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Project Address: 2720 S Bristol St Bldg: <br />Tract: NA <br />AddressRange: 2720.2740 <br />Historic: No <br />Suile Range: <br />Zoning: C4Assessor'sParcel: 4'12-201-02 Lot NA <br />City nf Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 h\ <br />Permit #: 201711O5 <br />Pin #: -56004 <br />Owner: <br />Address <br />Phone <br />Tenant Name: AltaMed <br />AltaMed Health <br />2040 Campfield Ave <br />Los Angeles, CA 90040 <br />J A Urban, lnc. <br />350 Milliken Ave. Suite N <br />Ontario, CA 91761 <br />(909) 922-4192 <br />01 1 16002 <br />01 1 16002 <br />01 1 '16002 <br />01116002 <br />0'1 1 16002 <br />51603 <br />51603 <br />51600 <br />51603 <br />57770 <br />Amount <br />1.51 <br />30.07 <br />22.95 <br />57 .20 <br />3.91 <br />Fee <br />$42.28 <br />$30.07 <br />$22.9s <br />$57.20 <br />$3.91 <br />Fee Type <br />125 Volt Receptacle <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Qty <br />28.00 <br />L00 <br />1 .00 <br />1 .00 <br />1 .00 <br />Eotchi:55359 - 1/ l1/202t'j ID: <br />0fl icBt (:TYH Trons+: l1Acct+t Ref+t ?r:rl <br />kcPt+:02958396 -'-,/11/ztt2tt ltl <br />Tronsoct ion Totql t6g I <br />Phone <br />State Lic #: 1031729 <br />Lic Type: B, C-8 <br />Bus. Lic #: 368557 <br />Workers' Compensation lnsuranceCarrEr: Exempt <br />Policy #: <br />Expires: <br />LROSAI I <br />I ltl <br />r,fl <br />t7 <br />I A Urbon r Int., <br />General PIon LJpdnte Fee <br />0l116002- 51600000- <br />El ectr icnl <br />01u6002- 51603000-llicnofilr & Oorurent s <br />0111600?- 57770000- <br />U iso <br />CCa: rr*r r rrrrrrr23S 3Building Use: <br />' Job Type: <br />Nalure of Work <br />Occupancy: <br />Conslr Type <br />Code: <br />B <br />VB <br />cEc 2019 <br />Commercial <br />Tenant lmprovement <br />Tl - Pharmacy <br />Noles: Electrical ,or T.l <br />Planning Conditions Applicant to provide current floor plan with suite numbers prior to <br />planning approval. <br />Planning Approval By <br />Plan Checked By: <br />Permil lssued By: <br />Subject to Field: <br />Building Permit #: <br />Chavez, Dave <br />Date: <br />Date: <br />Date:'u L.'ost13t2020 <br />Account# <br />101 103166 <br />Every permit issuod sha become invalid unless lhe work o, lhe sile <br />authonzed by such pemit ts conmonced within 3@ days aftet its <br />issuance, ot il the work authonzec! on the stte by such pamtl is suspehded <br />orabandoned tot a pedod ol 3@ days after the lime the wo* is <br />commanced - ' ' <br />lnspector MtD#. 2020-157825 <br />011 16002 51600 <br />01116002 51603 <br />01116002 57770 <br />Fee "fotal <br />Paid to Datel <br />Balance Due: <br />$1s6.41 <br />$0.00 <br />s156.41 <br />unit: 102 <br />Block NA <br />Contraclor: <br />Address: <br />1.\ <br />1681 . <br />Authir5l4l6q <br />Misc. Receiptl <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$22.95 <br />$ 129. s5 <br />$3.91