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Project Address: 3621 S Harbor Blvd <br />Assessor'sParcel 414-261-07 Lot POR 3 <br />unit: 135 <br />Block NA <br />Bldg <br />Tract WILLIAMS <br />Address Ranger 3601-3631 <br />Historicr No <br />Suite Range: <br />Zoningr SD58 <br />t <br />Ciff of Santa Ana 20 civic center Plaza (M-19), Santa Ana. cAg27o2 Electrical <br />Permit Counter (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 2O173366 <br />Pin #: 77832 <br />Phone <br />Tenant Name <br />CCF PS lll Harbor, LLC <br />11777 San Vicente Blvd. #550 <br />Los Angeles, CA 90049 <br />(657) 325-8400 <br />Beach City Electric, lnc <br />18421 Gothard Street f300 <br />Huntington Beach, cA 9264 <br />(714) 848-2872 <br />011 <br />011 <br />011 <br />011 <br />011 <br />011 <br />5't603 <br />51603 <br />51603 <br />51600 <br />51603 <br />57770 <br />Amount <br />1 .57 <br />26 71 <br />46.73 <br />23.79 <br />59.30 <br />4.05 <br />Fee <br />$1.57 <br />$26 71 <br />$46 73 <br />$23 79 <br />$59.30 <br />$4.05 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />16002 <br />Fee Type <br />125 Volt Receptacle <br />FWU <br />lvlin Fee Adj <br />General Plan Update <br />lssuance <br />Mrcrofilm Records <br />Qt] <br />1.00 <br />1.00 <br />1 .00 <br />100 <br />1.00 <br />100 <br />Phone <br />State Lic #: 837701 <br />Lic Type: C-10 <br />Bus. Lic #: 315738 <br />workers' Compensation lnsurance:Carrier: lnsurance Company of the West <br />Policy #: wSD504182402 <br />Expires: O7lO1l2O21 <br />Botch + <br />0ff ite <br />RcPt+ I r <br />Tron so, <br />i/21/2ti2l <br />lrofis+ r I <br />RPI+: <br />359251: (:TYH <br />3292278 v2l/2421 8t32 <br />t321. <br />Commercial <br />Alteration <br />T.t. <br />B <br />V B, SPK <br />cEc 2019 Electricallor T.l. <br />Building Use <br />Job Type. <br />Nature of Work <br />Planning Conditions: lnterior T.l. <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject lo Field: <br />Building Permit #: <br />Date <br />Date <br />Date <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc Receipt: <br />Total <br />Chavez. Oave <br />101106372 <br />Every peinil $sued shall bacome nvalid unless lhe wo* on tho site <br />authonzed by such pe nit is commenced wtthin 360 days aftor ls <br />$suance or il the wo* authonzed on the sle by such permit ts suspencled <br />ot abandoned fota penod of 3@ days after the me lhe wo* ts <br />commenced <br />lnspector MtD#. 2021-164756 <br />05121t2021 <br />Account# <br />01 1 16002 51600 <br />01 116002 51603 <br />01116002 57770 <br />$23.79 <br />$ 1 34.31 <br />$4.05 <br />Fee Tolal: <br />Paid to Date: <br />Balance Oue <br />$ 162.15 <br />s0 00 <br />s162.15 <br />Ownel <br />Address: <br />Conlraclor: <br />Address: <br />Occupancy <br />Constr Type <br />Codel Notes.