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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit#: 20{66543 <br />Pin #: 2969{lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 1921 E Carneqie Ave unit: 3-K Bldg: <br />Tract NA <br />Address Range: 1901-1921. <br />Historic: No <br />Suite Range: <br />Zoning: Ml <br />E <br />Assessor'sParcel: 430-222-12 <br />Owner: <br />Address: <br />Donald R Ellis <br />l92l Carnegie Ave <br />Santa Ana, CA 92705 <br />01116002 51603 <br />0'1 116002 51603 <br />01116002 5160C <br />0'1 116002 5160: <br />Fos Type <br />Dedicated Circuit <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Amount <br />24.79 <br />48.59 <br />22.O8 <br />55.04 <br />Qty <br />1 .00 <br />1.00 <br />1 .00 <br />100 <br />Fee <br />$24.79 <br />$48.59 <br />$22.08 <br />$55.04 <br />Phonel <br />Tenant Name:Polished Motorsports LLC <br />Owner-BuilderContractor <br />Address: <br />Bqtch+r4503{ - 7/2A/lt"ttg ID! rR0SA|office: (TYH Trons+i i9 1 ofA.ctir ftefi i .Jr.j I $6i4r- <br />R.pt + 3 u23/t?6(t2 - 7 t7!.t2r-t!v 121.9 pl1 <br />Tnonsoct ion Totol tl i'r. !0 <br />ES <br />1 <br />Phone <br />Donnld R Ellis <br />Generol PIon [Jpdote Fpp <br />t-I1 1 t6Dt12- 5l 6tlB0[t1- <br />El PCtr i€ol <br />011160112- !l603rlrt[- <br />Viss <br />Cti r *rxrxI*rrrr*j4 ,r3 <br />$22.0.q <br />$12S.4! <br />$150. i0 <br />Auth+ lt:t7151 <br />Building Use: <br />Job Type: <br />Nature of Work: <br />lndustrial <br />Tenant lmprovement <br />Dedicated Circuit <br />Occupancy: <br />Constr Type: <br />Code: <br />B <br />VB <br />cEc 2016 <br />Planning Conditions: <br />Planning Approval By: <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field; <br />Building Permit #: <br />Zuniga, Allissa <br />Date <br />ffi:r:07t26t2018 <br />Account# <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Evory pormit issued shall become invalid unless the wo* on the site <br />authoized by such permit is commenced within180 days aftet its <br />issuance, ot I the work authon2ed on the site by such permit ts suspendod <br />ot abandoned for a petiod of 180 days aftet the time the work is <br />$150.s0 <br />$0.00 <br />$150.50 <br />lnspector MID#: 2018-144976 <br />$22.08 <br />$128.42 <br />Fee Total <br />Paid to Date: <br />Balance Due: <br />Lot: NA Block: NA <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance: <br />Carrier: <br />Policy #: <br />Expires: <br />Notes: Auth on file. <br />01 1 16002 51600 <br />01 1 16002 51603