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City of Santa Ana <br />Permit Counter: (714\ 647-5800 <br />20 Civic Center Plaza (l/-19), Santa Ana, C492702 Electrical Permit #: 2O166319 <br />Pin #: 89{ { 5lnspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853 <br />Project Address: 1500 E Seventeenth St Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suale Range: <br />Zoning: Cl <br />q <br />Assessor'sParcel: 400-241-01 Lot: NA <br />Ownerl <br />Address: <br />First Church of Nazarene <br />ISOO E 17TH ST <br />Santa Ana, CA 927058502 <br />(303) 9s64119 <br />01 1 16002 5160: <br />01 116002 5160: <br />01 1 16002 5160C <br />01 116002 5160: <br />Fee Type <br />TPP <br />0-1 HP. KW or KVA <br />General Plan Update <br />lssuance <br />Amount <br />103.07 <br />3.56 <br />22.O8 <br />55.04 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />1.00 <br />Phone <br />Contractor <br />Address: <br />Phone 0nt,:h*:445?.1 -7 /3 /21119 <br />Tr'ons+: -4C <br />Ref+:- ?./,!-./?019 <br />10; I R0sAt.t1llf i,:e: CTYH 2of <br />r:r16,J 319 <br />r59 Pn <br />49 _ t19 <br />Stale Lic #: 992206 <br />Lic Type: B, C-10 <br />Bus. Lic #: 369902 <br />Workers' Compensation lnsurance: <br />Carrier: Employee Sevice Group <br />Policy #: RWCC64385070 <br />Expires: 06/01/20'18 <br />':pti:i?319??? - <br />ronsqct ion [oLo.l <br />1!i! <br />R(lr ins Green ttd <br />other occupancy: <br />Alteration Constr Type: <br />Change of Use - Temporary Code: <br />E <br />VB <br />cEc 2016 <br />t?2. t:rs <br />s131.67 <br />*a49,t19 <br />Auth+:5?7?7F <br />Notes: <br />Planning Approval By:Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Zuniga, Alliss <br />Building Perm $ 183.75 <br />$0.00 <br />$183.75 <br />Every permit i <br />authonzed by <br />shall become invalid unless <br />permit ls commenced days aftet its <br />issuance ot if the ulhorized on by such perml is suspended <br />or abandoned fot a pe <br />commenced <br />ys aftet lhe time lhe woik is <br />lnspector MtD#. 2018-144081 <br />$22.08 <br />$161.67 <br />Fee Total <br />Paid to Date: <br />Balance Due <br />Tenant Name: <br />Racing Green Ltd <br />3873 BERRY DRIVE <br />Studio City, CA 91604 <br />(310) 9514080 <br />Fee <br />$103.07 <br />$3.56 <br />$22.08 <br />$55.04 <br />6enerfll Flan Updote l- i,g <br />01116110?- 5l,a lllltlrllr:r - <br />Electr i.nl <br />01 1 1 6tlrl?- 51,3r1:r0rlr.r- <br />l'lnster (:(lrd <br />cci: x**r*r***r**6329Building Use: <br />Job Type: <br />Nature of Work: <br />Planning conditions: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />10196763 <br />on lhe site <br />Date: <br />Date: <br />Date;07 to3t2014 <br />Account# <br />01'116002 51600 <br />01116002 51603