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@ City of Santa Ana 20 Crvrc Center Plaza (M''19), Santa Ana cA927o2 Electrical Permit #: 2O169390 <br />Permit Counter (714) 647-5800 lnspection Requests (714).667-2738 lnspector Section (714) 647-5853 Pin #: 87695.tN <br />Project Address: 511 N Harbor Blvd Unit D <br />Block A <br />Btdg: <br />Iract 490 <br />Address Range: 501-521 . <br />Historic. NoAssessor'sParcel 19A-162-24 Lol 1 THROUGH '11 <br />Owner <br />Address <br />Lau Associates <br />26895 Aliso Creek Rd #B-532 <br />Aliso Viejo, CA 92656 <br />(714) 495-0783 <br />Angie Nutrition Club <br />011 16002 5160: <br />01 1 16002 5160: <br />01 1 16002 5160C <br />01 1 16002 5160: <br />Fee Type <br />125 Volt Receplacle <br />Min Fee Adj <br />General Plan Update <br />lssuance <br />Amount <br />1 51 <br />70 22 <br />22 95 <br />57 20 <br />Qt) <br />4.00 <br />1 .00 <br />100 <br />100 <br />Fee <br />$6 04 <br />$70.22 <br />$22 95 <br />$57.20 <br />Phone <br />Tenant Name: <br />Oscar J Moreno Romero <br />1508 E Collins Avenue <br />Orange, CA 92867 <br />17141.32s-2769Phone <br />0s(--qr J l'loceno Rorefo <br />Building Use <br />Job Type <br />Nature of Work <br />Commercial <br />Tenant lmprovement <br />TI <br />Occupancy <br />Conslr Type <br />Code. <br />B <br />VB <br />cEc 2016 <br />Generol Plon Updote Fe€ <br />011 16002- 516(r(0(rrr- <br />Electr icol <br />01116002- 516u300tr- <br />(:o9h <br />Uiso <br />CC+ ! rrI rr * r rr I*r6 gg4 <br />Noles <br />Planning Conditions <br />Plannrng Approval By <br />Plan Checked By: <br />Permrt lssued By <br />Sub,ect to Field <br />Burldrng Perm( # <br />Hernandez Kathy <br />Date <br />Dale <br />Date oBt12t20'19 <br />Misc. Receipt: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />$22.95 <br />$133.46 <br />10198646 <br />Account# <br />01 1 't6002 51600 <br />011 16002 51603 <br />$156 41 <br />$0 00 <br />$156.4'l <br />Evoty pomt tssuod shall becone nvahcl unless lho work on tho stte <br />aulhonzea! by such permtl ts commohced wtlhtn360 days aftet is <br />tssuanco or i tho work authonzed on lhe stte by such pero t ts suspeDded <br />or ab4ndoned fot a po od c1,360 days after lhe t nethewo*ts <br />commoncod <br />lnspector MtD# 2018-148252 <br />Fee Total <br />Paid lo Date <br />Balance Due <br />Surte Range <br />Zoningr SP2 <br />Contractor: <br />Address. <br />Botchi:31409 - 8/12/2019 ID: iIGAR(office: CTYH lrons+r 23 ? ofAccti: Ref+: 2tt1693?l <br />Rcpti:02716066 - 8/12/2ttl9 1r.r:1i At1 <br />Tronso,:U ion Totol t1' r-r?1.S:Stale Lic f: 1014049 <br />Lrc Type: A <br />Bus. Lic #: 373579 <br />Workers' Compensation lnsurance:Carner: Exempt <br />Policy I <br />Expires: <br />Auth+ r