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I Project Address: 201 N Broadway <br />Assessor'sParcel. 398-267-03 Lot: 2, 3, 6 <br />Unil <br />Block.5 <br />Bldgr Address Range: .2ot-2il N <br />Tract rowN oF SANTA Aristori", ""]'j"o*""'o <br />Suite Range: <br />Zoning: SO84 <br />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 Section: (714) 647-5853 <br />Electrical Permit #: 2Or 65209 <br />Pin #: 60{{3 <br />Owner: <br />Address <br />Phone <br />Tenant Name <br />Contractor: <br />Address: <br />Phone <br />Slate Lic 8: 538125 <br />Lic Typer B <br />Bus. Lic #: 367145 <br />Workers' Compensation lnsurance:Carrier: State Fund <br />Policy #: 9142815-17 <br />Expires: l0r0lr20l8 <br />Foe Type Amount <br />125 Volt Receptacle 1.4O <br />Light Swilches, Occ. Se 1.52 <br />Light Fixtures 1.01 <br />Dedicated Circuit 23.87 <br />Low Voltage/Comm 32.61 <br />Subpanel 51.29 <br />Ptc - 650/0 O6s <br />General Plan Update 21.25 <br />lssuance 52.98 <br />The llole (:orpornt ion <br />Botch+:4279r:r - 3/16l2t'l1g ID: NGAR(:IAofficet CTYH Trons+: 2t'l 1 of 2Accti: Refi: 20165209 <br />Rcpti:021?9197 - 3/16/2018 10:11 All <br />Troosoct ion Totol t891, g1 <br />The Hale Corporation <br />513 S Myrtle Avenue, Suite / <br />Monrovia, CA 91016 <br />(626) 3s84523 <br />01 1 16002 51603 <br />01116002 51603 <br />01 't 16002 51603 <br />01 1 16002 51603 <br />01 1 16002 51603 <br />01116002 51603 <br />01116002 53601 <br />01116002 51600 <br />011 16002 51603 <br />Qty <br />55 00 <br />L00 <br />48.00 <br />6.00 <br />1.00 <br />1.00 <br />332.80 <br />1.00 <br />1.00 <br />Fee <br />$77.00 <br />$ 12.16 <br />$48.48 <br />$143.22 <br />$32.61 <br />$51.29 <br />$216.32 <br />$21 .25 <br />$s2.98 <br />Building Usei <br />Job Type: <br />Nature of Work <br />Planning conditions: <br />Planning Approval Byl <br />Plan Checked By: <br />Permil lssued By: <br />Subject to Field: <br />Commercial <br />Tenant lmprovement <br />TI <br />Occupancy: <br />Constr Type <br />Code: <br />A-2, B <br />III B, SPK <br />cEc 2016 Noles <br />Generol PIcn Updqte Fee <br />011l60112- 51600000- <br />P/C Electr ic <br />01116002- 536010110- <br />ICL Check tr4037g <br />,21 .2t <br />t1L7 .71 <br />t33,34 <br />t8?4. gl <br />o*,0[i4ffi Stti 1 6,ri,.r(n:,- <br />(,\ <br />Davis. Scott <br />Hernandez, Kalhy <br />03t1412018 <br />03/16/2018 <br />Account# <br />01 1 '16002 51600 <br />01 1 16002 51603 <br />011't6002 53601 <br />$21.25 <br />5417 .7 4 <br />$33.34 <br />Fee Totali <br />Paid to Date: <br />Balance Oue <br />Misc. Receipt: 70621 <br />Misc. Receipt: <br />l\4isc. Receipt: <br />Total <br />Buldins Permil #: 101 93795 <br />Every pemtt tssued shall become invalid unless lhe work on the stte <br />aulhonzed by such permi $ commanced wthn 180 days aftet ts <br />,ssuance. ot i lhe wotl< authonzed on the sile by such pgrmit ]s suspended <br />or abandoned fot a penod of180 days aftet the hme lhe work ls <br />commenced <br />lnspector MID#: 2017-13801 1 <br />$655 3'1 <br />$182.98 <br />$47?.33 <br />Santora Group LLC <br />503 32nd Street, Suite 200 <br />Newport Beach, CA 92663 <br />(949) 673-0500 <br />Congregation Ale House <br />Date: <br />Date: <br />Dale: