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P roj ect Aa a ress :SfuLluslinl\ye Unit: <br />Block: A <br />Btdg.t*t AddressRange: <br />Tract: A.B. CHAPMAN Historic: No <br />a? <br />Assessor'sParcel: 396-251-55 Lot: 8 <br />Suite Range: Unit l-5, Unit l-8 <br />Zoning: R4 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 <br />l nspection Requests: (7 1 41 667 -27 38 l nspector Section. (7 1 4) 647-5853 <br />Electrical Permit #: 201G5717 <br />Pin #: 50323 <br />Owner: <br />Address <br />Tenant Name: <br />The Bascom Group <br />26 Corporate Park Drive Suite 200 <br />lrvine, CA 92606 <br />(866) 695-s591 <br />01116002 <br />01116002 <br />011 16002 <br />01116002 <br />01'116002 <br />51603 <br />5't603 <br />51603 <br />5't600 <br />51603 <br />Fee Type Amount <br />125 Voll Receptacle 1.40 <br />Light Switches, Occ. Se 1.52 <br />Lighl Fixtures 1.0'1 <br />General PIan Updale 21.25 <br />lssuance 52.98 <br />Qty <br />10.00 <br />14.00 <br />8.00 <br />1.00 <br />1.00 <br />Fee <br />$14.00 <br />$21.28 <br />$8.08 <br />$21.25 <br />$52.98 <br />Phone <br />State Lic #: 1009989 <br />Lic Type.: . B <br />Bus. Lic #: 366547 <br />Workers' Compensation lnsurance:Carrier: Madwest Employer's Casualty Company <br />Policy #: BNUWC0139070 <br />Expires: 0110112019 <br />llot ?rro Renc.,'nt i <br />GEneral P!(tn updqte I <br />frM 6r:r!?- 5 1 4r:I:t0!j[r - <br />E lectr icql <br />011 I 600:- 516r3(fl:r_r- <br />ICL Check 00299t:l <br />ICL (:heck 002?89 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #i <br />R-2 <br />VB <br />cEc 2016 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Chavez, Dave <br />Every pefinit issued shall bocome invalid unless the wotk on the site <br />authotized by such permil is commenced within 180 days aflet ils <br />issuance, or iflhe wo* authoized on the sile by such permit is suspended <br />or abandoned for a peiod of 180 days after the time the wo* is <br />commenced. <br />lnspector MID#: 2018-142956 <br />05110t2018 <br />Account# <br />011 16002 51600 <br />01 1 16002 51603 <br />$21.25 <br />$96.34 <br />$117.59 <br />$0.00 <br />$117.s9 <br />Phone: <br />Katerra Renovations, LLC <br />3200 Earhart Orive <br />Carrollton, TX 75006 <br />(972) 818-106s <br />Contractor: <br />Address:Bdtrh+!439,(3 - 5./t 7,1?r'rl9 <br />0ff ice: (:TYH Tr,:!n!+; !AcEta: Fei' <br />Rcpti:0226F660 - 1t l? t: <br />TronsoEt ion Totsi <br />II <br />l|l:. i,l <br />Notes: Fixture change outs (unit 5,8). <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />II <br />Multi-Family (5 or more uni Occupancy: <br />Alteration Constr TYPe: <br />change out fixtures (unit 5, lcode: <br />Planning Conditions: <br />Date: <br />Date: <br />Date: