01 't 16002 53601 t g?J <br />Fee Total <br />Paid lo Dater <br />Balance Oue: <br />Electrical <br />tirI <br />Building Use: <br />Job Type: <br />Nature ot Work: <br />Occupancy: <br />Constr Type: <br />Code: <br />Account#Total <br />C