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\ <br />City trf Santa Ana 20 Crvic Center Plaza (M-19), Santa Ana, CAI27O2 Sq Electrical <br />Permit Counter (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section (714) 647-5853 <br />Permit #: 2lJ167692 <br />Pin #: {8929 <br />Project Address: 3100 W Warner Ave <br />Assessor'sParcel. 414-'111-21 Lot POR 3 <br />Unit 1 <br />Block: NA <br />Bldg <br />Tract 2650 <br />Address Rangel <br />Hisloric. No <br />Suile Range <br />Zoning: Ml <br />Owner <br />Address <br />Phone: <br />Tenant Name: <br />Contractor <br />Address <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 116002 5'1603 <br />01 116002 51603 <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01116002 53601 <br />01 1 16002 51600 <br />Warner-Susan Businegs Park <br />2 LJpper Newport Plz <br />Newport Beach, CA 926602529 <br />(661) 481-1851 <br />Concentra <br />S B S Corporation <br />2409 Avenida De La Rosa <br />Camarillo, CA 93012 <br />(818) 943{755 <br />Foe Typo Amount <br />125 Volt Receplacle 1.5'1 <br />Light Switches, Occ. Se 1U <br />Light Fixtures 1.09 <br />Air Conditioner 100.70 <br />Dedicated Circual 25.76 <br />Time Clock '12.57 <br />P/C - 65% 0.65 <br />General Plan Update 22.95 <br />Qry <br />93 00 <br />34 00 <br />98 00 <br />400 <br />7.00 <br />'14.00 <br />1 ,O22 00 <br />1.00 <br />Fee <br />$140 43 <br />$55 76 <br />$ 106.82 <br />$402.80 <br />$180 32 <br />$175 98 <br />$664 30 <br />State Lic #: 742782 <br />Lic Type B <br />Bus Lic # 373117 <br />Workers' Compensalron lnsuranceCafiEt Stale Fund <br />Policy #: 9045847-19 <br />Expires O2lO1l2O2O <br />Building Use: <br />Job Type: <br />Nature of Work <br />Occupancyl <br />Constr Type <br />Code: <br />B <br />VB <br />cEc 2016 <br />Commercial <br />Tenant lmprovement <br />T.l./Roof Mld. Equip <br />Itanls <br />r. Tefl <br />Date <br />Date <br />Date <br />05/03/2019 <br />07 t11t2019 <br />Misc Receipt <br />Mrsc Receipt <br />Misc. Recerpt: <br />Total <br />$22 95 <br />$1,062 11 <br />Notes <br />Planning Conditions <br />Plan Checked By <br />Permit lssued By <br />Subject to Field. <br />lnspector MtD# 2018-148411 <br />Account# -_ <br />01116002 51600 <br />01 '! 16002 51603 <br />$ 1 ,749.36 <br />$664.30 <br />$1 ,085.06 <br />GC <br />Phone <br />Plannrng Approval By <br />Fee Total: <br />Paid to Date. <br />Balance Due: <br />Buildins Permit f 101 98735 <br />Every porm Bsued shall becofie nvehc! unless lhe worl on tho s/to <br />authonzecl by such perml ts commonced wlhn 360 days after its <br />ssuance ot t lhe work authonzec! on lhe sle by such porml E susponded <br />ot abandoned for a ponod o1360 days aftet lhe lme the wo* ts <br />cofimerr@d