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Proiect Address: 3621 S Harbor Blvd <br />Assessor'sParcel: 414-261-07 Lot: POR 3 <br />un : 140 <br />Block: NA <br />Bldg: <br />Tract: WILLIAMS <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: SD58 <br />City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Petmft#;2o,1'11121 <br />Pin #: 23712hr <br />Owner: <br />Address: <br />Phone: <br />Tenant Name <br />Contractor <br />Address: <br />Riverrock Real Estates Group, lnc <br />5388 Sterling Center DriYe <br />westlake village, CA 91361 <br />(480) 862-692s <br />Edward Jones <br />Desert West Contracting <br />925 N. Mcoueen Road Suite <br />Gilben, AZ 85233 <br />(480) 558-7021 <br />51603 <br />51603 <br />51603 <br />51600 <br />51603 <br />57770 <br />Amount <br />1.51 <br />35.21 <br />6.94 <br />22.95 <br />57.20 <br />3.91 <br />Fee Type <br />125 Volt Receptacle <br />Low Voltage/Comm <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Notes. Electrical Tl for oftice <br />01116002 <br />01116002 <br />01 1 16002 <br />011 16002 <br />011 16002 <br />011 16002 <br />Q.y <br />20.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$30.20 <br />$35.21 <br />$6.94 <br />$57.20 <br />$3.91 <br />Phone <br />State Lic #: 863116 <br />Lic Type: B <br />Bus. Lic #: 352588 <br />Workers' Compensation lnsurance: <br />Carrier: Sirius America lnsurance Company <br />Policy #: WC1026500 <br />Expires: 0411012020 <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 />Building Permit #: <br />Commercial <br />Tenant lmprovement <br />TI <br />Occupancy: <br />Conslr Type <br />Code: <br />B <br />V B, SPK <br />cEc 2019 <br />Oate <br />Date <br />Oate <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pemit issued shall becomo invalid unless the wor* o,, tf,e site <br />authonzecl by such pemit is commenced within 3@ days aftet ils <br />issuance, or if the wod< authotized on tha site by such pemit is suspended <br />ot abandoned for a peiod of 360 days aftet the time tho wo* is <br />commencecl. <br />lnspector <br />0511912020 <br />Account# <br />01 I 16002 51600 <br />01 '1 16002 51603 <br />011 16002 57770 <br />$22.9s <br />$129.5s <br />$3.91 <br />$156.41 <br />$0.00 <br />$156.41 <br />BoLch+:55386 - <br />0fl icer i.l rH <br />Rcpt+:02t 6(144y <br />fronso(t r on To <br />t/ L') / Llt2|l llJ: onr,rtrorsi: ; I Lrikeait <br />^r1/11; <br />I- 1/ L9/2i2it 1r'rll"t Alrl. l1i6.rl <br />{}e5ert tler,t (.orrtr'qcL rn9 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Chavez, Dave <br />MID#: 2020-158281