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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714) 667-2738 lnspector Seclionr (714) 647-5853 <br />Electrical Permit #: 20166241 <br />Pin #: 377fi,4 <br />qProiect Address: 1750 N Grand Ave U nit: <br />Block: A <br />Bldg: Address Range: <br />Tract: A.B. CHAPMAN Historic: NoLot: POR G.L. RUSSE <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Justin Strom <br />777 S. Harbor Blvd. <br />La Habra, CA 90631 <br />(916) 893-1 536 <br />CVS Pharmacy <br />Eleven western Builders lnc <br />2852 Executive Place <br />Escondido, CA 92029 <br />(760) 796-6346 <br />01116002 <br />01116002 <br />01 1 16002 <br />01116002 <br />01'1't6002 <br />Fee <br />$17.40 <br />$49 58 <br />$6.40 <br />$22.08 <br />$55.04 <br />5'1603 <br />5160: <br />5'160: <br />5160C <br />51603 <br />Qty <br />12.00 <br />2.OO <br />1 .00 <br />1.00 <br />100 <br />Fee Type <br />125 Volt Receptacle <br />Dedicated Circuit <br />lvin Fee Adj <br />General Plan Update <br />lssuance <br />Phone <br />State Lic #: 439908 <br />Lic Type: B <br />Bus. Lic #: 364156 <br />Workers' Compensalion lnsurance:Carrier: Twin City Fire lnsurance Company <br />Policy #: 72WEAAR0733 <br />Expires: 10l3'll201a <br />ot.h+lf rre <br />cct+: <br />Ept+r1 <br />ronsq <br />? tzi/2n19 <br />[ronE+:1:i <br />Rell:- 9/?$/2tt!E <br />ID; <br />2r-r1 <br />totol <br />M <br />V B, SPK <br />cEc 2016 <br />benerq 1 <br />U 1l l6r-ttr: <br />Electr i( <br />fr111600: <br />ICL Cher <br />Updoue F{ <br />t[-rtro( * <br />US0(fl:l <br />212? <br />Planning conditions <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Commercial <br />Tenant lmprovement <br />T.l. - Accessibility <br />($,," <br />Date <br />Date <br />Dale <br />l\4isc. Receipt: <br />lvlisc. Receipt: <br />l/isc. Receipt: <br />Total <br />rnandez, Kathy <br />Buildinq Permit #: 1 0196303 <br />Every permit issued shall become invalid unless the wo* on the site <br />autho.ized by such pomit is commenced wtthin180 days atlet its <br />issuance, or if the wotk authoized on lhe sile by such permit is suspended <br />ot abandoned lot a period otl80 days aftet the time the work is <br />commencecl <br />$150.50 <br />$0.00 <br />$150.50 <br />lnspector MID#: 2018-143055 <br />01116002 51600 <br />011'16002 51603 <br />$22.O8 <br />$128.42 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Suite Rangei <br />Zoning: C4Assessor'sParcel: 396-161-03 <br />Owner: <br />Address: <br />Amount <br />1 .45 <br />24.79 <br />6.40 <br />22.O8 <br />55.04 <br />El€,/en llesiern EuiId€rs In( <br />Building Usel <br />Job Type: <br />Nature of Work: <br />09120t2014 <br />Account# <br />Occupancy: <br />Constr Type: <br />Code:Notes: