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Project Address: 2121 N Grand Ave Unit: <br />Block: A <br />Bldg: Address Range: <br />Tract: S.A. GRAND AV Historic; No <br />Suite Range: <br />Zoning: RlAssessor'sParcel: 396-201-04 Lol SEE COMMENTS <br />20 Civic Center Plaza (M-19), Santa Ana, CA92702 <br />lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 <br />Electrical Permit #: 2lJ1648,o4 <br />Pin #: 4A22A <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />Owner: <br />Address <br />Contraclor <br />Address: <br />Phone <br />Tenant Name: <br />Grand Church <br />2121 N Grand Ave <br />Santa Ana, CA 927057021 <br />New Space Construction <br />11710 112E- 106th Street <br />Artesia, CA 90701 <br />(714) 556-57r4 <br />0'1 1 16002 <br />011 16002 <br />01116002 <br />0'1116002 <br />01116002 <br />01116002 <br />011 16002 <br />s1603 <br />51603 <br />51603 <br />51603 <br />s1603 <br />51600 <br />51603 <br />Fee <br />$2.80 <br />$9.12 <br />$8.08 <br />$47.74 <br />$2.90 <br />$21.25 <br />$52.98 <br />F€e Type Amount <br />125 Volt Receptacle 1.40 <br />Light Switches, Occ. Se 1 .52 <br />Light Fixtures '1.01 <br />FWU 23.87 <br />Min Fee Adj 2.90 <br />General Plan Update 21.25 <br />lssuance 52.98 <br />Qry <br />2.OO <br />6.00 <br />8.00 <br />2.00 <br />1.00 <br />1 .00 <br />1 .00 <br />Phone <br />State Lic #: 950438 <br />Lic Type: B <br />Bus. Lic #: 368395 <br />Workers' Compensalion lnsurance:Carrier: State Compensation lnaurance Fund <br />Policy #: 9202917 <br />Expires: 0110712019 <br />Building Use: <br />Job Type: <br />Nature of Work <br />Planning Conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Occupancy: <br />Constr Type <br />Code: <br />B <br />VB <br />cEc 2016 Noles <br />Date: <br />Dale: <br />Chavez. Dave Date: O2lO7l2O1A <br />Pz. <br />Account# <br />01 1 16002 5't600 <br />01 '1 '16002 5'1603 $123.62 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />lvlisc. Receipt: <br />Misc. Receipt; <br />Misc. Receipt: <br />Total <br />Buildins Permit #: 1 0194194 <br />Every pennil issued shall becomo invalid unless lhe work o, lho site <br />authoizad by such pomil is commenced within 180 days aftet its <br />issuance. ot if the wo* authonzed on the sito by such pemit is suspended <br />ot abandoned lor a pedod of 180 days ettet the time lhe wo* is <br />commertcad <br />lnspector MtD#: 2O17-138720 <br />$ 144.87 <br />$0.00 <br />s'|44.87 <br />Commercial <br />Tenant lmprovement <br />TI