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City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cAg27o2 Electrical <br />Permit counter (714) 647-5800 lnspection Requests: (7'l4l667-2738 lnspector Section: (714) 647-5853 <br />Permit #: 2O173605 <br />Pin #: 26625 <br />Project Address: 1111 S Broadway <br />Assessor'sParcel. 013-140-01 Lol 1-13 <br />Unit. <br />Block; NA <br />Btdg: <br />Traclr 579 <br />Address Range. <br />Historic. No <br />Suite Range; -EJ <br />Zoning: O <br />Owner <br />Address <br />Phone: <br />Tenant Name: <br />Contractor <br />Address <br />Santa Ana HS Tennis- Boys <br />520 W Walnut St <br />Santa Ana, CA 92701 <br />(714) 267-0083 <br />Santa Ana HS Tennis-Boys <br />KC Electric <br />4440 Charlemagne Ave <br />Long Beach, CA 90808 <br />(714) 699-0106 <br />01 1 16002 5160: <br />01116002 5160( <br />01 1 16002 5160: <br />01116002 5777C <br />Amount <br />26 71 <br />23.79 <br />59.30 <br />4.05 <br />Fee <br />$26.71 <br />$23.79 <br />$59.30 <br />$0.00 <br />Fee Type <br />General Plan Updale <br />lssuance <br />Microfilm Records <br />Qty <br />100 <br />100 <br />1 .00 <br />0.00 <br />State Lic #: 69952'l <br />Lic Type: C-10 <br />Bus. Lic *: 3914 <br />Workers' Compensation lnsurance:Carrier: Exempt <br />Policy *: <br />Expires: <br />Building Use <br />Job Type <br />Nature ot Work <br />Planning Conditions <br />Planning Approval By: <br />Plan Checked Byl <br />Permil lssued By: <br />Subject to Field: <br />Building Permil #. <br />Other <br />Miscellaneous <br />Fireworks Stand <br />N/A <br />N/A <br />cEc 2019 <br />Occupancyl <br />Constr Type: <br />Code:Notes Hand out given/All fees paid on M-75635 <br />Misc. Receipl: 75635 <br />Misc. Receipl; <br />Misc. Receipt: <br />Total <br />Zuniga. Allissa o6t22t2021 <br />Account# <br />Every pennit issued shall bocoma invahd unless lhe wolk o, lhe sle <br />authonzed by such pefinl 6 cgfimenced within 360 days altet s <br />tssuonce, ot I the wott authonzod on lho sle by such peftnil $ suspenclecl <br />ot abandohed lor a ponod ot 360 days after lhe tima the wo* ts <br />commenced <br />lnspector MID#: 202'1-166981 <br />N/A - No Balance <br />Phone. <br />Date: <br />Date. <br />Date: <br />$109 80 <br />$109.80 <br />t0.00 <br />Fee Total <br />Paid to Date: <br />Balance Due: