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t '.),' <br />,Aw City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical <br />Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7141647-5853 <br />Permit #:20171267 <br />Pin #: 63403a <br />Proiect Address: 200 W Santa Ana Blvd-a- <br />Assessor's Parcel: 398-253-06 Lot. 1-10 <br />Unit 100 <br />Block: 20 <br />Bldg: Address Range: <br />Tract: TOWN OF SANTA Allistoric. No <br />Suite Range: <br />Zoning: SD84 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone. <br />Santa Ana CA Ii Sgf LLC <br />1 N Wacker Dr #4025 <br />Chicago, lL 60606 <br />(800) e144887 <br />HCA <br />H L Miller lnc <br />2201 E Winston Road <br />Anaheim, CA 92806 <br />(7141 se8-86ee <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 5160C <br />01 1 16002 51603 <br />01 1 16002 5777C <br />Fee Type Amount <br />125 Volt Receptacle 1 .57 <br />Light Switches, Occ. Se 1.70 <br />Min Fee Adj 52.38 <br />General Plan Update 23.79 <br />lssuance 59.30 <br />Microfilm Records 4.05 <br />Qty <br />9.00 <br />5.00 <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$1 4.1 3 <br />$8 50 <br />$52.38 <br />$23.79 <br />$5e 30 <br />$4 05 <br />State Lic #: 385912 <br />Lic Type: B, C-33, C-6, C-39 <br />Bus. Lic #: 2631 <br />Workers' Compensation I nsurance:Carrier: Falls Lake Fire & Casualty Company <br />Policy #: FLA00898B <br />Expires: 0410112021 <br />Planning Conditions: lnterior Tl only. No exterior alterations/modifications. <br />Building Use: <br />Job Type. <br />Nature of Work: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />High-Rise Commercial <br />Tenant lmprovement <br />Tl - Partion Walls <br />Occupancy. <br />Constr Type. <br />Code: <br />Date. <br />Date: <br />Date: <br />B <br />I A, SPK <br />cEc 2019 <br />10t07 t2020 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Notes: electrical for Tl <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Zuniga,A[*M <br />Buirding Permit#,tQ\ \ozr1 sL <br />Every permit issued shall become invalid unless the work on the site <br />authorized by such permit is commenced within 360 days after its <br />issuance, or if the work authorized on the site by such permitis suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />lnspector MID#:2020-1 59 112 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01 1 16002 57770 <br />$23.79 <br />$134.31 <br />$4 0s <br />$1 62.1 5 <br />$0 00 <br />$162.15