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City of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, cAg27o2 Electrical <br />Permit Counler: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Proiect Address: 1150 S Bristol St unir A-3 <br />Block: POR I <br />Bldg: <br />Tract: WEST <br />Address Range: 1146-1200 <br />Hisloric: No <br />Suite Range + <br />Assessor'sParcel. 109-071-13 Lot NA Zoning: Cl <br />Owner <br />Address: <br />1150 S Bristol <br />P.O. Box 8768 <br />Newpon Beach, CA 926588768 <br />01116002 <br />01116002 <br />011'16002 <br />01116002 <br />01 1 16002 <br />01 1 16002 <br />01 1 16002 <br />5160: <br />5160: <br />5160: <br />51603 <br />5160: <br />5160C <br />5160: <br />Fee Type Amount <br />125 Volt Receptacle 1.45 <br />Light Switches, Occ. Se 1.58 <br />Light Fixlures 1.05 <br />Low Voltage/Comm 33.88 <br />Min Fee Adj 8.75 <br />General Plan Update 22.08 <br />lssuance 55.04 <br />Qly <br />6.00 <br />5.00 <br />13 00 <br />100 <br />1 .00 <br />L00 <br />1 .00 <br />Fee <br />$8.70 <br />$7.90 <br />$13 65 <br />$33.88 <br />$8.75 <br />$22.08 <br />$55.M <br />Phone: <br />Tenant Name: <br />Contraclor <br />Address: <br />Owner-Builder <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />Commercial <br />Tenant lmprovement <br />TI <br />Occupancy: <br />Constr Type; <br />Codel <br />M <br />VB <br />cEc 2016 <br />Notes <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permil #: <br />1[ x"'n"no"', x"tt'v <br />Oate <br />Date <br />Date 05t20t2019 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every pernlit issued shall become invalid unloss tho work on lhe sile <br />authori2ed by such ponnit $ commenced within360 days alter ils <br />issuance, ot il the wor* authonzed on the sile by such perrnit is suspendod <br />ot abandoned lor a penod ol 360 days after the time the worl< is <br />commenced <br />$150.00 <br />$0 00 <br />$150.00 <br />lnspector MID#: 2018-147852 <br />01 1 16002 51600 <br />01 1 't6002 51603 <br />$22.08 <br />$127 .92 <br />Fee Total <br />Paid to Date: <br />Balance Due; <br />Permit #: 2016,4716 <br />Pin #: 47622 <br />Planning Conditions: <br />Phone: <br />gotch+r{9i21 <br />tns ron Iotoi <br />l15u S Br I Etol <br />6€r erol F lnn Liedot <br />0111600?- 5l6tr0(rt[. <br />:.Ci 3 *r r,l t