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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical <br />PermitCounter: (714)647-5800 lnspectlon Requests: (714)667-2738 lnspectorSection: (714)647-5853 K <br />Permit #:2O1 69891 <br />Pin #: 52489 <br />Project Address: 5015 W Edinger Ave <br />Assessor's Parcel: 108-381-25 Lot: NA <br />Unit. G <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: 501 5-5127 <br />Historic: No <br />Suite Range: <br />Zoning: C1 <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor: <br />Address: <br />Phone: <br />Policy #: <br />Expires: <br />Philip Miller <br />5015 W Edinger Ave G <br />Santa Ana, CA 927041966 <br />(310) 435-s766 <br />TAN HOANG HUONG FOOD TO GO <br />H L S Electric <br />1509 N Ross Street, Apt D <br />Santa Ana, CA 92706 <br />(714I- 9ss-8980 <br />9234743 <br />07 t11t2020 <br />01 1 16002 51603 <br />01 1 16002 5160". <br />01 1 16002 51603 <br />01 1 16002 5160." <br />01 1 16002 5160C <br />01116002 5160.2 <br />Fee Type Amount <br />125 Volt Receptacle 1 .51 <br />Light Switches, Occ. Se 1.64 <br />Light Fixtures 1 .09 <br />Min Fee Adj 35.12 <br />General Plan Update 22.95 <br />f ssuance 57.20 <br />Qty <br />7.00 <br />10.00 <br />13.00 <br />1.00 <br />1.00 <br />1.00 <br />Fee <br />$10.57 <br />$16.40 <br />$14.17 <br />$35.1 2 <br />$22.es <br />$s7.20 <br />$?2. g5 <br />$133.46 <br />$409 .?1 <br />State Lic #: 963886 <br />.t ic Type: B, C-10 <br />Bus. Lic #: 338870 <br />Workers' Compensation lnsurance:Carrier: STATE COMPENSATION INSURANCE FUND <br />Botch*:52463 IA/10/2019 ID: LR0SALES <br />0f f i ce: CTYH Tr on si : l0 ? cif ?.Acctl: Refl: 2016?991 <br />Rcpt*:02775019 l,lt/ l(r/2019 3:38 Fl1 <br />Tronsoct ion Totol S4119 .?1 <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 />Hernan dez, Kathy <br />lollol tqL <br />10t10t2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Occupancy: <br />Constr Type: <br />Code: <br />Date: <br />Date: <br />Date: <br />M <br />V B, SPK <br />cEc 2016 <br />H L S Electric <br />Genernl Plon Updote Fee <br />01 I 16002- 51600000- <br />Electr i cnl <br />01116002- 51603000- <br />I CL Check' 0(r{066 <br />Notes: Legalize the combination of Units G & H <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />01 1 16002 51600 <br />01 1 16002 51603 <br />$22.9s <br />$1 33 46 <br />$1s6.41 <br />$0.00 <br />$156.41 <br />Every permitissued 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 fhe sife by such permitis suspended <br />or abandoned for a period of 360 days after the time the work is <br />commenced. <br />lnspector MID#: 201 9-153826