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Plaza (M-19), Santa Ana, <br />Requests: (714) 667-2738 I <br />Unrt <br />Block: NA Ita <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />ToAccount# <br />2021 <br />A-2 <br />VB <br />cEc 2019 <br />CitY of Santa Ana 2o civic cen <br />Permit Counter: (714) 647-5800 lnsp <br />Project Address: <br />Assesso/sParcel: 011-26342 Lot. l <br />Owner: <br />Address: <br />McDonald's USA, LLc <br />3800 Kilroy Airport Way Unit f200 <br />Long Beach, CA 90806 <br />(818) 219{980 <br />McOonald's <br />Phone: <br />Tenant Name <br />Contractor <br />Address: <br />WCCSlnc <br />9021 Rancho Park Court <br />Rancho Cucamonga, CA 91 <br />(909) 982-6979Phone <br />State Lic #: 655509 <br />Lic Type: C-36, B, C-10, C-20 <br />Bus. Lic #; 198032 <br />Workers' Compensation lnsurance:Carrier: Travelers Property Casualty <br />Policy #: UB5P918655 <br />Expires: 0410112021 <br />Building Use: <br />' Job Type: <br />Nature of Work <br />Commercial <br />Miscellaneous <br />Electrical Outlet <br />Occupan <br />Constr T <br />Code: <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Chavez, Dave <br />s)c. <br />Date <br />Date <br />Date <br />Every pemil issued shall become invalid unless the wo* on the site <br />authonzed by such peftnl is commenced wthin 3N days ehor ils <br />issuance. ot iflhe wo* euthonzed on the stte by such permil is suspended <br />or abahdoned bt a pedod of 3& days aflet the time lhe wo* is <br />commenced <br />lnspector MtD#. 2021-164495 <br />01 I 16002 51600 <br />011 16002 51603 <br />01116002 57770 <br />$23 <br />$134 <br />$4 <br />702 Electrical Permit #: 2lJ172839 <br />Pin #: 17059spector Section: (714) 647-5853 <br />s Address Range: <br />447 5 Historic No <br />Fee Type <br />125 Volt Receptacle <br />[Iin Fee Adj <br />General Plan Update <br />lssuance <br />Microfilm Records <br />Amount <br />1 .57 <br />73.44 <br />23.79 <br />59.30 <br />4.05 <br />Qt] <br />1 .00 <br />1 .00 <br />1 .00 <br />'1 .00 <br />1 .00 <br />Fee <br />$1.57 <br />$73.44 <br />$23.79 <br />$59.30 <br />$4.05 <br />gotch+ rgg2,(? - 2/24 / 2t-t2l <br />0fl ice: CTYH Tr'ans;: 1JA.ctfl Rel+: <br />R.pti:(r3l94tl4l:l - 2/2t/21t2! <br />Trons(lct r0n ToLol <br />UEL <br />ol' <br />st? <br />AN <br />5 <br />AF <br />11 <br />2,;1172 <br />9ri6 <br />!l C(: S In( <br />Genenol FIsn Updqt e Fee <br />r:r I I 1 6U02- 5 1 600r.rr'rr:r- <br />Elertn icol <br />Bl 1l6r:102- i16(30r:10- <br />ni,:rof ill'| & Do,:urente <br />n I l160rJ2- 5 777rirnrJ-1(l Check 023363 <br />$1 <br />34, Lri <br />Noles lnstallation of (l) electrical outlet. <br />$162.15 <br />$0.00 <br />$162.15 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Suite Range: <br />Zoning: Ml <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 51600 <br />01 1 16002 51603 <br />01116002 57770