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Project Address: 228 N Harbor Blvd <br />Assessor'sParcel 198-061-17 Lot: NA <br />Unit <br />Block NA <br />Address Range 100-230 <br />Historic No <br />Suite Range: <br />Zoning: SP2 <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' (7'14) 647-5853 <br />Permit #: 20168574 <br />Pin #: f 548\ <br />Owner <br />Address <br />Conlractor <br />Address <br />Phone: <br />Tenant Nama: C V S Pharmacy <br />CVS Pharmacy <br />228 N Harbor Blvd <br />Sanla Ana, CA 927033337 <br />Tech One Construction <br />5373 Brooks Street <br />Montclair, CA 91763 <br />(909) 59r-12r9 <br />01'116002 <br />01 1 16002 <br />01 1 16002 <br />01116002 <br />01'1 16002 <br />01116002 <br />01 1 16002 <br />01116002 <br />011 16002 <br />01116002 <br />01116002 <br />51603 <br />5't603 <br />51603 <br />5't603 <br />51603 <br />51603 <br />51603 <br />51603 <br />53601 <br />51600 <br />51603 <br />Qry <br />47.00 <br />6.00 <br />3'1.00 <br />7.00 <br />8.00 <br />1.00 <br />4.00 <br />1 .00 <br />535.31 <br />1 .00 <br />100 <br />Foe <br />$70.97 <br />$9.84 <br />$33.79 <br />$180.32 <br />$206.08 <br />$35.21 <br />$13.32 <br />$55.37 <br />$347.95 <br />$22.95 <br />$57.20 <br />Fee Typo Amount <br />125 Volt Receptacle 1 .51 <br />Light Switches, Occ. Se 1.64 <br />Lighl Fixlures 1.09 <br />FWU 25.76 <br />Dedicated Circuit 25.76 <br />Low Vollage/Comm 35 21 <br />Add'l Devices/Low Volt 3.33 <br />Serv Meter 55 37 <br />Ptc - 650k 0.65 <br />General Plan Update 22.95 <br />lssuance 51.20 <br />Notes T.l. - lnterior remoqel <br />Phone <br />State Lic # 854945 <br />Lic Type: B <br />Bus Lic #: 373443 <br />Workers' Compensatron lnsuranceCarrier Everest National <br />Policy #: 7500018835191 <br />Expires O4lO1l2O2O <br />Building Usel <br />Job Type: <br />Nature of Work <br />Plan Checked By <br />Permil lssued By <br />Subject to Field <br />Building Permil # <br />Commercial <br />Tenant lmprovement <br />T.t. <br />CSG Consultants <br />Amsden, Julie <br />10199951 <br />Date: <br />Date <br />Date <br />05/15/2019 <br />o712512019 <br />Account# <br />Misc. Receiptr 72518 <br />Misc. Receipl <br />Misc. Receiptl <br />Total <br />Occupancy <br />Constr Type <br />Code <br />M <br />V B, SPK <br />cEc 20r6 <br />Planning Conditions: lnterior T.l./No exterioralterations <br />Every perml tssued shall bocomo tnvaltd unless tho work on lhe s,le <br />authonzed by such perm is cofimenced wtlhn 360 days aftot tls <br />lssuance. ot if the work authonzod on the s o by such pem ts susponded <br />or abandoned tor a pefiod o1360 days altor the llma lhe wo* ts <br />commonced <br />lnspector <br />01 1 '16002 51600 <br />0'1 116002 51603 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />$1,033.00 <br />$347 95 <br />s685.05 <br />Brdg: <br />Tracl NA <br />Plannrng Approval By <br />$22.95 <br />$662 10 <br />MID#: 2019-1 51 1 55